119 found
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  1.  35
    Empirical Ethics as Dialogical Practice.Guy Widdershoven, Tineke Abma & Bert Molewijk - 2009 - Bioethics 23 (4):236-248.
    In this article, we present a dialogical approach to empirical ethics, based upon hermeneutic ethics and responsive evaluation. Hermeneutic ethics regards experience as the concrete source of moral wisdom. In order to gain a good understanding of moral issues, concrete detailed experiences and perspectives need to be exchanged. Within hermeneutic ethics dialogue is seen as a vehicle for moral learning and developing normative conclusions. Dialogue stands for a specific view on moral epistemology and methodological criteria for moral inquiry. Responsive evaluation (...)
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  2.  22
    Good Care in Ongoing Dialogue. Improving the Quality of Care Through Moral Deliberation and Responsive Evaluation.Tineke A. Abma, Bert Molewijk & Guy A. M. Widdershoven - 2009 - Health Care Analysis 17 (3):217-235.
    Recently, moral deliberation within care institutions is gaining more attention in medical ethics. Ongoing dialogues about ethical issues are considered as a vehicle for quality improvement of health care practices. The rise of ethical conversation methods can be understood against the broader development within medical ethics in which interaction and dialogue are seen as alternatives for both theoretical or individual reflection on ethical questions. In other disciplines, intersubjectivity is also seen as a way to handle practical problems, and methodologies have (...)
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  3.  10
    Teaching Ethics in the Clinic. The Theory and Practice of Moral Case Deliberation.A. C. Molewijk, T. Abma, M. Stolper & G. Widdershoven - 2008 - Journal of Medical Ethics 34 (2):120-124.
    A traditional approach to teaching medical ethics aims to provide knowledge about ethics. This is in line with an epistemological view on ethics in which moral expertise is assumed to be located in theoretical knowledge and not in the moral experience of healthcare professionals. The aim of this paper is to present an alternative, contextual approach to teaching ethics, which is grounded in a pragmatic-hermeneutical and dialogical ethics. This approach is called moral case deliberation. Within moral case deliberation, healthcare professionals (...)
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  4.  2
    Bioethics Education in Clinical Settings: Theory and Practice of the Dilemma Method of Moral Case Deliberation.Margreet Stolper, Bert Molewijk & Guy Widdershoven - 2016 - BMC Medical Ethics 17 (1):45.
    BackgroundMoral Case Deliberation is a specific form of bioethics education fostering professionals’ moral competence in order to deal with their moral questions. So far, few studies focus in detail on Moral Case Deliberation methodologies and their didactic principles. The dilemma method is a structured and frequently used method in Moral Case Deliberation that stimulates methodological reflection and reasoning through a systematic dialogue on an ethical issue experienced in practice.MethodsIn this paper we present a case-study of a Moral Case Deliberation with (...)
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  5.  9
    Integrated Empirical Ethics: Loss of Normativity? [REVIEW]Lieke van Der Scheer & Guy Widdershoven - 2004 - Medicine, Health Care and Philosophy 7 (1):71-79.
    An important discussion in contemporary ethics concerns the relevance of empirical research for ethics. Specifically, two crucial questions pertain, respectively, to the possibility of inferring normative statements from descriptive statements, and to the danger of a loss of normativity if normative statements should be based on empirical research. Here we take part in the debate and defend integrated empirical ethical research: research in which normative guidelines are established on the basis of empirical research and in which the guidelines are empirically (...)
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  6.  26
    Empirical Ethics in Psychiatry.Guy Widdershoven (ed.) - 2008 - Oxford University Press.
    Psychiatry presents a unique array of difficult ethical questions. However, a major challenge is to approach psychiatry in a way that does justice to the real ethical issues. Recently there has been a growing body of research in empirical psychiatric ethics, and an increased interest in how empirical and philosophical methods can be combined. Empirical Ethics in Psychiatry demonstrates how ethics can engage more closely with the reality of psychiatric practice and shows how empirical methodologies from the social sciences can (...)
