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Tineke A. Abma [23]Tineke Abma [13]T. A. Abma [13]T. Abma [7]
  1.  31
    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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  2.  41
    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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  3.  2
    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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  4.  44
    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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  5.  17
    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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  6.  38
    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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  7.  17
    “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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  8.  29
    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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  9.  37
    “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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  10.  27
    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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  11.  19
    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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  12.  12
    Ethics Support in Institutional Elderly Care: A Review of the Literature. [REVIEW]S. van der Dam, B. Molewijk, G. A. M. Widdershoven & T. A. Abma - 2014 - Journal of Medical Ethics 40 (9):625-631.
    Clinical ethics support mechanisms in healthcare are increasing but little is known about the specific developments in elderly care. The aim of this paper is to present a systematic literature review on the characteristics of existing ethics support mechanisms in institutional elderly care. A review was performed in three electronic databases . Sixty papers were included in the review. The ethics support mechanisms are classified in four categories: ‘institutional bodies’ ; ‘frameworks’ ; ‘educational programmes and moral case deliberation’; and ‘written (...)
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  13.  15
    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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  14.  15
    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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  15.  22
    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.
  16. 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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  17.  65
    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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  18.  39
    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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  19.  17
    Practising Political Care Ethics: Can Responsive Evaluation Foster Democratic Care?Merel Visse, Tineke Abma & Guy Widdershoven - 2015 - Ethics and Social Welfare 9 (2):164-182.
  20.  31
    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.
  21.  10
    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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  22.  27
    Dialogical Ethics and Responsive Evaluation as a Framework for Patient Participation.Tineke Abma & Guy Widdershoven - 2014 - American Journal of Bioethics 14 (6):27-29.
  23. Balancing Risk Prevention and Health Promotion: Towards a Harmonizing Approach in Care for Older People in the Community.Bienke M. Janssen, Tine Van Regenmortel & Tineke A. Abma - 2014 - Health Care Analysis 22 (1):1-21.
    Many older people in western countries express a desire to live independently and stay in control of their lives for as long as possible in spite of the afflictions that may accompany old age. Consequently, older people require care at home and additional support. In some care situations, tension and ambiguity may arise between professionals and clients whose views on risk prevention or health promotion may differ. Following Antonovsky’s salutogenic framework, different perspectives between professionals and clients on the pathways that (...)
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  24.  8
    Citizenship and Autonomy in Acquired Brain Injury.K. Schipper, G. A. M. Widdershoven & T. A. Abma - 2011 - Nursing Ethics 18 (4):526-536.
    In ethical theory, different concepts of autonomy can be distinguished. In this article we explore how these concepts of autonomy are combined in theory in the citizenship paradigm, and how this turns out in the practice of care for people with acquired brain injury. The stories of a professional caregiver and a client with acquired brain injury show that the combination of various concepts of autonomy in practice leads to tensions between caregivers and clients. These dynamics are discussed from a (...)
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  25.  3
    Living a Meaningful Life and Taking Good Care of Oneself in Times of Illness: Highlighting a Dilemma.Truus Teunissen, Paul Lindhout, Karen Schipper & Tineke Abma - 2019 - Ijfab: International Journal of Feminist Approaches to Bioethics 12 (1):44-60.
    "Blessed are you who ask for our help, for our greatest need is to be needed."—Anonymous qtd. in Reinders The current political discourse in Dutch society expects—or even demands—patients properly care for themselves. Self-management, autonomy, and control are highly valued. It is assumed that self-managing will positively influence patients' quality of life and their health.In the course of the past decades, the first author, Truus Teunissen, acquired several chronic illnesses, the most important ones being a lung disease and cancer.The condition (...)
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  26.  45
    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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  27.  29
    Empirical Ethics Within Rapidly Changing Practices.A. H. G. van Elteren, T. A. Abma & G. A. M. Widdershoven - 2012 - Cambridge Quarterly of Healthcare Ethics 21 (4):493-504.
  28.  28
    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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  29.  16
    Morality in the Mundane: Specific Needs for Ethics Support in Elderly Care.L. Dauwerse, S. van der Dam & T. Abma - 2012 - Nursing Ethics 19 (1):91-103.
    Ethics support is called for to improve the quality of care in elderly institutions. Various forms of ethics support are presented, but the needs for ethics support remain unknown. Using a mixed-methods design, this article systematically investigates the specific needs for ethics support in elderly care. The findings of two surveys, two focus groups and 17 interviews demonstrate that the availability of ethics support is limited. There is a need for ethics support, albeit not unconditionally. Advice-based forms of ethics support (...)
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  30.  17
    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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  31.  26
    Struggling Between Strength and Vulnerability, a Patients’ Counter Story.G. J. Teunissen, M. A. Visse & T. A. Abma - 2015 - Health Care Analysis 23 (3):288-305.
