Enacting Ethics: Bottom-up Involvement in Implementing Moral Case Deliberation
| Autor: | AC Molewijk, Froukje Weidema, Guy Widdershoven, Tineke A. Abma |
|---|---|
| Přispěvatelé: | Ethics, Law & Medical humanities, EMGO - Quality of care |
| Rok vydání: | 2012 |
| Předmět: |
Hidden voices
Health (social science) media_common.quotation_subject Nurses Co-ownership Moral case deliberation Morals Health(social science) Clinical ethics Health care Humans Conversation Work floor involvement Sociology Qualitative Research Netherlands media_common Original Paper business.industry Health Policy Participation Responsive evaluation Top-down and bottom-up design Public relations Deliberation Issues ethics and legal aspects Ethics Clinical Philosophy of medicine Implementation Facilitator Normative Education Medical Continuing business Qualitative research |
| Zdroj: | Weidema, F C, Molewijk, A C, Widdershoven, G A M & Abma, T A 2012, ' Enacting Ethics: Bottom-up Involvement in Implementing Moral Case Deliberation ', Health Care Analysis, vol. 20, no. 1, pp. 1-19 . https://doi.org/10.1007/s10728-010-0165-5 Health Care Analysis Health Care Analysis, 20(1), 1-19. Springer Netherlands |
| ISSN: | 1065-3058 |
| DOI: | 10.1007/s10728-010-0165-5 |
| Popis: | 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 aim of this study is to describe MCD implementation processes from the perspective of nurses who co-organize MCD meetings, so called ‘local coordinators’. Various qualitative methods were used within the framework of a responsive evaluation research design. The results demonstrate that local coordinators work hard on the pragmatic implementation of MCD. They do not emphasize the ethical and normative underpinnings of MCD, but create organizational conditions to foster a learning process, engagement and continuity. Local coordinators indicate MCD needs firm back-up from management regulations. These pragmatic action-oriented implementation strategies are as important as ideological reasons for MCD implementation. Advocates of clinical ethics support should pro-actively facilitate these strategies for both practical and ethical reasons. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink