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Mia Svantesson [10]M. Svantesson [6]
  1.  56
    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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  2.  19
    What Healthcare Teams Find Ethically Difficult.D. Rasoal, A. Kihlgren, I. James & M. Svantesson - 2016 - Nursing Ethics 23 (8):825-837.
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  3.  16
    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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  4.  22
    It’s Not All About Moral Reasoning: Understanding the Content of Moral Case Deliberation.Mia Svantesson, Marit Silén & Inger James - 2018 - Nursing Ethics 25 (2):212-229.
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  5.  43
    Learning a Way Through Ethical Problems: Swedish Nurses' and Doctors' Experiences From One Model of Ethics Rounds.M. Svantesson, R. Lofmark, H. Thorsen, K. Kallenberg & G. Ahlstrom - 2008 - Journal of Medical Ethics 34 (5):399-406.
    Objective: To evaluate one ethics rounds model by describing nurses’ and doctors’ experiences of the rounds. Methods: Philosopher-ethicist-led interprofessional team ethics rounds concerning dialysis patient care problems were applied at three Swedish hospitals. The philosophers were instructed to promote mutual understanding and stimulate ethical reflection, without giving any recommendations or solutions. Interviews with seven doctors and 11 nurses were conducted regarding their experiences from the rounds, which were then analysed using content analysis. Findings: The goal of the rounds was partly (...)
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  6.  22
    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 - forthcoming - Nursing Ethics:096973301984945.
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  7.  13
    Important Outcomes of Moral Case Deliberation: A Euro-MCD Field Survey of Healthcare Professionals’ Priorities.Mia Svantesson, Janine C. de Snoo-Trimp, Göril Ursin, Henrica C. W. de Vet, Berit S. Brinchmann & Bert Molewijk - 2019 - Journal of Medical Ethics 45 (9):608-616.
    BackgroundThere is a lack of empirical research regarding the outcomes of such clinical ethics support methods as moral case deliberation. Empirical research in how healthcare professionals perceive potential outcomes is needed in order to evaluate the value and effectiveness of ethics support; and help to design future outcomes research. The aim was to use the European Moral Case Deliberation Outcome Instrument instrument to examine the importance of various MCD outcomes, according to healthcare professionals, prior to participation.MethodsA North European field survey (...)
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  8.  7
    Moral Competence, Moral Teamwork and Moral Action - the European Moral Case Deliberation Outcomes (Euro-MCD) Instrument 2.0 and its Revision Process. [REVIEW]J. C. de Snoo-Trimp, H. C. W. de Vet, G. A. M. Widdershoven, A. C. Molewijk & M. Svantesson - 2020 - BMC Medical Ethics 21 (1):1-18.
    BackgroundClinical Ethics Support services are offered to support healthcare professionals in dealing with ethically difficult situations. Evaluation of CES is important to understand if it is indeed a supportive service in order to inform and improve future implementation of CES. Yet, methods to measure outcomes of CES are scarce. In 2014, the European Moral Case Deliberation Outcomes Instrument was developed to measure outcomes of Moral Case Deliberation. To further validate the instrument, we tested it in field studies and revised it. (...)
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  9.  27
    Relational Autonomy in the Care of the Vulnerable: Health Care Professionals’ Reasoning in Moral Case Deliberation.Kaja Heidenreich, Anders Bremer, Lars Johan Materstvedt, Ulf Tidefelt & Mia Svantesson - 2018 - Medicine, Health Care and Philosophy 21 (4):467-477.
    In Moral Case Deliberation, healthcare professionals discuss ethically difficult patient situations in their daily practice. There is a lack of knowledge regarding the content of MCD and there is a need to shed light on this ethical reflection in the midst of clinical practice. Thus, the aim of the study was to describe the content of healthcare professionals’ moral reasoning during MCD. The design was qualitative and descriptive, and data consisted of 22 audio-recorded inter-professional MCDs, analysed with content analysis. The (...)
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  10.  16
    What Actions Promote a Positive Ethical Climate? A Critical Incident Study of Nurses' Perceptions.M. Silen, S. Kjellstrom, L. Christensson, B. Sidenvall & M. Svantesson - 2012 - Nursing Ethics 19 (4):501-512.
    Few qualitative studies explore the phenomenon of positive ethical climate and what actions are perceived as promoting it. Therefore, the aim of this study was to explore and describe actions that acute care ward nurses perceive as promoting a positive ethical climate. The critical incident technique was used. Interviews were conducted with 20 nurses at wards where the ethical climate was considered positive, according to a previous study. Meeting the needs of patients and next of kin in a considerate way, (...)
