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Guy Widdershoven [120]Guy A. M. Widdershoven [36]Guy Am Widdershoven [7]Guyam Widdershoven [1]
  1.  53
    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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  2.  84
    Standards of practice in empirical bioethics research: towards a consensus.Jonathan Ives, Michael Dunn, Bert Molewijk, Jan Schildmann, Kristine Bærøe, Lucy Frith, Richard Huxtable, Elleke Landeweer, Marcel Mertz, Veerle Provoost, Annette Rid, Sabine Salloch, Mark Sheehan, Daniel Strech, Martine de Vries & Guy Widdershoven - 2018 - BMC Medical Ethics 19 (1):68.
    This paper responds to the commentaries from Stacy Carter and Alan Cribb. We pick up on two main themes in our response. First, we reflect on how the process of setting standards for empirical bioethics research entails drawing boundaries around what research counts as empirical bioethics research, and we discuss whether the standards agreed in the consensus process draw these boundaries correctly. Second, we expand on the discussion in the original paper of the role and significance of the concept of (...)
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  3.  91
    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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  4.  77
    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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  5.  56
    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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  6. 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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  7.  43
    Field-testing the Euro-MCD Instrument: Experienced outcomes of moral case deliberation.Janine C. de Snoo-Trimp, Bert Molewijk, Gøril Ursin, Berit Støre Brinchmann, Guy A. M. Widdershoven, Henrica C. W. de Vet & Mia Svantesson - 2020 - Nursing Ethics 27 (2):390-406.
    Background: Moral case deliberation is a form of clinical ethics support to help healthcare professionals in dealing with ethically difficult situations. There is a lack of evidence about what outcomes healthcare professionals experience in daily practice after moral case deliberations. The Euro-MCD Instrument was developed to measure outcomes, based on the literature, a Delphi panel, and content validity testing. To examine relevance of items and adequateness of domains, a field study is needed. Aim: To describe experienced outcomes after participating in (...)
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  8.  95
    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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  9.  28
    Participatory development of CURA, a clinical ethics support instrument for palliative care.Suzanne Metselaar, Guy Widdershoven, H. Roeline Pasman & Malene Vera van Schaik - 2022 - BMC Medical Ethics 23 (1):1-12.
    BackgroundExisting clinical ethics support (CES) instruments are considered useful. However, users report obstacles in using them in daily practice. Including end users and other stakeholders in developing CES instruments might help to overcome these limitations. This study describes the development process of a new ethics support instrument called CURA, a low-threshold four-step instrument focused on nurses and nurse assistants working in palliative care. MethodWe used a participatory development design. We worked together with stakeholders in a Community of Practice throughout the (...)
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  10.  48
    Theory and practice of integrative clinical ethics support: a joint experience within gender affirmative care.Laura Hartman, Giulia Inguaggiato, Guy Widdershoven, Annelijn Wensing-Kruger & Bert Molewijk - 2020 - BMC Medical Ethics 21 (1):1-13.
    BackgroundClinical ethics support aims to support health care professionals in dealing with ethical issues in clinical practice. Although the prevalence of CES is increasing, it does meet challenges and pressing questions regarding implementation and organization. In this paper we present a specific way of organizing CES, which we have called integrative CES, and argue that this approach meets some of the challenges regarding implementation and organization.MethodsThis integrative approach was developed in an iterative process, combining actual experiences in a case study (...)
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  11. 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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  12.  50
    Developing a ‘moral compass tool’ based on moral case deliberations: A pragmatic hermeneutic approach to clinical ethics.Laura Hartman, Suzanne Metselaar, Guy Widdershoven & Bert Molewijk - 2019 - Bioethics 33 (9):1012-1021.
    Although moral case deliberation (MCD) is evaluated positively as a form of clinical ethics support (CES), it has limitations. To address these limitations our research objective was to develop a thematic CES tool. In order to assess the philosophical characteristics of a CES tool based on MCDs, we drew on hermeneutic ethics and pragmatism. We distinguished four core characteristics of a CES tool: (a) focusing on an actual situation that is experienced as morally challenging by the user; (b) stimulating moral (...)
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  13.  54
    A pragmatist approach to clinical ethics support: overcoming the perils of ethical pluralism.Giulia Inguaggiato, Suzanne Metselaar, Rouven Porz & Guy Widdershoven - 2019 - Medicine, Health Care and Philosophy 22 (3):427-438.
