Implementing moral case deliberation in a psychiatric hospital: Process and outcome

Medicine, Health Care and Philosophy

Volumn 11, Issue 1, 2008, Pages 43-56

  Molewijk, Bert ^a,b   Verkerk, Maarten ^c   Milius, Henk ^c   Widdershoven, Guy ^a  

^a MAASTRICHT UNIVERSITY   (Netherlands)

^b Department of Medical Psychology   (Netherlands)

^c MAASTRICHT UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

Clinical moral case deliberation; Implementation; Moral competency; Responsive evaluation design; Train the facilitator program

Indexed keywords

EID: 39749188835     PISSN: 13867423     EISSN: 15728633     Source Type: Journal    
DOI: 10.1007/s11019-007-9103-1     Document Type: Article

References (49)

1. T.A. Abma 2005 Patient Participation in Health Research. Research with and for People with Spinal Cord Injuries Qualitative Health Research 15 10 1 19 10.1177/1049732305282382 Abma T.A.: 2005, Patient Participation in Health Research. Research with and for People with Spinal Cord Injuries. Qualitative Health Research, 15(10), 1–19
2. T.A. Abma G.A.M. Widdershoven 2005 Sharing Stories: Narrative and Dialogue in Responsive Nursing Evaluation Evaluation and the Health Professions 28 1 90 109 10.1177/0163278704273080 1:STN:280:DC%2BD2M%2FkvFOktQ%3D%3D Abma T.A., G.A.M. Widdershoven.: 2005, Sharing Stories: Narrative and Dialogue in Responsive Nursing Evaluation. Evaluation and the Health Professions, 28(1), 90–109
3. T.A. Abma G.A.M. Widdershoven 2006 Moral Deliberation in Clinical Psychiatric Nursing Practice Nursing Ethics 13 5 1 12 10.1191/0969733006nej892oa Abma T.A., G.A.M. Widdershoven.: 2006, Moral Deliberation in Clinical Psychiatric Nursing Practice. Nursing Ethics, 13(5), 1–12
4. C. Argyris 1983 Action Science and Intervention Journal of Applied Behavioural Science 19 2 115 140 10.1177/002188638301900204 Argyris C.: 1983, Action Science and Intervention. Journal of Applied Behavioural Science, 19(2), 115–140
5. ASBH Task Force on Standards for Bioethics Consultation: 1998, Core Competencies for Health Ethics Consultation. The Report of the American Society for Bioethics and Humanities. ASBH
6. M.P. Aulisio R.M. Arnold S.J. Youngner 2003 Ethics Consultation: From Theory to Practice The John Hopkins University Press Baltimore & London Aulisio M.P., R.M. Arnold, S.J. Youngner (eds.).: 2003, Ethics Consultation: From Theory to Practice. Baltimore & London: The John Hopkins University Press
7. CEG.: 2005, ‹Signalering ethiek en gezondheid’ [‹Agenda ethics and health care’], in CEG, Ethiek in de zorgopleidingen en zorginstellingen [ Ethics in the Care Education and the Health Care Institutions ] (ch. 6). Zoetermeer: Centrum voor Ethiek en Gezondheid [Center for Ethics and Health]
8. H. Dartel van 1998 Van ethische commissie naar stuurgroep ethiek. Over de implementatie van moreel beraad in het kwaliteitsbeleid van instellingen voor gezondheidszorg [From Ethics Committee to Steering Committee. On the Implementation of Moral Deliberation Within the Quality Policy of Health Care Institutions] CELAZ/Nederlandse Zorgfederatie Utrecht Dartel H. van: 1998, Van ethische commissie naar stuurgroep ethiek. Over de implementatie van moreel beraad in het kwaliteitsbeleid van instellingen voor gezondheidszorg [From Ethics Committee to Steering Committee. On the Implementation of Moral Deliberation Within the Quality Policy of Health Care Institutions]. Utrecht: CELAZ/Nederlandse Zorgfederatie
