38 found
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  1.  18
    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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  2.  40
    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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  3.  46
    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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  4.  41
    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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  5.  12
    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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  6.  28
    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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  7.  44
    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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  8.  29
    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 - 2023 - HEC Forum 35 (2):139-159.
    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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  9.  21
    Clinical Ethics Expertise as the Ability to Co-Create Normative Recommendations by Guiding a Dialogical Process of Moral Learning.Bert Molewijk, Guy Widdershoven, Suzanne Metselaar & Giulia Inguaggiato - 2019 - American Journal of Bioethics 19 (11):71-73.
    Volume 19, Issue 11, November 2019, Page 71-73.
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  10. Effectiveness of CURA: Healthcare professionals’ moral resilience and moral competences.Malene van Schaik, H. Roeline R. W. Pasman, Guy A. M. Widdershoven, Janine De Snoo-Trimp & Suzanne Metselaar - forthcoming - Nursing Ethics.
    Background: Clinical ethics support instruments aim to support healthcare professionals in dealing with moral challenges in clinical practice. CURA is a relatively new instrument tailored to the wishes and needs of healthcare professionals in palliative care, especially nurses. It aims to foster their moral resilience and moral competences. Aim: To investigate the effects of using CURA on healthcare professionals regarding their Moral Resilience and Moral Competences. Design: Single group pre-/post-test design with two questionnaires. Methods: Questionnaires used were the Rushton Moral (...)
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  11.  20
    How to Support Patient and Family in Dealing with Ethical Issues? The Relevance of Moral Case Deliberation.Guy Widdershoven, Margreet Stolper, Bert Molewijk & Suzanne Metselaar - 2020 - American Journal of Bioethics 20 (6):70-72.
    Volume 20, Issue 6, June 2020, Page 70-72.
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  12.  15
    Developing Organizational Diversity Statements Through Dialogical Clinical Ethics Support: The Role of the Clinical Ethicist.Charlotte Kröger, Albert C. Molewijk & Suzanne Metselaar - 2023 - Journal of Bioethical Inquiry 20 (3):379-395.
    In pluralist societies, stakeholders in healthcare may have different experiences of and moral perspectives on health, well-being, and good care. Increasing cultural, religious, sexual, and gender diversity among both patients and healthcare professionals requires healthcare organizations to address these differences. Addressing diversity, however, comes with inherent moral challenges; for example, regarding how to deal with healthcare disparities between minoritized and majoritized patients or how to accommodate different healthcare needs and values. Diversity statements are an important strategy for healthcare organizations to (...)
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  13.  20
    The Role of Philosophy After the Empirical Turn in Bioethics.Guy Widdershoven & Suzanne Metselaar - 2022 - American Journal of Bioethics 22 (12):49-51.
    In “The Place of Philosophy in Bioethics Today,” Blumenthal-Barby and colleagues argue that philosophy is indispensable to the field of bioethics (Blumenthal-Barby et al. 2022). Nonetheless, they i...
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  14.  22
    Circles of Care for Safety: A Care Ethics Approach to Safe-by-Design.Lieke Baas, Suzanne Metselaar & Pim Klaassen - 2022 - NanoEthics 16 (2):167-179.
    Safe-by-Design is an approach to engineering that aims to integrate the value of safety in the design and development of new technologies. It does so by integrating knowledge of potential dangers in the design process and developing methods to design undesirable effects out of the innovation. Recent discussions have highlighted several challenges in conceptualizing safety and integrating the value into the design process. Therefore, some have argued to design for the _responsibility_ for safety, instead of for safety itself. However, this (...)
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  15.  15
    Giving Digital Mental Health Technologies the Benefit of the Doubt, Rather than Doubting the Benefits.Mehrdad Rahsepar Meadi, Neeltje Batelaan, Anton J. L. M. van Balkom & Suzanne Metselaar - 2022 - American Journal of Bioethics Neuroscience 13 (3):206-208.
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  16.  19
    Dealing With Moral Dilemmas at the Neonatology Ward: The Importance of Joint Case-by-Case Reflection.Suzanne Metselaar, Machteld van Scherpenzeel & Guy Widdershoven - 2017 - American Journal of Bioethics 17 (8):21-23.
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  17.  33
    Genetic Testing of Children: The Need for a Family Perspective.Anneke Lucassen, Guy Widdershoven, Suzanne Metselaar, Angela Fenwick & Michael Parker - 2014 - American Journal of Bioethics 14 (3):26-28.
  18.  20
    Moral dilemmas in treating patients who feel they are a burden.Suzanne Metselaar & Guy Widdershoven - 2019 - Bioethics 33 (4):431-438.
    Working as clinical ethicists in an academic hospital, we find that practitioners tend to take a principle‐based approach to moral dilemmas when it comes to (not) treating patients who feel like a burden, in which respect for autonomy tends to trump other principles. We argue that this approach insufficiently deals with the moral doubts of professionals with regard to feeling that you are a burden as a motive to decline or withdraw from treatment. Neither does it take into adequately account (...)
