How Moral Case Deliberation Supports Good Clinical Decision Making

Effect of Shared Decision-making on Decisional Conflict and Uptake of First-trimester Screening Tests

“…Women who participated in an SDM approach feel more clear about personal values (e.g., fetal life, having healthy children), which were more important to them. Previous studies showed that "values inform our views of how things should be and guide us when difficult choices need to be made", and they are fundamental in the clinical decision-making process [24,25]. As in the previous study, data from interviews with women during the counseling session showed that religious beliefs (e.g., the unacceptability of abortion and reliance on faith) could lower FTS uptake [26].…”

Effect of Shared Decision-making on Decisional Conflict and Uptake of First-trimester Screening Tests

“…Women who participated in an SDM approach feel more clear about personal values (e.g., fetal life, having healthy children), which were more important to them. Previous studies showed that "values inform our views of how things should be and guide us when difficult choices need to be made", and they are fundamental in the clinical decision-making process [24,25]. As in the previous study, data from interviews with women during the counseling session showed that religious beliefs (e.g., the unacceptability of abortion and reliance on faith) could lower FTS uptake [26].…”

Preconception education program for non-invasive prenatal testing focused on interest in genetics among female university students in Japan: a quasi-experimental study comparing pre-intervention, post-intervention, and three-month follow-up results

“…After preconception education, women might change their decisions on NIPT according to changes in their values or circumstances. However, such changes can be considered a fundamental and essential process for clarifying their personal values and improving decisionmaking [56,57] on NIPT. While decision-making on NIPT was reportedly affected by healthcare providers' explanations [2][3][4]58], social pressure [59], and the opinions of family members [60], a study showed that the majority of pregnant women who decided against NIPT had made the decisions before pre-test counseling based on their personal values [61].…”

Ethical and Communicative Challenges in Informing Patients with Delusional Infestation: Insights from Moral Case Deliberation

“…In the focus groups, moral case deliberation (MCD) was used, a structured approach in clinical ethics support that promotes systematic reflection on moral questions ( 12 ). The dilemmas centred on the tension between 2 approaches: (A) transparently informing the patient about the diagnosis and treatment or (B) not fully disclosing the diagnosis, either by aligning with the patient’s beliefs or stating that the diagnosis was uncertain to allow more time to build trust ( 9 , 10 ). To enrich the findings, additional interviews were conducted with legal and ethical experts.…”

Effect of Shared Decision-making on Decisional Conflict and Uptake of First-trimester Screening Tests

“…Women who participated in an SDM approach feel more clear about personal values (e.g., fetal life, having healthy children), which were more important to them. Previous studies showed that "values inform our views of how things should be and guide us when difficult choices need to be made", and they are fundamental in the clinical decision-making process [24,25]. As in the previous study, data from interviews with women during the counseling session showed that religious beliefs (e.g., the unacceptability of abortion and reliance on faith) could lower FTS uptake [26].…”

Preconception education program for non-invasive prenatal testing focused on interest in genetics among female university students in Japan: a quasi-experimental study comparing pre-intervention, post-intervention, and three-month follow-up results

“…After preconception education, women might change their decisions on NIPT according to changes in their values or circumstances. However, such changes can be considered a fundamental and essential process for clarifying their personal values and improving decisionmaking [56,57] on NIPT. While decision-making on NIPT was reportedly affected by healthcare providers' explanations [2][3][4]58], social pressure [59], and the opinions of family members [60], a study showed that the majority of pregnant women who decided against NIPT had made the decisions before pre-test counseling based on their personal values [61].…”

Ethical and Communicative Challenges in Informing Patients with Delusional Infestation: Insights from Moral Case Deliberation

“…In the focus groups, moral case deliberation (MCD) was used, a structured approach in clinical ethics support that promotes systematic reflection on moral questions ( 12 ). The dilemmas centred on the tension between 2 approaches: (A) transparently informing the patient about the diagnosis and treatment or (B) not fully disclosing the diagnosis, either by aligning with the patient’s beliefs or stating that the diagnosis was uncertain to allow more time to build trust ( 9 , 10 ). To enrich the findings, additional interviews were conducted with legal and ethical experts.…”

Effect of Shared Decision-making on Decisional Conflict and Uptake of First-trimester Screening Tests

“…Women who participated in an SDM approach feel more clear about personal values (e.g., fetal life, having healthy children), which were more important to them. Previous studies showed that "values inform our views of how things should be and guide us when difficult choices need to be made", and they are fundamental in the clinical decision-making process [24,25]. As in the previous study, data from interviews with women during the counseling session showed that religious beliefs (e.g., the unacceptability of abortion and reliance on faith) could lower FTS uptake [26].…”

Preconception education program for non-invasive prenatal testing focused on interest in genetics among female university students in Japan: a quasi-experimental study comparing pre-intervention, post-intervention, and three-month follow-up results

“…After preconception education, women might change their decisions on NIPT according to changes in their values or circumstances. However, such changes can be considered a fundamental and essential process for clarifying their personal values and improving decisionmaking [56,57] on NIPT. While decision-making on NIPT was reportedly affected by healthcare providers' explanations [2][3][4]58], social pressure [59], and the opinions of family members [60], a study showed that the majority of pregnant women who decided against NIPT had made the decisions before pre-test counseling based on their personal values [61].…”

Ethical and Communicative Challenges in Informing Patients with Delusional Infestation: Insights from Moral Case Deliberation

“…In the focus groups, moral case deliberation (MCD) was used, a structured approach in clinical ethics support that promotes systematic reflection on moral questions ( 12 ). The dilemmas centred on the tension between 2 approaches: (A) transparently informing the patient about the diagnosis and treatment or (B) not fully disclosing the diagnosis, either by aligning with the patient’s beliefs or stating that the diagnosis was uncertain to allow more time to build trust ( 9 , 10 ). To enrich the findings, additional interviews were conducted with legal and ethical experts.…”