    In today’s pluralistic society, clinical ethics consultation cannot count on a pre-given set of rules and principles to be applied to a specific situation, because such an approach would deny the existence of different and divergent backgrounds by imposing a dogmatic and transcultural morality. Clinical ethics support (CES) needs to overcome this lack of foundations and conjugate the respect for the difference at stake with the necessity to find shared and workable solutions for ethical issues encountered in clinical practice. We (...)
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  14.  19
    Moral values of Dutch physicians in relation to requests for euthanasia: a qualitative study.Guy Widdershoven, Natalie Evans, Fijgje de Boer & Marjanne van Zwol - 2022 - BMC Medical Ethics 23 (1):1-7.
    BackgroundIn the Netherlands, patients have the legal right to make a request for euthanasia to their physician. However, it is not clear what it means in a moral sense for a physician to receive a request for euthanasia. The aim of this study is to explore the moral values of physicians regarding requests for euthanasia. MethodsSemi-structured interviews were conducted with nine primary healthcare physicians involved in decision-making about euthanasia. The data were inductively analyzed which lead to the emergence of themes, (...)
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  15.  79
    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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  16.  57
    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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  17.  19
    (1 other version)CURA—An Ethics Support Instrument for Nurses in Palliative Care. Feasibility and First Perceived Outcomes.Malene Vera van Schaik, H. Roeline Pasman, Guy Widdershoven, Bert Molewijk & Suzanne Metselaar - 2021 - HEC Forum 35 (2):1-21.
    Evaluating the feasibility and first perceived outcomes of a newly developed clinical ethics support instrument called CURA. This instrument is tailored to the needs of nurses that provide palliative care and is intended to foster both moral competences and moral resilience. This study is a descriptive cross-sectional evaluation study. Respondents consisted of nurses and nurse assistants (n = 97) following a continuing education program (course participants) and colleagues of these course participants (n = 124). Two questionnaires with five-point Likert scales (...)
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  18.  38
    What Outcomes do Dutch Healthcare Professionals Perceive as Important Before Participation in Moral Case Deliberation?Janine de Snoo-Trimp, Guy Widdershoven, Mia Svantesson, Riekie de Vet & Bert Molewijk - 2017 - Bioethics 31 (4):246-257.
    Background There has been little attention paid to research on the outcomes of clinical ethics support or critical reflection on what constitutes a good CES outcome. Understanding how CES users perceive the importance of CES outcomes can contribute to a better understanding, use of and normative reflection on CES outcomes. Objective To describe the perceptions of Dutch healthcare professionals on important outcomes of moral case deliberation, prior to MCD participation, and to compare results between respondents. Methods This mixed-methods study used (...)
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  19.  39
    Can moral case deliberation in research groups help to navigate research integrity dilemmas? A pilot study.Tamarinde L. Haven, Bert Molewijk, Lex Bouter, Guy Widdershoven, Fenneke Blom & Joeri Tijdink - 2024 - Research Ethics 20 (2):219-238.
    There is an increased focus on fostering integrity in research by through creating an open culture where research integrity dilemmas can be discussed. We describe a pilot intervention study that used Moral Case Deliberation (MCD), a method that originated in clinical ethics support, to discuss research integrity dilemmas with researchers. Our research question was: can moral case deliberation in research groups help to navigate research integrity dilemmas? We performed 10 MCDs with 19 researchers who worked in three different research groups (...)
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  20.  40
    Prevalence and characteristics of moral case deliberation in Dutch health care.Linda Dauwerse, Margreet Stolper, Guy Widdershoven & Bert Molewijk - 2014 - Medicine, Health Care and Philosophy 17 (3):365-375.
    The attention for Moral case deliberation has increased over the past years. Previous research on MCD is often written from the perspective of MCD experts or MCD participants and we lack a more distant view to the role of MCD in Dutch health care institutions in general. The purpose of this paper is to provide an overview of the state of the art concerning MCD in the Netherlands. As part of a larger national study on clinical ethics support in the (...)
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  21.  54
    CURA: A clinical ethics support instrument for caregivers in palliative care.Suzanne Metselaar, Malene van Schaik, Guy Widdershoven & H. Roeline Pasman - 2022 - Nursing Ethics 29 (7-8):1562-1577.
    This article presents an ethics support instrument for healthcare professionals called CURA. It is designed with a focus on and together with nurses and nurse assistants in palliative care. First, we shortly go into the background and the development study of the instrument. Next, we describe the four steps CURA prescribes for ethical reflection: (1) Concentrate, (2) Unrush, (3) Reflect, and (4) Act. In order to demonstrate how CURA can structure a moral reflection among caregivers, we discuss how a case (...)
