'Here’s My Dilemma'. Moral Case Deliberation as a Platform for Discussing Everyday Ethics in Elderly Care
| Autor: | Tineke A. Abma, Guy Widdershoven, S. van der Dam, Martinus Josephus Maria Kardol |
|---|---|
| Přispěvatelé: | Promovendi PHPC, Metamedica, RS: CAPHRI School for Public Health and Primary Care, Ethics, Law & Medical humanities, EMGO - Quality of care |
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
Health (social science) Attitude of Health Personnel ursing home media_common.quotation_subject Care home Gerontological nursing Moral case deliberation Morals Health informatics Health(social science) Elderly care Clinical ethics Nursing Geriatric Nursing medicine Homes for the Aged Humans Nursing Assistant media_common Aged Netherlands business.industry Nursing home Public health Communication Health Policy Ethical issues Public relations Deliberation Variety (cybernetics) Nursing Homes Dilemma Issues ethics and legal aspects Caregivers Philosophy of medicine Original Article business |
| Zdroj: | Health Care Analysis, 20(3), 250-267. Springer van der Dam, S, Abma, T A, Kardol, M J & Widdershoven, G A 2012, ' "Here's my dilemma". Moral case deliberation as a platform for discussing everyday ethics in elderly care ', Health Care Analysis, vol. 20, no. 3, pp. 250-267 . https://doi.org/10.1007/s10728-011-0185-9 Health Care Analysis Health Care Analysis, 20(3), 250-267. Springer Netherlands |
| ISSN: | 1065-3058 |
| DOI: | 10.1007/s10728-011-0185-9 |
| Popis: | 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'. |
| Databáze: | OpenAIRE |
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