9. E. Fox 1996 Concepts in Evaluation Applied to Ethics Consultation Research The Journal of Clinical Ethics 7 2 116 121 8889886 1:STN:280:ByiD2cvotFE%3D Fox E.: 1996, Concepts in Evaluation Applied to Ethics Consultation Research. The Journal of Clinical Ethics, 7(2), 116–121
10. E. Fox R.M. Arnold 1996 Evaluating Outcomes in Ethics Consultation Research The Journal of Clinical Ethics 7 2 127 138 8889888 1:STN:280:ByiD2cvotFM%3D Fox E., R.M. Arnold.: 1996, Evaluating Outcomes in Ethics Consultation Research. The Journal of Clinical Ethics, 7(2), 127–138
11. E. Fox J.A. Tulsky 1996 Evaluation Research and the Future of Ethics Consultation The Journal of Clinical Ethics 7 2 146 149 8889890 1:STN:280:ByiD2cvotF0%3D Fox E., J.A. Tulsky.: 1996, Evaluation Research and the Future of Ethics Consultation. The Journal of Clinical Ethics, 7(2), 146–149
12. E. Fox K.A. Berkowitz B.L. Chanko T. Powell 2004 Integrated Ethics. Improving Ethics Quality in Health Care. Ethics Consultation, Responding to Ethics Concerns in Health Care National Center for Ethics in Health Care, Veterans Health Administration Washington, D.C Fox E., K.A. Berkowitz, B.L. Chanko, T. Powell.: 2004, Integrated Ethics. Improving Ethics Quality in Health Care. Ethics Consultation, Responding to Ethics Concerns in Health Care. Washington, D.C.: National Center for Ethics in Health Care, Veterans Health Administration
13. Y. Gabriel 2000 Storytelling in Organizations. Facts, Fictions, and Fantasies Oxford University Press Oxford Gabriel, Y.: 2000, Storytelling in Organizations. Facts, Fictions, and Fantasies. Oxford: Oxford University Press
14. H.G. Gadamer 1960 Wahrheit und Methode J.C.B. Mohr Tübingen Gadamer, H.G.: 1960, Wahrheit und Methode. Tübingen: J.C.B. Mohr
15. C. Geertz 1973 The Interpretation of Cultures Basic Books New York Geertz, C.: 1973, The Interpretation of Cultures. New York: Basic Books
16. D. Gracia 2003 Ethical Case Deliberation and Decision-Making Medicine Health Care and Philosophy 6 3 227 233 10.1023/A:1025969701538 Gracia, D.: 2003, Ethical Case Deliberation and Decision-Making. Medicine Health Care and Philosophy, 6(3), 227–233
17. J.C. Greene 1988 Stakeholder Participation and Utilization Program Evaluation Evaluation Review 12 2 91 116 10.1177/0193841X8801200201 Greene, J.C.: 1988, Stakeholder Participation and Utilization Program Evaluation. Evaluation Review, 12(2), 91–116
18. E.G. Guba Y.S. Lincoln 1989 Fourth Generation Evaluation Sage Beverly Hills Guba, E.G., Y.S. Lincoln.: 1989, Fourth Generation Evaluation. Beverly Hills: Sage
19. M. Hammersley P.M. Atkinson 1995 Ethnography: Principles in Practice 2 Routledge New York Hammersley M., P.M. Atkinson.: 1995, Ethnography: Principles in Practice (2nd ed.). New York: Routledge
20. S.C. Hull H.A. Taylor N.E Kass 2001 Qualitative Methods J. Sugarman D.P. Sulmasy Methods in Medical Ethics Georgetown University Press Washington, D.C 146 168 Hull S.C., H.A. Taylor, N.E Kass.: 2001, Qualitative Methods. in J. Sugarman, & D.P. Sulmasy (Eds.), Methods in Medical Ethics (pp. 146–168). Washington, D.C.: Georgetown University Press
21. T. Koch 2000 ‹Having a Say:’ Negotiation in Fourth Generation Evaluation Journal of Advanced Nursing 31 1 117 125 10632800 10.1046/j.1365-2648.2000.01253.x 1:STN:280:DC%2BD3c%2FpvVKjtg%3D%3D Koch, T.: 2000, ‹Having a Say:’ Negotiation in Fourth Generation Evaluation. Journal of Advanced Nursing, 31(1): 117–125
