Switch to: References

Add citations

You must login to add citations.
  1. 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 (...)
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark   13 citations  
  • 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.
    Direct download  
     
    Export citation  
     
    Bookmark   13 citations  
  • 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 (...)
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark   37 citations  
  • 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 (...)
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark   36 citations  
  • 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):e87-e87.
    BackgroundBesides 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.MethodsAnalysis using the ‘Dilemma method’ and ‘wide reflective equilibrium’, on ethnographic data of 45 patient cases and 96 stakeholder interviews in six UK hospitals.Ethical analysisFour moral questions and associated value conflicts were (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   1 citation  
  • Measuring Moral Distress in Pharmacy and Clinical Practice.Sofia Kälvemark Sporrong, Anna T. Höglund & Bengt Arnetz - 2006 - Nursing Ethics 13 (4):416-427.
    This article presents the development, validation and application of an instrument to measure everyday moral distress in different health care settings. The concept of moral distress has been discussed and developed over 20 years. A few instruments have been developed to measure it, predominantly in nursing. The instrument presented here consists of two factors: level of moral distress, and tolerance/openness towards moral dilemmas. It was tested in four medical departments and three pharmacies, where 259 staff members completed a questionnaire. The (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   33 citations  
  • Developing Ethical Competence in Health Care Organizations.Sofia Kälvemark Sporrong, Bengt Arnetz, Mats G. Hansson, Peter Westerholm & Anna T. Höglund - 2007 - Nursing Ethics 14 (6):825-837.
    Increased work complexity and financial strain in the health care sector have led to higher demands on staff to handle ethical issues. These demands can elicit stress reactions, that is, moral distress. One way to support professionals in handling ethical dilemmas is education and training in ethics. This article reports on a controlled prospective study evaluating a structured education and training program in ethics concerning its effects on moral distress. The results show that the participants were positive about the training (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   28 citations  
  • Ethics rounds.Marit Silén, Mia Ramklint, Mats G. Hansson & Kristina Haglund - 2016 - Nursing Ethics 23 (2):203-213.
    Background:Ethics rounds are one way to support healthcare personnel in handling ethically difficult situations. A previous study in the present project showed that ethics rounds did not result in significant changes in perceptions of how ethical issues were handled, that is, in the ethical climate. However, there was anecdotal evidence that the ethics rounds were viewed as a positive experience and that they stimulated ethical reflection.Aim:The aim of this study was to gain a deeper understanding of how the ethics rounds (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   25 citations  
  • ‘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 (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   5 citations  
  • Clinical Ethics Support for Healthcare Personnel: An Integrative Literature Review.Dara Rasoal, Kirsti Skovdahl, Mervyn Gifford & Annica Kihlgren - 2017 - HEC Forum 29 (4):313-346.
    This study describes which clinical ethics approaches are available to support healthcare personnel in clinical practice in terms of their construction, functions and goals. Healthcare personnel frequently face ethically difficult situations in the course of their work and these issues cover a wide range of areas from prenatal care to end-of-life care. Although various forms of clinical ethics support have been developed, to our knowledge there is a lack of review studies describing which ethics support approaches are available, how they (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   33 citations  
  • Six Challenges for Ethical Conduct in Science.Petteri Niemi - 2016 - Science and Engineering Ethics 22 (4):1007-1025.
    The realities of human agency and decision making pose serious challenges for research ethics. This article explores six major challenges that require more attention in the ethics education of students and scientists and in the research on ethical conduct in science. The first of them is the routinization of action, which makes the detection of ethical issues difficult. The social governance of action creates ethical problems related to power. The heuristic nature of human decision making implies the risk of ethical (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   3 citations  
  • Ethical competence.K. Kulju, M. Stolt, R. Suhonen & H. Leino-Kilpi - 2016 - Nursing Ethics 23 (4):401-412.
    Direct download  
     