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  22.  34
    Evaluating Clinical Ethics Support: A Participatory Approach.Suzanne Metselaar, Guy Widdershoven, Rouven Porz & Bert Molewijk - 2017 - Bioethics 31 (4):258-266.
    The current process towards formalization within evaluation research, in particular the use of pre-set standards and the focus on predefined outcomes, implies a shift of ownership from the people who are actually involved in real clinical ethics support services in a specific context to external stakeholders who increasingly gain a say in what ‘good CESS’ should look like. The question is whether this does justice to the insights and needs of those who are directly involved in actual CESS practices, be (...)
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  23.  27
    Hand Transplants and Bodily Integrity.Guy Widdershoven & Jenny Slatman - 2010 - Body and Society 16 (3):69-92.
    In this article, we present an analysis of bodily integrity in hand transplants from a phenomenological narrative perspective, while drawing on two contrasting case stories. We consider bodily integrity as the subjective bodily experience of wholeness which, instead of referring to actual bodily intactness, involves a positive identification with one’s physical body. Bodily mutilations, such as the loss of a hand, may severely affect one’s bodily integrity. A possible restoration of one’s experience of wholeness requires a process of re-identification. Medical (...)
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  24.  23
    Researchers’ Perceptions of a Responsible Research Climate: A Multi Focus Group Study.Tamarinde Haven, H. Roeline Pasman, Guy Widdershoven, Lex Bouter & Joeri Tijdink - 2020 - Science and Engineering Ethics 26 (6):3017-3036.
    The research climate plays a key role in fostering integrity in research. However, little is known about what constitutes a responsible research climate. We investigated academic researchers’ perceptions on this through focus group interviews. We recruited researchers from the Vrije Universiteit Amsterdam and the Amsterdam University Medical Center to participate in focus group discussions that consisted of researchers from similar academic ranks and disciplinary fields. We asked participants to reflect on the characteristics of a responsible research climate, the barriers they (...)
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  25.  32
    Important Topics for Fostering Research Integrity by Research Performing and Research Funding Organizations: A Delphi Consensus Study.Joeri Tijdink, Lidwine Mokkink, Ana Marušić, Natalie Evans, Guy Widdershoven, Lex Bouter, Rea Roje & Krishma Labib - 2021 - Science and Engineering Ethics 27 (4):1-22.
    To foster research integrity (RI), it is necessary to address the institutional and system-of-science factors that influence researchers’ behavior. Consequently, research performing and research funding organizations (RPOs and RFOs) could develop comprehensive RI policies outlining the concrete steps they will take to foster RI. So far, there is no consensus on which topics are important to address in RI policies. Therefore, we conducted a three round Delphi survey study to explore which RI topics to address in institutional RI policies by (...)
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  26. Emotions and Clinical Ethics Support. A Moral Inquiry into Emotions in Moral Case Deliberation.Bert Molewijk, Dick Kleinlugtenbelt, Scott M. 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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  27.  26
    Addressing harm in moral case deliberation: the views and experiences of facilitators.Benita Spronk, Guy Widdershoven & Hans Alma - 2020 - BMC Medical Ethics 21 (1):1-11.
    In healthcare practice, care providers are confronted with decisions they have to make, directly affecting patients and inevitably harmful. These decisions are tragic by nature. This study investigates the role of Moral Case Deliberation in dealing with tragic situations. In MCD, caregivers reflect on real-life dilemmas, involving a choice between two ethical claims, both resulting in moral damage and harm. One element of the reflection process is making explicit the harm involved in the choice. How harmful are our decisions? We (...)
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  28.  46
    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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  29.  29
    Clinical Ethics Expertise as the Ability to Co-Create Normative Recommendations by Guiding a Dialogical Process of Moral Learning.Giulia Inguaggiato, Suzanne Metselaar, Guy Widdershoven & Bert Molewijk - 2019 - American Journal of Bioethics 19 (11):71-73.
    Volume 19, Issue 11, November 2019, Page 71-73.
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  30.  41
    The Contribution of Moral Case Deliberation to Teaching RCR to PhD Students.Giulia Inguaggiato, Krishma Labib, Natalie Evans, Fenneke Blom, Lex Bouter & Guy Widdershoven - 2023 - Science and Engineering Ethics 29 (2):1-18.
    Teaching responsible conduct of research (RCR) to PhD students is crucial for fostering responsible research practice. In this paper, we show how the use of Moral Case Deliberation—a case reflection method used in the Amsterdam UMC RCR PhD course—is particularity valuable to address three goals of RCR education: (1) making students aware of, and internalize, RCR principles and values, (2) supporting reflection on good conduct in personal daily practice, and (3) developing students’ dialogical attitude and skills so that they can (...)