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  11.  20
    ‘It’s Like Sailing’ – Experiences of the Role as Facilitator During Moral Case Deliberation.Dara Rasoal, Annica Kihlgren & Mia Svantesson - 2017 - Clinical Ethics 12 (3):135-142.
    BackgroundMoral case deliberation is one form of clinical ethics support, and there seems to be different ways of facilitating the dialogue.PurposeThis paper aimed to explore Swedish facilitators' experiences of their role in moral case deliberations.MethodThis study had a qualitative approach with explorative design. Semi-structured interviews with eleven MCD facilitators were conducted. Their experiences were analyzed using thematic analysis.ResultBeing a facilitator was understood through the metaphor of sailing: against the wind or with it. The role was likened to a sailor's set (...)
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  12.  3
    Field-Testing the Euro-MCD Instrument: Important Outcomes According to Participants Before and After Moral Case Deliberation.J. C. de Snoo-Trimp, A. C. Molewijk, M. Svantesson, G. A. M. Widdershoven & H. C. W. de Vet - 2022 - HEC Forum 34 (1):1-24.
    Ethics support services like Moral Case Deliberation intend to support healthcare professionals in ethically difficult situations. To assess outcomes of MCD, the Euro-MCD Instrument has been developed. Field studies to test this instrument are needed and have been conducted, examining important outcomes before MCD participation and experienced outcomes. The current study aimed to describe how participants’ perceive the importance of MCD outcomes after MCD; compare these perceptions with those before MCD participation; and test the factor structure of these outcomes. Swedish, (...)
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  13.  24
    Interprofessional Ethics Rounds Concerning Dialysis Patients: Staff's Ethical Reflections Before and After Rounds.M. Svantesson, A. Anderzen-Carlsson, H. Thorsen, K. Kallenberg & G. Ahlstrom - 2008 - Journal of Medical Ethics 34 (5):407-413.
    Objective: To evaluate whether ethics rounds stimulated ethical reflection. Methods: Philosopher-ethicist-led interprofessional team ethics rounds concerning dialysis patient care problems were applied at three Swedish hospitals. The philosophers were instructed to stimulate ethical reflection and promote mutual understanding between professions but not to offer solutions. Questionnaires directly before and after rounds were answered by 194 respondents. The analyses were primarily content analysis with Boyd’s framework but were also statistical in nature. Findings: Seventy-six per cent of the respondents reported a moderate (...)
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  14.  30
    Nurses' Conceptions of Decision Making Concerning Life-Sustaining Treatment.Marit Silén, Mia Svantesson & Gerd Ahlström - 2008 - Nursing Ethics 15 (2):160-173.
    The aim of this study was to describe nurses' conceptions of decision making with regard to life-sustaining treatment for dialysis patients. Semistructured interviews were conducted with 13 nurses caring for such patients at three hospitals. The interview material was subjected to qualitative content analysis. The nurses saw decision making as being characterized by uncertainty and by lack of communication and collaboration among all concerned. They described different ways of handling decision making, as well as insufficiency of physician—nurse collaboration, lack of (...)
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  15.  25
    Nurses' and Physicians' Opinions on Aggressiveness of Treatment for General Ward Patients.Mia Svantesson, Peter Sjökvist, Håkan Thorsén & Gerd Ahlström - 2006 - Nursing Ethics 13 (2):147-162.
    The aim of this study was to evaluate agreement between nurses’ and physicians’ opinions regarding aggressiveness of treatment and to investigate and compare the rationales on which their opinions were based. Structured interviews regarding 714 patients were performed on seven general wards of a university hospital. The data gathered were then subjected to qualitative and quantitative analyses. There was 86% agreement between nurses’ and physicians’ opinions regarding full or limited treatment when the answers given as ‘uncertain’ were excluded. Agreement was (...)
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  16.  5
    Ethical Conflicts During the Process of Deciding About ICU Admission: An Empirically Driven Ethical Analysis.Mia Svantesson, Frances Griffiths, Catherine White, Chris Bassford & AnneMarie Slowther - 2021 - Journal of Medical Ethics 47 (12):87-87.
    Background Besides balancing burdens and benefits of intensive care, ethical conflicts in the process of decision-making should also be recognised. This calls for an ethical analysis relevant to clinicians. The aim was to analyse ethically difficult situations in the process of deciding whether a patient is admitted to intensive care unit. Methods Analysis using the ‘Dilemma method’ and ‘wide reflective equilibrium’, on ethnographic data of 45 patient cases and 96 stakeholder interviews in six UK hospitals. Ethical analysis Four moral questions (...)
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