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What is a High-Quality Moral Case Deliberation? Facilitators' Perspectives in the Euro-MCD Project
Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, Harstad, Norway; Faculty of Nursing and Health Science, Nord University, Bodø, Norway.
Department of Ethics, Law and Humanities, Amsterdam UMC, VU University, Amsterdam, The Netherlands; Center of Medical Ethics, Institute of Health and Society, University of Oslo, Oslo, Norway.
Department of Ethics, Law and Humanities, Amsterdam UMC, VU University, Amsterdam, The Netherlands.
Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Centre.ORCID iD: 0000-0003-0679-5695
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2024 (English)In: HEC Forum, ISSN 0956-2737, E-ISSN 1572-8498, Vol. 36, p. 541-557Article in journal (Refereed) Published
Abstract [en]

The evaluation of the European Moral Case Deliberation Outcomes project (Euro-MCD) has resulted in a revised evaluation instrument, knowledge about the content of MCD (moral case deliberation), and the perspectives of those involved. In this paper, we report on a perspective that has been overlooked, the facilitators'. We aim to describe facilitators' perceptions of high-quality moral case deliberation and their Euro-MCD sessions. The research took place in Norway, Sweden, and the Netherlands using a survey combined with interviews with 41 facilitators. Facilitators' perceived that attaining a high-quality MCD implies fostering a safe and respectful atmosphere, creating a wondering mode, being an attentive authority, developing moral reflective skills, reaching a common understanding, and ensuring organisational prerequisites for the MCD sessions. Our central conclusion is that efforts at three levels are required to attain a high-quality MCD: trained and virtuous facilitator; committed, respectful participants; and organizational space. Furthermore, managers have a responsibility to prepare MCD participants for what it means to take part in MCD.

Place, publisher, year, edition, pages
Springer, 2024. Vol. 36, p. 541-557
Keywords [en]
Clinical ethics, Ethics support, Ethics training, Euro-MCD, Facilitator, Reflection groups
National Category
Medical Ethics
Identifiers
URN: urn:nbn:se:oru:diva-111408DOI: 10.1007/s10730-023-09519-wISI: 001157666800002PubMedID: 38315250Scopus ID: 2-s2.0-85184255961OAI: oai:DiVA.org:oru-111408DiVA, id: diva2:1834982
Note

Open access funding provided by UiT The Arctic University of Norway (incl University Hospital of North Norway).

Available from: 2024-02-06 Created: 2024-02-06 Last updated: 2025-01-20Bibliographically approved

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