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  31.  84
    Training healthcare professionals as moral case deliberation facilitators: evaluation of a Dutch training programme.Mirjam Plantinga, Bert Molewijk, Menno de Bree, Marloes Moraal, Marian Verkerk & Guy 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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  32.  28
    Co-creating Research Integrity Education Guidelines for Research Institutions.Krishma Labib, Natalie Evans, Daniel Pizzolato, Noémie Aubert Bonn, Guy Widdershoven, Lex Bouter, Teodora Konach, Miranda Langendam, Kris Dierickx & Joeri Tijdink - 2023 - Science and Engineering Ethics 29 (4):1-23.
    To foster research integrity (RI), research institutions should develop a continuous RI education approach, addressing various target groups. To support institutions to achieve this, we developed RI education guidelines together with RI experts and research administrators, exploring similarities and differences in recommendations across target groups, as well as recommendations about RI education using approaches other than formal RI training. We used an iterative co-creative process. We conducted four half-day online co-creation workshops with 16 participants in total, which were informed by (...)
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  33.  13
    Researchers’ perceptions of research misbehaviours: a mixed methods study among academic researchers in Amsterdam.Lex M. Bouter, Gerben ter Riet, Guy Widdershoven, H. Roeline Pasman, Joeri K. Tijdink & Tamarinde L. Haven - 2019 - Research Integrity and Peer Review 4 (1).
    BackgroundThere is increasing evidence that research misbehaviour is common, especially the minor forms. Previous studies on research misbehaviour primarily focused on biomedical and social sciences, and evidence from natural sciences and humanities is scarce. We investigated what academic researchers in Amsterdam perceived to be detrimental research misbehaviours in their respective disciplinary fields.MethodsWe used an explanatory sequential mixed methods design. First, survey participants from four disciplinary fields rated perceived frequency and impact of research misbehaviours from a list of 60. We then (...)
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  34. Introduction.Guy Widdershoven, John McMillan, Tony Hope & van der Scheer & Lieke - 2008 - In Empirical ethics in psychiatry. New York: Oxford University Press.
     
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  35.  71
    (1 other version)Integrative Clinical Ethics Support in Gender Affirmative Care: Lessons Learned.Laura Hartman, Guy Widdershoven, Annelou de Vries, Annelijn Wensing-Kruger, Martin den Heijer, Thomas Steensma & Bert Molewijk - 2019 - HEC Forum 31 (3):241-260.
    Clinical ethics support for health care professionals and patients is increasingly seen as part of good health care. However, there is a key drawback to the way CES services are currently offered. They are often performed as isolated and one-off services whose ownership and impact are unclear. This paper describes the development of an integrative approach to CES at the Center of Expertise and Care for Gender Dysphoria at Amsterdam University Medical Center. We specifically aimed to integrate CES into daily (...)
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  36.  95
    Being whole after amputation.Jenny Slatman & Guy Widdershoven - 2009 - American Journal of Bioethics 9 (1):48 – 49.
  37.  24
    Conceptualizing and Fostering the Quality of CES Through a Dutch National Network on CES.Laura Hartman, Guy Widdershoven, Eva van Baarle, Froukje Weidema & Bert Molewijk - 2022 - HEC Forum 34 (2):169-186.
    The prevalence of Clinical ethics support services is increasing. Yet, questions about what quality of CES entails and how to foster the quality of CES remain. This paper describes the development of a national network, which aimed to conceptualize and foster the quality of CES in the Netherlands simultaneously. Our methodology was inspired by a responsive evaluation approach which shares some of our key theoretical presuppositions of CES. A responsive evaluation methodology engages stakeholders in developing quality standards of a certain (...)
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  38.  21
    Quality Characteristics for Clinical Ethics Support in the Netherlands.Laura Hartman, Eva Van Baarle, Marielle Diepeveen, Guy Widdershoven & Bert Molewijk - 2022 - AJOB Empirical Bioethics 13 (1):22-32.
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  39.  35
    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.  32
    Integrative Clinical Ethics Support in Gender Affirmative Care: Lessons Learned.Bert Molewijk, Thomas Steensma, Martin Heijer, Annelijn Wensing-Kruger, Annelou Vries, Guy Widdershoven & Laura Hartman - 2019 - HEC Forum 31 (3):241-260.
    Clinical ethics support (CES) for health care professionals and patients is increasingly seen as part of good health care. However, there is a key drawback to the way CES services are currently offered. They are often performed as isolated and one-off services whose ownership and impact are unclear. This paper describes the development of an integrative approach to CES at the Center of Expertise and Care for Gender Dysphoria (CEGD) at Amsterdam University Medical Center. We specifically aimed to integrate CES (...)
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  41.  67
    Theory and practice of clinical ethics support services: Narrative and hermeneutical perspectives.Rouven Porz, Elleke Landeweer & Guy Widdershoven - 2011 - Bioethics 25 (7):354-360.
    In this paper we introduce narrative and hermeneutical perspectives to clinical ethics support services (CESS). We propose a threefold consideration of ‘theory’ and show how it is interwoven with ‘practice’ as we go along. First, we look at theory in its foundational role: in our case ‘narrative ethics’ and ‘philosophical hermeneutics’ provide a theoretical base for clinical ethics by focusing on human identities entangled in stories and on moral understanding as a dialogical process. Second, we consider the role of theoretical (...)
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  42.  51
    What Sticks? The Evaluation of a Train-the-Trainer Course in Military Ethics and its Perceived Outcomes.Eva van Baarle, Laura Hartman, Desiree Verweij, Bert Molewijk & Guy Widdershoven - 2017 - Journal of Military Ethics 16 (1-2):56-77.
    Ethics training has become a common phenomenon in the training of military professionals at all levels. However, the perceived outcomes of this training remain open. In this article, we analyze the experiences of course participants who were interviewed 6–12 months after they had participated in a train-the-trainer course in military ethics developed by the Faculty of Military Sciences of the Netherlands Defence Academy. Through qualitative inductive analysis, it is shown how participants evaluate the training, how they perceive the development of (...)
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  43.  15
    Combining rules and dialogue: exploring stakeholder perspectives on preventing sexual boundary violations in mental health and disability care organizations.Jan-Willem Weenink, Roland Bal, Guy Widdershoven, Eva van Baarle & Charlotte Kröger - 2022 - BMC Medical Ethics 23 (1):1-12.
    BackgroundSexual boundary violations in healthcare are harmful and exploitative sexual transgressions in the professional–client relationship. Persons with mental health issues or intellectual disabilities, especially those living in residential settings, are especially vulnerable to SBV because they often receive long-term intimate care. Promoting good sexual health and preventing SBV in these care contexts is a moral and practical challenge for healthcare organizations.MethodsWe carried out a qualitative interview study with 16 Dutch policy advisors, regulators, healthcare professionals and other relevant experts to explore (...)
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  44.  72
    Empirical ethics in psychiatry.Guy Widdershoven (ed.) - 2008 - New York: 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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  45.  55
    Dialogical Ethics and Responsive Evaluation as a Framework for Patient Participation.Tineke Abma & Guy Widdershoven - 2014 - American Journal of Bioethics 14 (6):27-29.
    In Western societies, participation is promoted as fundamental right of citizens and a prerequisite for better health and quality of life. Over the last 10 years, individual parti-cipation in treat...
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  46. Responsibilities in elderly care: Mr Powell's narrative of duty and relations.Tineke Abma, Anne Bruijn, Tinie Kardol, Jos Schols & Guy Widdershoven - 2011 - 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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  47.  27
    Theory and methodology of empirical ethics : a pragmatic hermeneutic perspective.Guy Widdershoven & Lieke van der Scheer - 2008 - In Empirical ethics in psychiatry. New York: Oxford University Press.
  48.  52
    Improving Care and Ethics: A Plea for Interactive Empirical Ethics.Guy Widdershoven, Bert Molewijk & Tineke Abma - 2009 - American Journal of Bioethics 9 (6-7):99-101.
  49.  48
    Tragedy in moral case deliberation.Benita Spronk, Margreet Stolper & Guy Widdershoven - 2017 - Medicine, Health Care and Philosophy 20 (3):321-333.
    In healthcare practice, care providers are confronted with tragic situations, in which they are expected to make choices and decisions that can have far-reaching consequences. This article investigates the role of moral case deliberation in dealing with tragic situations. It focuses on experiences of care givers involved in the treatment of a pregnant woman with a brain tumour, and their evaluation of a series of MCD meetings in which the dilemmas around care were discussed. The study was qualitative, focusing on (...)
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  50.  51
    Competence in chronic mental illness: the relevance of practical wisdom.Guy A. M. Widdershoven, Andrea Ruissen, Anton J. L. M. van Balkom & Gerben Meynen - 2017 - Journal of Medical Ethics 43 (6):374-378.
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