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  19.  24
    Ethical Theory as Part of Clinical Ethics Support Practice.Guy Widdershoven, Suzanne Metselaar & Bert Molewijk - 2016 - American Journal of Bioethics 16 (9):34-36.
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  20.  16
    Implementation in Bioethics: A Plea for a Participatory and Dialogical Approach.Suzanne Metselaar, Yolande Voskes, Bert Molewijk & Guy Widdershoven - 2020 - American Journal of Bioethics 20 (4):78-80.
    Volume 20, Issue 4, May 2020, Page 78-80.
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  21.  18
    Reconsidering Bias: A Hermeneutic Perspective.Suzanne Metselaar, Gerben Meynen & Guy Widdershoven - 2016 - American Journal of Bioethics 16 (5):33-35.
  22.  15
    Evaluating PAD Requests in Psychiatry: The Importance of Involving Others.Guy Widdershoven, Yolande Voskes, Gerben Meynen & Suzanne Metselaar - 2019 - American Journal of Bioethics 19 (10):63-65.
    Volume 19, Issue 10, October 2019, Page 63-65.
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  23.  21
    Translational bioethics as a two‐way street. Developing clinical ethics support instruments with and for healthcare practitioners.Suzanne Metselaar - 2024 - Bioethics 38 (3):233-240.
    This article discusses an approach to translational bioethics (TB) that is concerned with the adaptation—or ‘translation’—of concepts, theories and methods from bioethics to practical contexts, in order to support ‘non-bioethicists’, such as researchers and healthcare practitioners, in dealing with their ethical issues themselves. Specifically, it goes into the participatory development of clinical ethics support (CES) instruments that respond to the needs and wishes of healthcare practitioners and that are tailored to the specific care contexts in which they are to be (...)
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  24.  10
    The Diversity Compass: a clinical ethics support instrument for dialogues on diversity in healthcare organizations.Charlotte Kröger, Bert Molewijk, Maaike Muntinga & Suzanne Metselaar - 2024 - BMC Medical Ethics 25 (1):1-14.
    Background Increasing social pluralism adds to the already existing variety of heterogeneous moral perspectives on good care, health, and quality of life. Pluralism in social identities is also connected to health and care disparities for minoritized patient (i.e. care receiver) populations, and to specific diversity-related moral challenges of healthcare professionals and organizations that aim to deliver diversity-responsive care in an inclusive work environment. Clinical ethics support (CES) services and instruments may help with adequately responding to these diversity-related moral challenges. However, (...)
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  25.  20
    Ethical Issues in Fecal Microbiota Transplantion: Taking Into Account Identity and Family Relations.Suzanne Metselaar & Guy Widdershoven - 2017 - American Journal of Bioethics 17 (5):53-55.
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  26.  20
    Dealing With the Nocebo Effect: Taking Physician–Patient Interaction Seriously.Suzanne Metselaar, Gerben Meynen & Guy Widdershoven - 2017 - American Journal of Bioethics 17 (6):48-50.
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  27.  14
    Fostering moral resilience through moral case deliberation.Suzanne Metselaar & Bert Molewijk - 2023 - Nursing Ethics 30 (5):730-745.
    Moral distress forms a major threat to the well-being of healthcare professionals, and is argued to negatively impact patient care. It is associated with emotions such as anger, frustration, guilt, and anxiety. In order to effectively deal with moral distress, the concept of moral resilience is introduced as the positive capacity of an individual to sustain or restore their integrity in response to moral adversity. Interventions are needed that foster moral resilience among healthcare professionals. Ethics consultation has been proposed as (...)
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  28.  17
    Moral distress and positive experiences of ICU staff during the COVID-19 pandemic: lessons learned.Mark L. van Zuylen, Janine C. de Snoo-Trimp, Suzanne Metselaar, Dave A. Dongelmans & Bert Molewijk - 2023 - BMC Medical Ethics 24 (1):1-17.
    Background The COVID-19 pandemic causes moral challenges and moral distress for healthcare professionals and, due to an increased work load, reduces time and opportunities for clinical ethics support services. Nevertheless, healthcare professionals could also identify essential elements to maintain or change in the future, as moral distress and moral challenges can indicate opportunities to strengthen moral resilience of healthcare professionals and organisations. This study describes 1) the experienced moral distress, challenges and ethical climate concerning end-of-life care of Intensive Care Unit (...)
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  29.  18
    Responsible Use of CAI: An Evolving Field.Mehrdad Rahsepar Meadi, Neeltje Batelaan, Anton J. L. M. van Balkom & Suzanne Metselaar - 2023 - American Journal of Bioethics 23 (5):53-55.
    Sedlakova and Trachsel (2023) argue that on the one hand, conversational artificial intelligence (CAI) does not fulfill the necessary conditions for full attribution of agency, such as having consc...
