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Impact of clinical ethics support on daily practice: First-line managers' experiences in the Euro-MCD project
Faculty of Health and Occupational Studies, University of Gävle, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Sweden.
Örebro University, School of Health Sciences. Örebro University Hospital. Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.ORCID iD: 0000-0003-0679-5695
2019 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834Article in journal (Refereed) Epub ahead of print
Abstract [en]

AIM: To explore first-line managers' experiences of what Moral Case Deliberation (MCD) has meant for daily practice, to describe perceptions of context influence and responsibility to manage ethically difficult situations.

BACKGROUND: In order to find measures to evaluate MCD, the European Moral Case Deliberation Outcome instrument (Euro-MCD) was developed and is now in the stage of revision. For this, there is a need of several perspectives, one of them being the managerial bird-eye perspective.

METHOD: Eleven first-line managers at workplaces, participating in the Euro-MCD project, were interviewed and thematic analysis was applied.

RESULTS: Managers' experiences were interpreted as enhanced ethical climate: a closer-knit and more emotionally mature team, morally strengthened individuals, as well as ethics leaving its marks on everyday work and morally grounded actions. Despite organisational barriers they felt inspired to continue ethics work.

CONCLUSION AND IMPLICATIONS: This study confirmed, but also added ethical climate aspects, such as morally grounded actions. Furthermore, adding ethical climate as a construct in the Euro-MCD instrument should be considered. First-line managers need clear directives from their managers that ethics work needs to be prioritised for the good of both the staff and the patients.

Place, publisher, year, edition, pages
Blackwell Publishing, 2019.
Keywords [en]
First-line Managers, Impact of Ethics on Everyday Work, Moral Case Deliberation
National Category
Medical Ethics
Identifiers
URN: urn:nbn:se:oru:diva-74785DOI: 10.1111/jonm.12818ISI: 000474970200001PubMedID: 31220384OAI: oai:DiVA.org:oru-74785DiVA, id: diva2:1329931
Funder
AFA Insurance
Note

Funding Agency:

University of Gävle, Sweden 

Available from: 2019-06-25 Created: 2019-06-25 Last updated: 2019-07-30Bibliographically approved

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CiteExportLink to record
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