Aims and harvest of moral case deliberation

2013 ◽  
Vol 20 (6) ◽  
pp. 617-631 ◽  
Author(s):  
Froukje C Weidema ◽  
Bert AC Molewijk ◽  
Frans Kamsteeg ◽  
Guy AM Widdershoven
Keyword(s):  
Ethical Issues ◽  
Learning Processes ◽  
Nursing Profession ◽  
Moral Case Deliberation ◽  
Management Tools ◽  
Traditional Management ◽  
Team Members ◽  
Responsive Evaluation ◽  
Team Cooperation ◽  
Moral Case

Deliberative ways of dealing with ethical issues in health care are expanding. Moral case deliberation is an example, providing group-wise, structured reflection on dilemmas from practice. Although moral case deliberation is well described in literature, aims and results of moral case deliberation sessions are unknown. This research shows (a) why managers introduce moral case deliberation and (b) what moral case deliberation participants experience as moral case deliberation results. A responsive evaluation was conducted, explicating moral case deliberation experiences by analysing aims (N = 78) and harvest (N = 255). A naturalistic data collection included interviews with managers and evaluation questionnaires of moral case deliberation participants (nurses). From the analysis, moral case deliberation appeals for cooperation, team bonding, critical attitude towards routines and nurses’ empowerment. Differences are that managers aim to foster identity of the nursing profession, whereas nurses emphasize learning processes and understanding perspectives. We conclude that moral case deliberation influences team cooperation that cannot be controlled with traditional management tools, but requires time and dialogue. Exchanging aims and harvest between manager and team could result in co-creating (moral) practice in which improvements for daily cooperation result from bringing together perspectives of managers and team members.

scholarly journals What healthcare teams find ethically difficult

2016 ◽  
Vol 23 (8) ◽  
pp. 825-837 ◽  
Author(s):  
Dara Rasoal ◽  
Annica Kihlgren ◽  
Inger James ◽  
Mia Svantesson
Keyword(s):  
Ethical Issues ◽  
Ethical Review ◽  
Moral Case Deliberation ◽  
Next Of Kin ◽  
Life And Death ◽  
Healthcare Teams ◽  
Ethics Support ◽  
Moral Case ◽  
Interprofessional Healthcare ◽  
Difficult Situations

Background: Ethically difficult situations are frequently encountered by healthcare professionals. Moral case deliberation is one form of clinical ethics support, which has the goal to support staff to manage ethical difficulties. However, little is known which difficult situations healthcare teams need to discuss. Aim: To explore which kinds of ethically difficult situations interprofessional healthcare teams raise during moral case deliberation. Research design: A series of 70 moral case deliberation sessions were audio-recorded in 10 Swedish workplaces. A descriptive, qualitative approach was applied, using thematic content analysis. Ethical considerations: An advisory statement specifying no objections to the study was provided from an Ethical Review Board, and consent to be recorded was assumed by virtue of participation in the moral case deliberation. Findings: Three themes emerged: powerlessness over managing difficult interactions with patients and next-of-kin, unease over unsafe and unequal care, and uncertainty over who should have power over care decisions. The powerlessness comprised feelings of insufficiency, difficulties to respond or manage patient’s/next-of-kin’s emotional needs or emotional outbursts and discouragement over motivating patients not taking responsibility for themselves. They could be uncertain over the patient’s autonomy, who should have power over life and death, disclosing the truth or how much power next-of-kin should have. Discussion: The findings suggest that the nature of the ethically difficult situations brought to moral case deliberations contained more relational-oriented ethics than principle-based ethics, were permeated by emotions and the uncertainties were pervaded by power aspects between stakeholders. Conclusion: MCD can be useful in understanding the connection between ethical issues and emotions from a team perspective.

How to Support Patient and Family in Dealing with Ethical Issues? The Relevance of Moral Case Deliberation

2020 ◽  
Vol 20 (6) ◽  
pp. 70-72 ◽  
Author(s):  
Guy Widdershoven ◽  
Margreet Stolper ◽  
Bert Molewijk ◽  
Suzanne Metselaar
Keyword(s):  
Ethical Issues ◽  
Moral Case Deliberation ◽  
Moral Case

scholarly journals Wdrażanie narzędzi zarządzania projektowego do procesu organizacji wystaw. Studium przypadku Muzeum Narodowego w Krakowie (2016–2019)

2021 ◽  
Vol 22 (1) ◽  
pp. 41-67
Author(s):  
Dominika Treit ◽  
Kamila Hyska
Keyword(s):  
Project Management ◽  
National Museum ◽  
Project Schedule ◽  
Management Tools ◽  
Team Members ◽  
Team Cooperation ◽  
Organization Process ◽  
Project Data ◽  
The Cost

Implementation of Project Management Tools to the Exhibition Organization Process. Case Study of the National Museum in Krakow (2016–2019) How to thoroughly improve the process of organizing exhibitions in a cultural institution? Is project management in a museum possible? How to implement new tools? What to do after initiating a change? This article provides answers to these questions through a case study prepared by the Head of the Exhibition Organization Department and the Head of the Coordinators Section of the National Museum in Krakow, directly responsible for the exhibition organization process. The article describes the events from 2016 to 2019. This includes an audit of the existing process of exhibition organization, implementation of corrective measures, introduction of new tools, their updating and verification, taking into account such solutions as treating the exhibition as a project, PRINCE2 and Scrum methods, a detailed description of the process, and creating standardized templates of project documents, i.e. a list of objects, project charter, project schedule, partial schedule, project budget, evaluation. These activities resulted in the improvement of team cooperation, the elimination of avoidable delays, the automation and acceleration of the process of preparing project documentation, making the obligations of individual team members public, submitting project data to the stakeholders of a given project on an ongoing basis, reducing the amount of manual work, and reducing the cost of the implementation of individual projects.