22. J. Lave E. Wenger 1991 Situated Learning: Legitimate Peripheral Participation Cambridge University Press Cambridge Lave J., E. Wenger.: 1991, Situated Learning: Legitimate Peripheral Participation. Cambridge: Cambridge University Press
23. D. Leder 1994 Toward a Hermeneutical Bioethics E. Dubose R. Hamel L. O’Connell. A Matter of Principles? Trinity Press International Valley Forge 240 259 Leder, D.: 1994, Toward a Hermeneutical Bioethics. in E. Dubose, R. Hamel, L. O’Connell. (Eds.), A Matter of Principles? (pp. 240–259). Valley Forge: Trinity Press International
24. Manschot H. and H. van Dartel (eds.).: 2003. In gesprek over goede zorg. Overlegmethoden voor ethiek in de praktijk [ Being engaged in conversations on good care. Conversations methods for ethics in practice ]. Amsterdam: Boom
25. A. MacIntryre 1981 After Virtue Duckworth London MacIntryre, A.: 1981, After Virtue. London: Duckworth
26. P.L. Marshall B.A. Koenig 2001 Ethnographic Methods J. Sugarman D.P. Sulmasy Methods in Medical Ethics Georgetown University Press Washington, D.C 169 191 Marshall P.L., B.A. Koenig.: 2001, Ethnographic Methods. in J. Sugarman, D.P. Sulmasy (Eds.), Methods in Medical Ethics (pp. 169–191). Washington, D.C.: Georgetown University Press
27. M. Merleau-Ponty 1945 Phénoménologie de la perception Gallimard Paris Merleau-Ponty, M.: 1945, Phénoménologie de la perception. Paris: Gallimard
28. Min. VWS.: 2005, Agenda ethiek en gezondheid 2006 [Agenda Ethics and Health Care 2006]. The Hague: Ministry of Health Care, Welfare and Sport
29. Molewijk, B.: 2004, Tussen evaluatie Moreel Beraad project Vijverdal-Riagg Maastricht [ Interim Research Report of the Moral Deliberation Project Vijverdal-Riagg Maastricht ]. Maastricht
30. B. Molewijk G. Widdershoven 2006 Moreel beraad en goede zorg voor ouderen veronderstellen en versterken elkaar [Moral deliberation both presupposes and strengthen good care for the elderly] Tijdschrift voor Geneeskunde [Journal of Medicine (Belgium)] 62 23 1693 1701 10.2143/TVG.62.23.5002609 Molewijk B., G. Widdershoven: 2006, Moreel beraad en goede zorg voor ouderen veronderstellen en versterken elkaar [Moral deliberation both presupposes and strengthen good care for the elderly] Tijdschrift voor Geneeskunde [Journal of Medicine (Belgium)], 62 (23), 1693–1701
31. Molewijk, B. and G. Widdershoven: 2007, ‹Report of the Maastricht meeting of the European Clinical Ethics Network’, Clinical Ethics 2(1), 42–45
32. Molewijk, B., T. Abma, M. Stolper and G. Widdershoven: 2007, ‹Teaching Ethics in the Clinic. The Theory and Practice of Moral Case Deliberation’, Journal of Medical Ethics, in press
33. Ranson, S., B. Molewijk and G. Widdershoven: 2006, ‹Deliberating on Deliberation. An Evaluation on Empirical Evaluation Studies on Ethics Consultation and Moral Deliberation’, paper presented at the EACME conference in Leuven, Belgium
34. R. Rapoport 1970 Three Dilemmas in Action Research Human Relations 23 6 499 513 10.1177/001872677002300601 Rapoport, R.: 1970, Three Dilemmas in Action Research. Human Relations, 23(6), 499–513
35. P. Ricoeur 1983 Temps et récit, I Editions du Seuil Paris Ricoeur, P.: 1983, Temps et récit, I. Paris: Editions du Seuil
36. M. Rosen 1991 Coming to Terms with the Field: Understanding and Doing Organisational Ethnography Journal of Management Studies 28 1 1 24 10.1111/j.1467-6486.1991.tb00268.x Rosen, M.: 1991, Coming to Terms with the Field: Understanding and Doing Organisational Ethnography Journal of Management Studies, 28(1), 1–24