    Currently, patients are expected to take control over their health and their life and act as independent users and consumers. Simultaneously, health care policy demands patients are expected to self manage their disease. This article critically questions whether this is a realistic expectation. The paper presents the auto-ethnographic narrative of the first author, which spans a period of 27 years, from 1985 to 2012. In total nine episodes were extracted from various notes, conversations and discussions in an iterative process. Each (...)
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  32.  16
    Family Group Conferencing: A Theoretical Underpinning. [REVIEW]Rosalie N. Metze, Tineke A. Abma & Rick H. Kwekkeboom - 2015 - Health Care Analysis 23 (2):165-180.
    In the last decade, Family Group Conferences have increasingly been used to help people and their networks deal with their problems. The FGC fits well with the call for equal rights and self-management coming from clients and client movements, as well as the economy-driven pressure towards more informal and less professional care coming from governments. However, there is a lack of knowledge about the underlying theory to explain how the FGC works. In this article, we aim to provide such a (...)
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  33.  11
    Moral Learning in Psychiatric Rehabilitation.J. Sitvast, G. Widdershoven & T. Abma - 2011 - Nursing Ethics 18 (4):583-595.
    The purpose of this article is to illustrate moral learning in persons with a psychiatric disability who participated in a nursing intervention, called the photo-instrument. This intervention is a form of hermeneutic photography. The findings are based on a multiple case study of 42 patients and additional interviews with eight of them. Photo groups were organized within three settings of psychiatric services: ambulatory as well as clinical, all situated in the Netherlands. Data were analysed according to hermeneutic and semiotic principles. (...)
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  34. Reviewers of Articles Received and Published in 2007–08.Tineke Abma, Anna Alomes, Gwen Anderson, Mila Aroskar, Kim Atkins, Joy Bickley-Asher, Helen Booth, Janie Butts, Miriam Cameron & Franco Carnevale - 2008 - Nursing Ethics 15 (6):851.
  35.  52
    Struggling with the Fragility of Life: A Relational-Narrative Approach to Ethics in Palliative Nursing.Tineke A. Abma - 2005 - Nursing Ethics 12 (4):337-348.
    In nursing ethics the role of narratives and dialogue has become more prominent in recent years. The purpose of this article is to illuminate a relational-narrative approach to ethics in the context of palliative nursing. The case study presented concerns a difficult relationship between oncology nurses and a husband whose wife was hospitalized with cancer. The husband’s narrative is an expression of depression, social isolation and the loss of hope. He found no meaning in the process of dying and death. (...)
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  36.  77
    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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  37.  20
    Seeking Connections, Creating Movement: The Power of Altruistic Action. [REVIEW]Tineke A. Abma & Vivianne Baur - 2012 - Health Care Analysis (4):1-19.
    Participation of older people in designing and improving the care and services provided in residential care settings is limited. Traditional forms of democratic representation, such as client councils, and consumer models are management-driven. An alternative way of involving older people in the decisions over their lives, grounded in notions of care ethics and deliberative democracy, was explored by action research. In line with this tradition older people engage in collective action to enhance the control over their lives and those of (...)
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  38.  7
    Care as a Mutual Endeavour: Experiences of a Multiple Sclerosis Patient and Her Healthcare Professionals. [REVIEW]Barth Oeseburg & Tineke A. Abma - 2006 - Medicine, Health Care and Philosophy 9 (3):349-357.
    In Dutch healthcare policy patients are seen as informed, autonomous experts and active decision makers with control over their illness and care. Healthcare professionals are expected to operate as providers of information. The purpose of this article is to argue that the consumerist approach of the patient–professional relationship is not a productive way to envision the patient–professional relationship. We argue that an interpretive/deliberative model is a more productive way to envision this relationship, especially in the care for people with a (...)
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  39.  21
    “I Stand Alone.” An Ethnodrama About the (Dis)Connections Between a Client and Professionals in a Residential Care Home.Vivianne Baur, Tineke Abma & Ingrid Baart - 2012 - Health Care Analysis (3):1-20.
    Client participation in elderly care organizations requires shifting traditional power relations and establishing communicative action that involves the lifeworlds of clients and professionals alike. This article describes a particular form of client participation in which one client was part of a team of professionals in a residential care home. Their joint remit was to plan the implementation of a new personal care file for residents. We describe the interactions within this team through an ethnodrama, based on participant observations and the (...)
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  40.  8
    The Photo-Instrument as a Health Care Intervention.J. E. Sitvast & T. A. Abma - 2012 - Health Care Analysis 20 (2):177-195.
    The aim of this study is to describe how hermeneutic photography and one application of hermeneutic photography in particular, namely the photo-instrument, can be used as a health care intervention that fosters meaning (re-)construction of mental illness experiences. Studies into the ways how patients construct meaning in illness narratives indicate that aesthetic expressions of experiences may play an important role in meaning making and sharing. The study is part of a larger research project devoted to understanding the photostories that result (...)
