Health Care Analysis 20 (3):250-267 (2012)
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Abstract |
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 confronted with a wide variety of largely everyday ethical issues. We distinguished three main categories: ‘resident’s behavior’, ‘divergent perspectives on good care’ and ‘organizational context’. The overview can be used for agendasetting when institutions wish to stimulate reflection and deliberation. It is important that an agenda is constructed from the bottom-up and open to a variety of issues. In addition, organizing reflection and deliberation requires effort to identify moral questions in practice whilst at the same time maintaining the connection with the organizational context and existing communication structures. Once care providers are used to dealing with divergent perspectives, inviting different perspectives (e.g. family members) to take part in the deliberation, might help to identify and address ethical ‘blind spots’
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Keywords | Ethical issues Clinical ethics Moral case deliberation Nursing home Care home Elderly care |
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DOI | 10.1007/s10728-011-0185-9 |
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References found in this work BETA
Granny and the Robots: Ethical Issues in Robot Care for the Elderly.Amanda Sharkey & Noel Sharkey - 2012 - Ethics and Information Technology 14 (1):27-40.
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.
Registered Nurses' Perceptions of Moral Distress and Ethical Climate.Bernadette Pauly, Colleen Varcoe, Janet Storch & Lorelei Newton - 2009 - Nursing Ethics 16 (5):561-573.
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.
View all 21 references / Add more references
Citations of this work BETA
Nurses Experiences of Ethical Dilemmas: A Review.Anita Haahr, Annelise Norlyk, Bente Martinsen & Pia Dreyer - forthcoming - Nursing Ethics:096973301983294.
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.
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.
Evaluation and Perceived Results of Moral Case Deliberation.R. M. Janssens, E. van Zadelhoff, G. van Loo, G. A. Widdershoven & B. A. Molewijk - 2015 - Nursing Ethics 22 (8):870-880.
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.
View all 12 citations / Add more citations
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