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  7.  11
    Implementing Moral Case Deliberation in a Psychiatric Hospital: Process and Outcome. [REVIEW]Bert Molewijk, Maarten Verkerk, Henk Milius & Guy Widdershoven - 2008 - Medicine, Health Care and Philosophy 11 (1):43-56.
    Background Clinical moral case deliberation consists of the systematic reflection on a concrete moral case␣by health care professionals. This paper presents the study of a 4-year moral deliberation project.Objectives The objectives of this paper are to: (a) describe the practice and the theoretical background of moral deliberation, (b) describe the moral deliberation project, (c) present the outcomes of␣the evaluation of the moral case deliberation sessions, and (d) present the implementation process.Methods The implementation process is both monitored and supported by an (...)
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  8.  6
    Aims and Harvest of Moral Case Deliberation.Froukje C. Weidema, Bert Ac Molewijk, Frans Kamsteeg & Guy Am Widdershoven - 2013 - Nursing Ethics 20 (6):617-631.
    Deliberative ways of dealing with ethical issues in health care are expanding. Moral case deliberation is an example, providing group-wise, structured reflection on dilemmas from practice. Although moral case deliberation is well described in literature, aims and results of moral case deliberation sessions are unknown. This research shows (a) why managers introduce moral case deliberation and (b) what moral case deliberation participants experience as moral case deliberation results. A responsive evaluation was conducted, explicating moral case deliberation experiences by analysing aims (...)
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  9.  33
    Inter-Ethics: Towards an Interactive and Interdependent Bioethics.Tineke A. Abma, Vivianne E. Baur, Bert Molewijk & Guy A. M. Widdershoven - 2010 - Bioethics 24 (5):242-255.
    Since its origin bioethics has been a specialized, academic discipline, focussing on moral issues, using a vast set of globalized principles and rational techniques to evaluate and guide healthcare practices. With the emergence of a plural society, the loss of faith in experts and authorities and the decline of overarching grand narratives and shared moralities, a new approach to bioethics is needed. This approach implies a shift from an external critique of practices towards embedded ethics and interactive practice improvement, and (...)
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  10.  33
    Emotions and Clinical Ethics Support. A Moral Inquiry Into Emotions in Moral Case Deliberation.Bert Molewijk, Dick Kleinlugtenbelt, Scott Pugh & Guy Widdershoven - 2011 - HEC Forum 23 (4):257-268.
    Emotions play an important part in moral life. Within clinical ethics support (CES), one should take into account the crucial role of emotions in moral cases in clinical practice. In this paper, we present an Aristotelian approach to emotions. We argue that CES can help participants deal with emotions by fostering a joint process of investigation of the role of emotions in a case. This investigation goes beyond empathy with and moral judgment of the emotions of the case presenter. In (...)
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  11.  13
    Enacting Ethics: Bottom-Up Involvement in Implementing Moral Case Deliberation. [REVIEW]F. C. Weidema, A. C. Molewijk, G. A. M. Widdershoven & T. A. Abma - 2012 - Health Care Analysis 20 (1):1-19.
    In moral case deliberation (MCD), healthcare professionals meet to reflect upon their moral questions supported by a structured conversation method and non-directive conversation facilitator. An increasing number of Dutch healthcare institutions work with MCD to (1) deal with moral questions, (2) improve reflection skills, interdisciplinary cooperation and decision-making, and (3) develop policy. Despite positive evaluations of MCD, organization and implementation of MCD appears difficult, depending on individuals or external experts. Studies on MCD implementation processes have not yet been published. The (...)
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  12.  1
    Organizing Moral Case Deliberation Experiences in Two Dutch Nursing Homes.S. van der Dam, T. A. Abma, A. C. Molewijk, M. J. M. Kardol, Jmga Schols & G. A. M. Widdershoven - 2011 - Nursing Ethics 18 (3):327-340.
    Moral case deliberation (MCD) is a specific form of clinical ethics, aiming to stimulate ethical reflection in daily practice in order to improve the quality of care. This article focuses on the implementation of MCD in nursing homes and the questions how and where to organize MCD. The purpose of this study was to evaluate one way of organizing MCD in two Dutch nursing homes. In both of these nursing homes the MCD groups had a heterogeneous composition and were organized (...)