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  41.  37
    Evaluating Palliative Care: Facilitating Reflexive Dialgoues About an Ambiguous Concept. [REVIEW]Tineke A. Abma - 2001 - Medicine, Health Care and Philosophy 4 (3):261-276.
    Palliation is a relatively new concept that is used in connection with the integral care provided to those who are unable to recover from their illness. The specific meaning of the concept has not been clearly defined. This article explores the possibilities offered by a responsive approach to evaluation that can facilitate a reflexive dialogue on this ambiguous concept. In doing so it draws on a case study of a palliative care project in a Dutch health care authority. The article (...)
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  42. Two Women with Multiple Sclerosis. Conflicting Normative Expectations Between Patients and Their Caregivers.T. A. Abma, B. Oeseburg, M. Goldsteen, G. A. M. Widdershoven & M. Verkerk - 2005 - Nursing Ethics 12 (5):479-492.
     
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  43.  2
    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.
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  44.  1
    Triad Collaboration in Psychiatry: Privacy and Confidentiality Revisited.Elleke Landeweer, Tineke A. Abma, Linda Dauwerse & Guy A. M. Widdershoven - 2011 - Ijfab: International Journal of Feminist Approaches to Bioethics 4 (1):121-139.
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  45.  27
    Reviewers of Articles Received and Published in 2006Á/07.Tineke Abma, Anne Arber, Arie van der Arend, Marianne Benedicta Arndt, Robert Arnott, Kim Atkins, Helen Aveyard, Susan Bailey, Joy Bickley-Asher & Pamela Bjorklund - 2007 - Nursing Ethics 14 (6):849.
  46.  23
    Paradoxes in the Care of Older People in the Community: Walking a Tightrope.Bienke Janssen, Tineke A. Abma & Tine Van Regenmortel - 2014 - Ethics and Social Welfare 8 (1):39-56.
    The expansion of the older population suggests that there will be significant numbers in need of care and support in their own home environment. Yet, little is known about the kind of situations professionals are faced with and how they intervene in the living environment of older people. Qualitative data were collected over a period of 1.5 years from a multi-disciplinary community-based geriatric team in the Netherlands, and participant observations carried out. Forty-two cases discussed within the team meetings were analysed. (...)
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  47.  1
    Moving Perspectives on Patient Competence: A Naturalistic Case Study in Psychiatry.G. Widdershoven, G. Meynen, A. Balkom, T. Abma & A. Ruissen - 2016 - Health Care Analysis 24 (1):71-85.
    Patient competence, defined as the ability to reason, appreciate, understand, and express a choice is rarely discussed in patients with obsessive compulsive disorder, and coercive measures are seldom used. Nevertheless, a psychiatrist of psychologist may doubt whether OCD patients who refuse treatment understand their disease and the consequences of not being treated, which could result in tension between respecting the patient’s autonomy and beneficence. The purpose of this article is to develop a notion of competence that is grounded in clinical (...)
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  48.  23
    Balancing Risk Prevention and Health Promotion: Towards a Harmonizing Approach in Care for Older People in the Community. [REVIEW]Bienke M. Janssen, Tine Regenmortel & Tineke A. Abma - 2012 - Health Care Analysis (1):1-21.
    Many older people in western countries express a desire to live independently and stay in control of their lives for as long as possible in spite of the afflictions that may accompany old age. Consequently, older people require care at home and additional support. In some care situations, tension and ambiguity may arise between professionals and clients whose views on risk prevention or health promotion may differ. Following Antonovsky’s salutogenic framework, different perspectives between professionals and clients on the pathways that (...)
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  49.  13
    Nurturing Cultural Change in Care for Older People: Seeing the Cherry Tree Blossom.Miranda M. W. C. Snoeren, Bienke M. Janssen, Theo J. H. Niessen & Tineke A. Abma - 2016 - Health Care Analysis 24 (4):349-373.
    There is a need for person-centred approaches and empowerment of staff within the residential care for older people; a movement called ‘culture change’. There is however no single path for achieving culture change. With the aim of increasing understandings about cultural change processes and the promotion of cultural values and norms associated with person-centred practices, this article presents an action research project set on a unit in the Netherlands providing care for older people with dementia. The project is presented as (...)
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  50.  11
    Moving Perspectives on Patient Competence: A Naturalistic Case Study in Psychiatry.A. M. Ruissen, T. A. Abma, A. J. L. M. Van Balkom, G. Meynen & G. A. M. Widdershoven - 2016 - Health Care Analysis 24 (1):71-85.
    Patient competence, defined as the ability to reason, appreciate, understand, and express a choice is rarely discussed in patients with obsessive compulsive disorder, and coercive measures are seldom used. Nevertheless, a psychiatrist of psychologist may doubt whether OCD patients who refuse treatment understand their disease and the consequences of not being treated, which could result in tension between respecting the patient’s autonomy and beneficence. The purpose of this article is to develop a notion of competence that is grounded in clinical (...)
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