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  30.  7
    Umgang mit Demenz.Charlotte Kröger, Suzanne Metselaar & Guy Widdershoven - 2021 - In Michael Fuchs (ed.), Handbuch Alter Und Altern: Anthropologie – Kultur – Ethik. J.B. Metzler. pp. 423-430.
    Gesundheitssorge ist von Natur aus eine moralische Angelegenheit. Gute Pflege ist normativ geprägt und beinhaltet stets, entweder explizit oder implizit, das Wählen einer moralischen Position. Dies ist nicht immer einfach. In dem Prozess, der gute Pflege mit sich bringt, werden Mitarbeiter regelmäßig mit schwierigen moralischen Fragen und Situationen konfrontiert. Dies trifft auf alle Pflegebereiche zu, auch auf den Umgang mit Langzeit- und Demenzpatienten.
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  31.  2
    Does a lack of emotions make chatbots unfit to be psychotherapists?Mehrdad Rahsepar Meadi, Justin S. Bernstein, Neeltje Batelaan, Anton J. L. M. van Balkom & Suzanne Metselaar - forthcoming - Bioethics.
    Mental health chatbots (MHCBs) designed to support individuals in coping with mental health issues are rapidly advancing. Currently, these MHCBs are predominantly used in commercial rather than clinical contexts, but this might change soon. The question is whether this use is ethically desirable. This paper addresses a critical yet understudied concern: assuming that MHCBs cannot have genuine emotions, how this assumption may affect psychotherapy, and consequently the quality of treatment outcomes. We argue that if MHCBs lack emotions, they cannot have (...)
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  32.  22
    Dealing With the Tension Between the Patient’s Wish to Die and Professional Attitudes Toward a ‘Good Death’.Suzanne Metselaar & Guy Widdershoven - 2019 - American Journal of Bioethics 19 (12):44-45.
    Volume 19, Issue 12, December 2019, Page 44-45.
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  33.  11
    Hoe denkers denken: filosoferen als ambacht.Suzanne Metselaar & Allard den Dulk (eds.) - 2012 - Amsterdam: Athenaeum-Polak & Van Gennep.
    Interviews met tien hedendaagse Nederlandse filosofen over hun manier van denken.
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  34.  20
    Reclaiming Narrative Identity and Recovery in Psychiatry.Suzanne Metselaar, Yolande Voskes, Gerben Meynen & Guy Widdershoven - 2017 - American Journal of Bioethics Neuroscience 8 (3):188-190.
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  35.  17
    Responding to Human Brain Surrogates Research: The Value of Empirical Ethics.Suzanne Metselaar, Jeroen Geurts & Gerben Meynen - 2021 - American Journal of Bioethics 21 (1):64-66.
    Greely argues that surrogates for living human brains in vivo might be of tremendous benefit to understanding human brain function—and eventually to curing devastating brain diseases—without...
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  36.  55
    The Structural Similarity between the Itinerarium mentis in Deum and the Collationes in Hexaemeron with Regard to Bonaventure’s Doctrine of God as First Known.Suzanne Metselaar - 2011 - American Catholic Philosophical Quarterly 85 (1):43-75.
    In this article, I provide a close analysis of the resolutions to God as first known in Bonaventure’s Itinerarium mentis in Deum and the Collationes in Hexaemeron. Hardly any methodological reflection has been given to the fact that there are two accounts of God as first known in each of these works. Myanalysis shows that there exists a structural similarity between the Itinerarium and the Hexaemeron with regard to their treatment of Deus primum cognitum. In both texts, Bonaventure’s doctrine on (...)
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  37.  7
    Peer Review and Beyond: Towards a Dialogical Approach of Quality in Ethics Support.Guy A. M. Widdershoven, Bert Molewijk & Suzanne Metselaar - 2018 - In Stuart G. Finder & Mark J. Bliton (eds.), Peer Review, Peer Education, and Modeling in the Practice of Clinical Ethics Consultation: The Zadeh Project. Springer Verlag. pp. 193-203.
    In this chapter we reflect on the relevance of peer review for assessing the quality of clinical ethics consultation. We contend that peer review in the narrative form as presented in this book provides an alternative to the formal clinical ethics consultation review procedures typically found in the clinical ethics literature. We elaborate on peer review as a reflection on clinical ethics consultation practice, the elements which a story should contain in order to provide a basis for peer review, and (...)
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  38.  15
    Taboe of dilemma?Guy Widdershoven & Suzanne Metselaar - 2019 - Algemeen Nederlands Tijdschrift voor Wijsbegeerte 111 (2):211-215.
    Amsterdam University Press is a leading publisher of academic books, journals and textbooks in the Humanities and Social Sciences. Our aim is to make current research available to scholars, students, innovators, and the general public. AUP stands for scholarly excellence, global presence, and engagement with the international academic community.
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