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  13. Introduction.Guy Widdershoven, John McMillan, Tony Hope & van der Scheer & Lieke - 2008 - In Guy Widdershoven, John McMillan, Tony Hope & Lieke van der Scheer (eds.), Empirical Ethics in Psychiatry. Oxford University Press.
     
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  14.  40
    The Role of Emotions in Moral Case Deliberation: Theory, Practice, and Methodology.Bert Molewijk, Dick Kleinlugtenbelt & Guy Widdershoven - 2011 - Bioethics 25 (7):383-393.
    In clinical moral decision making, emotions often play an important role. However, many clinical ethicists are ignorant, suspicious or even critical of the role of emotions in making moral decisions and in reflecting on them. This raises practical and theoretical questions about the understanding and use of emotions in clinical ethics support services. This paper presents an Aristotelian view on emotions and describes its application in the practice of moral case deliberation.According to Aristotle, emotions are an original and integral part (...)
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  15.  16
    Need for Ethics Support in Healthcare Institutions: Views of Dutch Board Members and Ethics Support Staff.L. Dauwerse, T. Abma, B. Molewijk & G. Widdershoven - 2011 - Journal of Medical Ethics 37 (8):456-460.
    Next SectionObjective The purpose of this article is to investigate the need for ethics support in Dutch healthcare institutions in order to understand why ethics support is often not used in practice and which factors are relevant in this context. Methods This study had a mixed methods design integrating quantitative and qualitative research methods. Two survey questionnaires, two focus groups and 17 interviews were conducted among board members and ethics support staff in Dutch healthcare institutions. Findings Most respondents see a (...)
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  16.  9
    “Here's My Dilemma”. Moral Case Deliberation as a Platform for Discussing Everyday Ethics in Elderly Care.S. Van der Dam, T. A. Abma, M. J. M. Kardol & G. A. M. Widdershoven - 2012 - Health Care Analysis 20 (3):250-267.
    Our study presents an overview of the issues that were brought forward by participants of a moral case deliberation (MCD) project in two elderly care organizations. The overview was inductively derived from all case descriptions (N = 202) provided by participants of seven mixed MCD groups, consisting of care providers from various professional backgrounds, from nursing assistant to physician. The MCD groups were part of a larger MCD project within two care institutions (residential homes and nursing homes). Care providers are (...)
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  17.  14
    Older Peoples' Attitudes Towards Euthanasia and an End-of-Life Pill in The Netherlands: 2001-2009.H. M. Buiting, D. J. H. Deeg, D. L. Knol, J. P. Ziegelmann, H. R. W. Pasman, G. A. M. Widdershoven & B. D. Onwuteaka-Philipsen - 2012 - Journal of Medical Ethics 38 (5):267-273.
    Introduction With an ageing population, end-of-life care is increasing in importance. The present work investigated characteristics and time trends of older peoples' attitudes towards euthanasia and an end-of-life pill. Methods Three samples aged 64 years or older from the Longitudinal Ageing Study Amsterdam (N=1284 (2001), N=1303 (2005) and N=1245 (2008)) were studied. Respondents were asked whether they could imagine requesting their physician to end their life (euthanasia), or imagine asking for a pill to end their life if they became tired (...)
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  18.  2
    Evaluation of Moral Case Deliberation at the Dutch Health Care Inspectorate: A Pilot Study.Wike Seekles, Guy Widdershoven, Paul Robben, Gonny van Dalfsen & Bert Molewijk - 2016 - BMC Medical Ethics 17 (1):31.
    BackgroundMoral case deliberation as a form of clinical ethics support is usually implemented in health care institutions and educational programs. While there is no previous research on the use of clinical ethics support on the level of health care regulation, employees of regulatory bodies are regularly confronted with moral challenges. This pilot study describes and evaluates the use of MCD at the Dutch Health Care Inspectorate.The objective of this pilot study is to investigate: 1) the current way of dealing with (...)
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  19.  4
    Goals of Clinical Ethics Support: Perceptions of Dutch Healthcare Institutions. [REVIEW]L. Dauwerse, T. A. Abma, B. Molewijk & G. Widdershoven - 2013 - Health Care Analysis 21 (4):323-337.
