Lessons learned from implementing a responsive quality assessment of clinical ethics support
| Autor: | Laura Hartman, Jelle van Gurp, Bert Molewijk, Marieke C. Potma, Maria E. C. van Hoek, Eva van Baarle |
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| Přispěvatelé: | Ethics, Law & Medical humanities, APH - Quality of Care |
| Rok vydání: | 2019 |
| Předmět: |
Learning network
Health (social science) media_common.quotation_subject Acknowledgement Applied psychology Servant leadership 0603 philosophy ethics and religion Responsive quality assessment Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center 0302 clinical medicine Documentation Ethicists Health care Humans Quality (business) 030212 general & internal medicine Qualitative Research Netherlands media_common Motivation lcsh:R723-726 business.industry Health Policy Responsive evaluation 06 humanities and the arts Open learning Issues ethics and legal aspects Clinical ethics support Philosophy of medicine Perception 060301 applied ethics Ethics Committees Clinical lcsh:Medical philosophy. Medical ethics Psychology business Delivery of Health Care Research Article Qualitative research |
| Zdroj: | BMC Medical Ethics, 20 BMC Medical Ethics, 20(1):78. BioMed Central BMC Medical Ethics, Vol 20, Iss 1, Pp 1-11 (2019) BMC Medical Ethics, 20, 1 van Baarle, E M, Potma, M C, van Hoek, M E C, Hartman, L A, Molewijk, B A C & van Gurp, J L P 2019, ' Lessons learned from implementing a responsive quality assessment of clinical ethics support ', BMC Medical Ethics, vol. 20, no. 1, 78 . https://doi.org/10.1186/s12910-019-0418-2 BMC Medical Ethics |
| ISSN: | 1472-6939 |
| Popis: | Background Various forms of Clinical Ethics Support (CES) have been developed in health care organizations. Over the past years, increasing attention has been paid to the question of how to foster the quality of ethics support. In the Netherlands, a CES quality assessment project based on a responsive evaluation design has been implemented. CES practitioners themselves reflected upon the quality of ethics support within each other’s health care organizations. This study presents a qualitative evaluation of this Responsive Quality Assessment (RQA) project. Methods CES practitioners’ experiences with and perspectives on the RQA project were collected by means of ten semi-structured interviews. Both the data collection and the qualitative data analysis followed a stepwise approach, including continuous peer review and careful documentation of the decisions. Results The main findings illustrate the relevance of the RQA with regard to fostering the quality of CES by connecting to context specific issues, such as gaining support from upper management and to solidify CES services within health care organizations. Based on their participation in the RQA, CES practitioners perceived a number of changes regarding CES in Dutch health care organizations after the RQA: acknowledgement of the relevance of CES for the quality of care; CES practices being more formalized; inspiration for developing new CES-related activities and more self-reflection on existing CES practices. Conclusions The evaluation of the RQA shows that this method facilitates an open learning process by actively involving CES practitioners and their concrete practices. Lessons learned include that “servant leadership” and more intensive guidance of RQA participants may help to further enhance both the critical dimension and the learning process within RQA. |
| Databáze: | OpenAIRE |
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