37. T.A. Schwandt 2001 A Postscript on Thinking About Dialogue Evaluation 7 2 264 276 10.1177/13563890122209577 Schwandt, T.A.: 2001, A Postscript on Thinking About Dialogue Evaluation, 7(2), 264–276
38. L.M. Shulha J.B. Cousins 1997 Evaluation Use: Theory, Research, and Practice Since 1986 Evaluation Practice 18 3 195 208 10.1016/S0886-1633(97)90027-1 Shulha L.M., J.B. Cousins.: 1997, Evaluation Use: Theory, Research, and Practice Since 1986. Evaluation Practice 18(3) 195–208
39. R.E. Stake 1975 To Evaluate an Arts Program R.E. Stake Evaluating the Arts in Education: A Responsive Approach Merrill Colombus, Ohio 13 31 Stake, R.E.: 1975, To Evaluate an Arts Program in R.E. Stake (ed) Evaluating the Arts in Education: A Responsive Approach (pp. 13–31). Colombus, Ohio: Merrill
40. R. Stake D. Trumbell. 1982 Naturalistic Generalizations Review Journal of Philosophy and Social Science 1 1 12 Stake R., D. Trumbell.: 1982, Naturalistic Generalizations Review Journal of Philosophy and Social Science, 1, 1–12
41. N. Steinkamp B. Gordijn 2003 Ethical Case Deliberation on the Ward. A Comparison of Four Methods Medicine Health Care and Philosophy 6 3 235 246 10.1023/A:1025928617468 Steinkamp N., B. Gordijn.: 2003, Ethical Case Deliberation on the Ward. A Comparison of Four Methods Medicine Health Care and Philosophy, 6(3), 235–246
42. N. Steinkamp B. Gordijn 2004 Ethik in der Klinik. Ein Arbeitsbuch [Ethics in the Clinic. A workbook] Springer-Verlag Köln-München Steinkamp N., B. Gordijn.: 2004, Ethik in der Klinik. Ein Arbeitsbuch [Ethics in the Clinic. A workbook]. Köln-München: Springer-Verlag
43. M.J. Verkerk 2004 Trust and Power on the Shop Floor. An Ethnographical, Ethical, and Philosophical Study on Responsible Behaviour in Industrial Organisations Eburon Delft Verkerk, M.J.: 2004, Trust and Power on the Shop Floor. An Ethnographical, Ethical, and Philosophical Study on Responsible Behaviour in Industrial Organisations. Delft: Eburon
44. M.J. Verkerk J. Leede de A.H.J. Nijhof 2001 From Responsible Management to Responsible Organisations: The Democratic Principle for Managing Organizational Ethics Business and Society Review 106 4 353 378 10.1111/0045-3609.00120 Verkerk M.J., J. de Leede, A.H.J. Nijhof.: 2001, From Responsible Management to Responsible Organisations: The Democratic Principle for Managing Organizational Ethics Business and Society Review, 106(4), 353–378
45. M.U. Walker 1998 Moral Understanding: A Feminist Study in Ethics Routledge NY Walker, M.U.: 1998, Moral Understanding: A Feminist Study in Ethics. NY: Routledge
46. K.E. Weick 1995 Sense Making in Organisations Sage London Weick, K.E.: 1995, Sense Making in Organisations. London: Sage
47. Whyte, W.F. (ed.).: 1991, Participatory Action Research. Newbury Park: Sage
48. G.A.M. Widdershoven 2001 Dialogue in Evaluation: A Hermeneutic Perspective Evaluation 7 2 253 263 10.1177/13563890122209676 Widdershoven, G.A.M.: 2001, Dialogue in Evaluation: A Hermeneutic Perspective. Evaluation, 7(2), 253–263
49. G.A.M. Widdershoven 2005 Interpretation and Dialogue in Hermeneutic Ethics R. Ashcroft A. Lucassen M. Parker M. Verkerk G. Widdershoven Case Analysis in Clinical Ethics Cambridge UP Cambridge 57 75 Widdershoven, G.A.M.: 2005, Interpretation and Dialogue in Hermeneutic Ethics. in R. Ashcroft, A. Lucassen, M. Parker, M. Verkerk, G. Widdershoven (Eds.), Case Analysis in Clinical Ethics (pp. 57–75). Cambridge: Cambridge UP