    In previous literature, ethicists mention several goals of Clinical Ethics Support (CES). It is unknown what key persons in healthcare institutions see as main–—and sub-goals of CES. This article presents the goals of CES as perceived by board members and members of ethics support staff. This is part of a Dutch national research using a mixed methods design with questionnaires, focus groups and interviews. Quantitative and qualitative data were analyzed and combined in an iterative process. Four main clusters of goals (...)
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  20.  12
    Implicit and Explicit Clinical Ethics Support in The Netherlands: A Mixed Methods Overview Study. [REVIEW]Linda Dauwerse, Froukje Weidema, Tineke Abma, Bert Molewijk & Guy Widdershoven - 2014 - HEC Forum 26 (2):95-109.
    Internationally, the prevalence of clinical ethics support (CES) in health care has increased over the years. Previous research on CES focused primarily on ethics committees and ethics consultation, mostly within the context of hospital care. The purpose of this article is to investigate the prevalence of different kinds of CES in various Dutch health care domains, including hospital care, mental health care, elderly care and care for people with an intellectual disability. A mixed methods design was used including two survey (...)
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  21.  3
    Genetic Testing of Children: The Need for a Family Perspective.Anneke Lucassen, Guy Widdershoven, Suzanne Metselaar, Angela Fenwick & Michael Parker - 2014 - American Journal of Bioethics 14 (3):26-28.
  22.  47
    Responsibilities in Elderly Care: Mr Powell's Narrative of Duty and Relations.Tineke Abma, Anne Bruijn, Tinie Kardol, Jos Schols & Guy Widdershoven - 2012 - Bioethics 26 (1):22-31.
    In Western countries a considerable number of older people move to a residential home when their health declines. Institutionalization often results in increased dependence, inactivity and loss of identity or self-worth (dignity). This raises the moral question as to how older, institutionalized people can remain autonomous as far as continuing to live in line with their own values is concerned. Following Walker's meta-ethical framework on the assignment of responsibilities, we suggest that instead of directing all older people towards more autonomy (...)
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  23.  12
    Improving Care and Ethics: A Plea for Interactive Empirical Ethics.Guy Widdershoven, Bert Molewijk & Tineke Abma - 2009 - American Journal of Bioethics 9 (6):99-101.
  24.  38
    Two Women with Multiple Sclerosis and Their Caregivers: Conflicting Normative Expectations.Tineke A. Abma, Barth Oeseburg, Guy Am Widdershoven, Minke Goldsteen & Marian A. Verkerk - 2005 - Nursing Ethics 12 (5):479-492.
    It is not uncommon that nurses are unable to meet the normative expectations of chronically ill patients. The purpose of this article is to describe and illustrate Walker’s expressive-collaborative view of morality to interpret the normative expectations of two women with multiple sclerosis. Both women present themselves as autonomous persons who make their own choices, but who also have to rely on others for many aspects of their lives, for example, to find a new balance between work and social contacts (...)
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  25.  14
    Palliative Sedation: Not Just Normal Medical Practice. Ethical Reflections on the Royal Dutch Medical Association's Guideline on Palliative Sedation.R. Janssens, J. J. M. van Delden & G. A. M. Widdershoven - 2012 - Journal of Medical Ethics 38 (11):664-668.
    The main premise of the Royal Dutch Medical Association's (RDMA) guideline on palliative sedation is that palliative sedation, contrary to euthanasia, is normal medical practice. Although we do not deny the ethical distinctions between euthanasia and palliative sedation, we will critically analyse the guideline's argumentation strategy with which euthanasia is demarcated from palliative sedation. First, we will analyse the guideline's main premise, which entails that palliative sedation is normal medical treatment. After this, we will critically discuss three crucial propositions of (...)
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  26.  6
    Training Healthcare Professionals as Moral Case Deliberation Facilitators: Evaluation of a Dutch Training Programme.M. Plantinga, B. Molewijk, M. de Bree, M. Moraal, M. Verkerk & G. A. M. Widdershoven - 2012 - Journal of Medical Ethics 38 (10):630-635.