    Export citation  
     
    Bookmark   29 citations  
  • Ethics Cases: Do they Elicit Different Levels of Ethical Reasoning?Belinda Kenny, Michelle Lincoln & Felicity Killian - 2015 - Journal of Academic Ethics 13 (3):259-275.
  • Developing Ethical Competence in Health Care Organizations.S. Kalvemark Sporring, B. Arnetz, M. Hansson, P. Westerholm & A. Hoglund - 2007 - Nursing Ethics 14 (6):825-837.
    Increased work complexity and financial strain in the health care sector have led to higher demands on staff to handle ethical issues. These demands can elicit stress reactions, that is, moral distress. One way to support professionals in handling ethical dilemmas is education and training in ethics. This article reports on a controlled prospective study evaluating a structured education and training program in ethics concerning its effects on moral distress. The results show that the participants were positive about the training (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   29 citations  
  • Reflections on the ethical dilemmas involved in promoting self-management.Anne Lise Holm & Elisabeth Severinsson - 2014 - Nursing Ethics 21 (4):0969733013500806.
    Due to their understanding of self-management, healthcare team members responsible for depressed older persons can experience an ethical dilemma. Each team member contributes important knowledge and experience pertaining to the management of depression, which should be reflected in the management plan. The aim of this study was to explore healthcare team members’ reflections on the ethical dilemmas involved in promoting self-management among depressed older persons. A qualitative design was used and data were collected by means of focus group interviews. The (...)
    Direct download (5 more)  
     
    Export citation  
     
    Bookmark   4 citations  
  • Ethical Dilemmas and Ethical Competence in the Daily Work of Research Nurses.A. T. Höglund, G. Helgesson & S. Eriksson - 2010 - Health Care Analysis 18 (3):239-251.
    In spite of the growing interest in nursing ethics, few studies have focused on ethical dilemmas experienced by nurses working with clinical studies as ‘research nurses’. The aim of the present study was to describe and explore ethical dilemmas that Swedish research nurses experience in their day-to-day work. In a qualitative study a purposeful sample of six research nurses from five wards of differing disciplines in four Swedish hospitals was interviewed. The analysis displayed several examples of ethical dilemmas, primarily tensions (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   8 citations  
  • 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 (...)
    Direct download (6 more)  
     
    Export citation  
     
    Bookmark   10 citations  
  • Managing Ethical Difficulties in Healthcare: Communicating in Inter-professional Clinical Ethics Support Sessions.Catarina Fischer Grönlund, Vera Dahlqvist, Karin Zingmark, Mikael Sandlund & Anna Söderberg - 2016 - HEC Forum 28 (4):321-338.
    Several studies show that healthcare professionals need to communicate inter-professionally in order to manage ethical difficulties. A model of clinical ethics support inspired by Habermas’ theory of discourse ethics has been developed by our research group. In this version of CES sessions healthcare professionals meet inter-professionally to communicate and reflect on ethical difficulties in a cooperative manner with the aim of reaching communicative agreement or reflective consensus. In order to understand the course of action during CES, the aim of this (...)
    Direct download (2 more)  
     
    Export citation  
     
    Bookmark   21 citations  
  • Being, doing, and knowing: Developing ethical competence in health care. [REVIEW]S. Eriksson, G. Helgesson & A. T. Höglund - 2007 - Journal of Academic Ethics 5 (2-4):207-216.
    There is a growing interest in ethical competence-building within nursing and health care practising. This tendency is accompanied by a remarkable growth of ethical guidelines. Ethical demands have also been laid down in laws. Present-day practitioners and researchers in health care are thereby left in a virtual cross-fire of various legislations, codes, and recommendations, all intended to guide behaviour. The aim of this paper was to investigate the role of ethical guidelines in the process of ethical competence-building within health care (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark   22 citations  
  • Imaginative virtue ethics: A transportation-transcendental approach.Surendra Arjoon & Meena Rambocas - 2021 - International Journal of Ethics Education 7 (1):35-51.
    Several authors have argued that virtue ethics needs to adopt a more realistic moral psychology in proposing a more effective way for teaching and learning. In response to this appeal, our paper explores the development of an Imaginative Virtue Ethics Transportation-Transcendental Experiential Approach based on the Aristotelian-Thomistic Mind–Body Theory. It also appears that many educators who use an Aristotelian-Thomistic virtue ethics as a teaching and learning platform may be unaware of the theoretical underpinnings especially with regards to the understanding of (...)
    Direct download (3 more)  
     
    Export citation  
     
    Bookmark