Learning a way through ethical problems: Swedish nurses’ and doctors’ experiences from one model of ethics rounds

Svantesson, Mia; Löfmark, Rurik; Thorsén, Håkan; Kallenberg, Kjell; Ahlström, Gerd

doi:10.1136/jme.2006.019810

Cited by 63 publications

(123 citation statements)

References 22 publications

(17 reference statements)

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“…Structured interprofessional clinical ethics case reflections, in which healthcare professionals are able to state their perspective and arguments, in relation to patient cases may be a practical solution to this energy-consuming issue. A previous study found that interprofessional ethics reflections could be a forum for creating awareness across professional boundaries 29 and thus create a foundation for improved teamwork. The category of resources for ethics includes time and personal space as well as competence.…”

Section: N Discussionmentioning

confidence: 99%

Experiences of Ethical Issues When Caring for Children With Cancer

et al. 2015

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Experiences of ethical concerns and dealing with these in caring for children with cancer evoked strong feelings and moral perplexity among nursing staff. The study raises a challenging question: How can conflicting perspectives, lack of interprofessional consideration, and obstacles related to parents' involvement be "turned around," that is, contribute to a holistic perspective of ethics in cancer care of children?

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Section: N Discussionmentioning

confidence: 99%

Experiences of Ethical Issues When Caring for Children With Cancer

et al. 2015

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“…This was also pointed out as important in a study evaluating an ethics rounds model. 20 As for Sharing responsibility, working as a team is one of the actions that promotes a perceived positive ethical climate, according to the nurses interviewed in this study. This teamwork was based on sharing responsibility.…”

Section: Discussionmentioning

confidence: 99%

What actions promote a positive ethical climate? A critical incident study of nurses’ perceptions

et al. 2012

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“…The MCD discussion and moral support can enhance staff members' understanding of each other's' reasoning and acting [19] [38]. Moral support could be given by either the facilitator during the MCD or from the staff members to each other.…”

Section: ) Moral Support and Joint Learningmentioning

confidence: 99%

“…lections upon ethical decision-making [38]. The case of ethics rounds fulfils all five defining attributes.…”

Section: ) Ethics Roundmentioning

confidence: 99%

Concept Clarification of Moral Case Deliberation

Rasoal¹

2018

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Background: Health care professionals have encountered ethically difficult situations for decades in their clinical practice. Various clinical ethics support has been established in order to deal with these issues. Moral case deliberation is a new developed approach that deliberates over ethically difficult cases in clinical practice. However, there is lack of knowledge that describes the characteristics of the moral case deliberation and how this differs to related clinical ethics support where a concept analysis may clarify the differences. Aim: To analyse the concept of moral case deliberation and related concepts. Methods: Integrative literature review. Rodger's evolutionary view of concept analysis has been used for clarification of the concept. Using specific keywords in the databases, searching for peer-reviewed academic paper published in English between 1995-2017 in the CINAHL, MEDLINE, Psych Info, Academic Search Elite and AMED. Results: Moral case deliberation (MCD) was defined as an approach with four specific characteristics: 1) Perspective sharing via dialogue, 2) training moral awareness, 3) moral emotional deliberation, and 4) moral support and joint learning. The presence of a facilitator who is trained in a specific method for the MCD reflection seemed to be important when stimulating the discussion from a patient perspective. Conclusions: Clarify the concept of moral case deliberation can be useful for healthcare professionals when choosing a facilitate-base reflection. Through a mutual dialogue and perspective sharing can MCD train staff members in moral awareness, create a space for emotions to be expressed and finally work as an platform for joint learning.

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Learning a way through ethical problems: Swedish nurses’ and doctors’ experiences from one model of ethics rounds

Abstract: When assisting healthcare professionals to learn a way through ethical problems in patient care, a balance should be found between ethical analyses, conflict resolution and problem solving. A model based on the findings is presented.

Cited by 63 publications

References 22 publications

Experiences of Ethical Issues When Caring for Children With Cancer

Experiences of Ethical Issues When Caring for Children With Cancer

What actions promote a positive ethical climate? A critical incident study of nurses’ perceptions

Concept Clarification of Moral Case Deliberation

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