    Until recently, moral case deliberation (MCD) sessions have mostly been facilitated by external experts, mainly professional ethicists. We have developed a train the facilitator programme for healthcare professionals aimed at providing them with the competences needed for being an MCD facilitator. In this paper, we present the first results of a study in which we evaluated the programme. We used a mixed methods design. One hundred and twenty trained healthcare professionals and five trainers from 16 training groups working in different (...)
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  27.  1
    Evaluation and Perceived Results of Moral Case Deliberation: A Mixed Methods Study.R. M. Janssens, E. van Zadelhoff, G. van Loo, G. A. Widdershoven & B. A. Molewijk - 2015 - Nursing Ethics 22 (8):870-880.
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  28.  38
    Being Whole After Amputation.Jenny Slatman & Guy Widdershoven - 2009 - American Journal of Bioethics 9 (1):48 – 49.
  29.  16
    Client Participation in Moral Case Deliberation: A Precarious Relational Balance. [REVIEW]F. C. Weidema, T. A. Abma, G. A. M. Widdershoven & A. C. Molewijk - 2011 - HEC Forum 23 (3):207-224.
    Moral case deliberation (MCD) is a form of clinical ethics support in which the ethicist as facilitator aims at supporting professionals with a structured moral inquiry into their moral issues from practice. Cases often affect clients, however, their inclusion in MCD is not common. Client participation often raises questions concerning conditions for equal collaboration and good dialogue. Despite these questions, there is little empirical research regarding client participation in clinical ethics support in general and in MCD in particular. This article (...)
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  30.  4
    Beyond Recommendation and Mediation: Moral Case Deliberation as Moral Learning in Dialogue.Suzanne Metselaar, Bert Molewijk & Guy Widdershoven - 2015 - American Journal of Bioethics 15 (1):50-51.
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  31. Cutting to the Core: Exploring the Ethics of Contested Surgeries.Michael Benatar, Leslie Cannold, Dena Davis, Merle Spriggs, Julian Savulescu, Heather Draper, Neil Evans, Richard Hull, Stephen Wilkinson, David Wasserman, Donna Dickenson, Guy Widdershoven, Françoise Baylis, Stephen Coleman, Rosemarie Tong, Hilde Lindemann, David Neil & Alex John London - 2006 - Rowman & Littlefield Publishers.
    When the benefits of surgery do not outweigh the harms or where they do not clearly do so, surgical interventions become morally contested. Cutting to the Core examines a number of such surgeries, including infant male circumcision and cutting the genitals of female children, the separation of conjoined twins, surgical sex assignment of intersex children and the surgical re-assignment of transsexuals, limb and face transplantation, cosmetic surgery, and placebo surgery.
     
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  32.  26
    “Here's My Dilemma”. Moral Case Deliberation as a Platform for Discussing Everyday Ethics in Elderly Care.S. Dam, T. A. Abma, M. J. M. Kardol & G. A. M. Widdershoven - 2012 - Health Care Analysis 20 (3):250-267.
    Our study presents an overview of the issues that were brought forward by participants of a moral case deliberation (MCD) project in two elderly care organizations. The overview was inductively derived from all case descriptions (N = 202) provided by participants of seven mixed MCD groups, consisting of care providers from various professional backgrounds, from nursing assistant to physician. The MCD groups were part of a larger MCD project within two care institutions (residential homes and nursing homes). Care providers are (...)
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  33.  8
    Learning by Doing. Training Health Care Professionals to Become Facilitator of Moral Case Deliberation.Margreet Stolper, Bert Molewijk & Guy Widdershoven - 2015 - HEC Forum 27 (1):47-59.
    Moral case deliberation is a dialogue among health care professionals about moral issues in practice. A trained facilitator moderates the dialogue, using a conversation method. Often, the facilitator is an ethicist. However, because of the growing interest in MCD and the need to connect MCD to practice, healthcare professionals should also become facilitators themselves. In order to transfer the facilitating expertise to health care professionals, a training program has been developed. This program enables professionals in health care institutions to acquire (...)
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  34.  23
    What is It to Be a Daughter? Identities Under Pressure in Dementia Care.Minke Goldsteen, Tineke Abma, Barth Oeseburg, Marian Verkerk, Frans Verhey & Guy Widdershoven - 2007 - Bioethics 21 (1):1–12.
  35.  7
    Nocebo and Informed Consent in the Internet Era.Gerben Meynen, Dick F. Swaab & Guy Widdershoven - 2012 - American Journal of Bioethics 12 (3):31-33.
    The American Journal of Bioethics, Volume 12, Issue 3, Page 31-33, March 2012.
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  36.  17
    Dialogical Ethics and Responsive Evaluation as a Framework for Patient Participation.Tineke Abma & Guy Widdershoven - 2014 - American Journal of Bioethics 14 (6):27-29.
  37.  11
    Outcomes of Moral Case Deliberation - the Development of an Evaluation Instrument for Clinical Ethics Support (the Euro-MCD).Mia Svantesson, Jan Karlsson, Pierre Boitte, Jan Schildman, Linda Dauwerse, Guy Widdershoven, Reidar Pedersen, Martijn Huisman & Bert Molewijk - 2014 - BMC Medical Ethics 15 (1):30.
    Clinical ethics support, in particular Moral Case Deliberation, aims to support health care providers to manage ethically difficult situations. However, there is a lack of evaluation instruments regarding outcomes of clinical ethics support in general and regarding Moral Case Deliberation (MCD) in particular. There also is a lack of clarity and consensuses regarding which MCD outcomes are beneficial. In addition, MCD outcomes might be context-sensitive. Against this background, there is a need for a standardised but flexible outcome evaluation instrument. The (...)
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  38.  4
    Interpretation and Dialogue in Hermeneutic Ethics.Guy Widdershoven - 2005 - In Richard E. Ashcroft (ed.), Case Analysis in Clinical Ethics. Cambridge University Press. pp. 57--76.
  39.  3
    Moral Margins Concerning the Use of Coercion in Psychiatry.Elleke Gm Landeweer, Tineke A. Abma & Guy Am Widdershoven - 2011 - Nursing Ethics 18 (3):304-316.
    In the closed wards of mental health institutions, moral decisions are made concerning the use of forced seclusion. In this article we focus on how these moral decisions are made and can be improved. We present a case study concerning moral deliberations on the use of seclusion and its prevention among nurses of a closed mental health ward. Moral psychology provides an explanation of how moral judgments are developed through processes of interaction. We will make use of the Social Intuitionist (...)
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  40.  19
    Ethical Issues in Limb Transplants.Donna Dickenson & Guy Widdershoven - 2001 - Bioethics 15 (2):110–124.
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  41.  3
    Participatory Bioethics Research and its Social Impact: The Case of Coercion Reduction in Psychiatry.Tineke A. Abma, Yolande Voskes & Guy Widdershoven - 2017 - Bioethics 31 (2):144-152.
    In this article we address the social value of bioethics research and show how a participatory approach can achieve social impact for a wide audience of stakeholders, involving them in a process of joint moral learning. Participatory bioethics recognizes that research co-produced with stakeholders is more likely to have impact on healthcare practice. These approaches aim to engage multiple stakeholders and interested partners throughout the whole research process, including the framing of ideas and research questions, so that outcomes are tailored (...)
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  42.  42
    Competence in Health Care: An Abilities-Based Versus a Pathology-Based Approach.G. Meynen & G. Widdershoven - 2012 - Clinical Ethics 7 (1):39-44.
    Competence is central to informed consent and, therefore, to medical practice. In this context, competence is regarded as synonymous with decision-making capacity. There is wide consensus that competence should be approached conceptually by identifying the abilities needed for decision-making capacity. Incompetence, then, is understood as a condition in which certain abilities relevant to decision-making capacity are lacking. This approach has been helpful both in theory and practice. There is, however, another approach to incompetence, namely to relate it to mental disorder. (...)
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  43.  23
    Moral Deliberation in Psychiatric Nursing Practice.Tineke A. Abma & Guy Am Widdershoven - 2006 - Nursing Ethics 13 (5):546-557.
    Moral deliberation has been receiving more attention in nursing ethics. Several ethical conversation models have been developed. This article explores the feasibility of the so-called CARE (Considerations, Actions, Reasons, Experiences) model as a framework for moral deliberation in psychiatric nursing practice. This model was used in combination with narrative and dialogical approaches to foster discourse between various stakeholders about coercion in a closed admission clinic in a mental hospital in the Netherlands. The findings demonstrate that the CARE model provides a (...)
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  44.  22
    Dialogue for Air, Air for Dialogue: Towards Shared Responsibilities in COPD Practice.Merel A. Visse, Truus Teunissen, Albert Peters, Guy A. M. Widdershoven & Tineke A. Abma - 2010 - Health Care Analysis 18 (4):358-373.
    For the past several years patients have been expected to play a key role in their recovery. Self management and disease management have reached a hype status. Considering these recent trends what does this mean for the division of responsibilities between doctors and patients? What kind of role should healthcare providers play? With findings based on a qualitative research project of an innovative practice for people with Chronic Obstructive Pulmonary Disease (COPD) we reflect on these questions. In-depth interviews conducted with (...)
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  45.  57
    Triad Collaboration in Psychiatry: Privacy and Confidentiality Revisited.Elleke Landeweer, Tineke A. Abma, Linda Dauwerse & Guy A. M. Widdershoven - 2011 - International Journal of Feminist Approaches to Bioethics 4 (1):121-139.
    Recently, there has been increased interest in the involvement of family members in treating psychiatric patients who are involuntarily admitted into mental hospitals (Goodwin and Happel 2006; Wilkinson and McAndrew 2008). Family is, for instance, expected to be of use in preventing escalations and aggression on the wards by giving information about patient needs and providing support to the patient. Yet, in practice, family is not routinely involved in the treatment process, and is not even regularly informed about situations (Marshall (...)
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  46.  25
    Don't Solve the Issues!Bert Molewijk & Guy A. M. Widdershoven - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (04):448-456.
  47. Autonomous Decision Making and Moral Capacities.Albine Moser, Rob Houtepen, Harry van der Bruggen, Cor Spreeuwenberg & Guy Widdershoven - 2009 - Nursing Ethics 16 (2):203-218.
    This article examines how people with type 2 diabetes perceive autonomous decision making and which moral capacities they consider important in diabetes nurses' support of autonomous decision making. Fifteen older adults with type 2 diabetes were interviewed in a nurse-led unit. First, the data were analysed using the grounded theory method. The participants described a variety of decision-making processes in the nurse and family care-giver context. Later, descriptions of the decision-making processes were analysed using hermeneutic text interpretation. We suggest first- (...)
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  48.  7
    How to Combine Hermeneutics and Wide Reflective Equilibrium?Guy A. M. Widdershoven - 2007 - Medicine, Health Care and Philosophy 10 (1):49-52.
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    Psychiatry in the Age of Neuroscience: The Impact on Clinical Practice and Lives of Patients.Elleke Landeweer, Tineke Abma, Jolijn Santegoeds & Guy Widdershoven - 2008 - Poiesis and Praxis 6 (1-2):43-55.
    Due to the progress being made in the neurosciences, higher expectations for the use of medication, even against the patient’s will, are arising in mental hospitals. In this article, we will discuss whether the neurosciences and new psychopharmacological solutions really support patients who suffer from mental illnesses. To answer this question, we will focus on the perspective of patients and their experiences with psychiatric (coercive) treatments. The analysis of one person’s story shows that other issues besides appropriate medication are important (...)
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    Moral Learning in an Integrated Social and Healthcare Service Network.Merel Visse, Guy A. M. Widdershoven & Tineke A. Abma - 2012 - Health Care Analysis 20 (3):281-296.
    The traditional organizational boundaries between healthcare, social work, police and other non-profit organizations are fading and being replaced by new relational patterns among a variety of disciplines. Professionals work from their own history, role, values and relationships. It is often unclear who is responsible for what because this new network structure requires rules and procedures to be re-interpreted and re-negotiated. A new moral climate needs to be developed, particularly in the early stages of integrated services. Who should do what, with (...)
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