Design Thinking as a Tool for the Analysis of Project Risks

2019 ◽  
Vol 16 (6) ◽  
pp. 60-77
Author(s):  
E. V. Vasilieva ◽  
T. V. Gaibova
Keyword(s):  
Risk Management ◽  
Risk Analysis ◽  
Design Thinking ◽  
Management Tools ◽  
Project Risk ◽  
Team Members ◽  
Investment Projects ◽  
Risk Management Process ◽  
Project Objectives ◽  
Project Risk Analysis

This paper describes the method of project risk analysis based on design thinking and explores the possibility of its application for industrial investment projects. Traditional and suggested approaches to project risk management have been compared. Several risk analysis artifacts have been added to the standard list of artifacts. An iterative procedure for the formation of risk analysis artifacts has been developed, with the purpose of integrating the risk management process into strategic and prompt decision-making during project management. A list of tools at each stage of design thinking for risk management within the framework of real investment projects has been proposed. The suggested technology helps to determine project objectives and content and adapt them in regards to possible; as well as to implement measures aimed at reducing these risks, to increase productivity of the existing risk assessment and risk management tools, to organize effective cooperation between project team members, and to promote accumulation of knowledge about the project during its development and implementation.The authors declare no conflict of interest.

Handling Ethical Dilemmas in Multidisciplinary Teams

2014 ◽  
Author(s):  
Jill Thistlethwaite ◽  
Wendy Hawksworth
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Mental Health Problems ◽  
Ethical Issues ◽  
Interprofessional Collaboration ◽  
Ethical Dilemmas ◽  
Multidisciplinary Teams ◽  
Team Members ◽  
Secondary Health Care

This chapter explores the concept and practice of teamwork and interprofessional collaboration in the support and treatment of clients with mental health problems. Mental health care provision is complex, ethically challenging, and frequently delivered via mental health care teams (MHCT) in both primary and secondary health care settings. We consider how such teams may work together optimally using values-based and client-centered approaches. We discuss the nature of and reasons for conflict arising in multidisciplinary MHCTs, focusing on ethical dilemmas that occur where there is diversity amongst team members in respect of personal, professional, and/or organizational values. The specific ethical issues discussed are: boundary issues; receiving gifts; confidentiality, and involuntary treatment and restraint. Three case studies are used to provide examples of values in action.

scholarly journals Evaluation of moral case deliberation at the Dutch Health Care Inspectorate: a pilot study

2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Wike Seekles ◽  
Guy Widdershoven ◽  
Paul Robben ◽  
Gonny van Dalfsen ◽  
Bert Molewijk
Keyword(s):  
Health Care ◽  
Pilot Study ◽  
Moral Case Deliberation ◽  
Dutch Health ◽  
Dutch Health Care ◽  
Moral Case

Moral case deliberation

2017 ◽  
Vol 18 (3) ◽  
pp. 181-186 ◽  
Author(s):  
Daniel Y B Tan ◽  
Bastiaan C ter Meulen ◽  
Albert Molewijk ◽  
Guy Widdershoven
Keyword(s):  
Support Services ◽  
Healthcare Professionals ◽  
Ethical Dilemmas ◽  
Daily Practice ◽  
Moral Case Deliberation ◽  
Ethics Support ◽  
Moral Case ◽  
Moral Damage ◽  
Dilemma Method

Ethical dilemmas in general are characterised by a choice between two mutually excluding options neither of which is satisfactory, because there always will be a form of moral damage. Within the context of medicine several ethics support services have been developed to support healthcare professionals in dealing with ethical dilemmas, including moral case deliberation. In this article, we describe how moral case deliberation works in daily practice, illustrated with a case example from the neurology ward. The article is meant as an introduction to moral case deliberation according to the dilemma method. We show its relevance to the clinic and the context needed to put it into practice.

European Moral Case Deliberation Outcomes Instrument

2014 ◽  
Author(s):  
Mia Svantesson ◽  
Jan Karlsson ◽  
Pierre Boitte ◽  
Jan Schildman ◽  
Linda Dauwerse ◽  
...  
Keyword(s):  
Moral Case Deliberation ◽  
Moral Case

Philippines: Mobilize policy champion teams to foster utilization of management tools

2003 ◽  
Author(s):  
Keyword(s):  
Information System ◽  
Family Planning ◽  
Unmet Need ◽  
The Philippines ◽  
Management Tool ◽  
Management Tools ◽  
Team Members ◽  
National Organizations ◽  
Local Decision ◽  
Research Findings

In September 2000, the Population Council launched a nine-month project to test the effectiveness of teams of “policy champions” to increase the utilization of operations research (OR) findings in reproductive health (RH) policy and programs in the Philippines. The team members, chosen from government, nongovernment, academic, and media institutions, received three days of orientation to become policy champions. The strategy was built upon evidence that local decision-makers in decentralized health systems often have little knowledge of RH, and rarely use research findings in their decision-making. The effort focused on using a research-tested community-based monitoring and information system to help providers identify and respond to unmet need for family planning. As noted in this brief, the approach of involving teams of mobilized policy champions proved effective at influencing program managers to use a research-tested information system for identifying clients with unmet need for family planning. This approach was adopted by regional and national organizations, which plan to expand use of the management tool.

Learning Practical Wisdom from Moral Case Deliberation Through Morisprudence

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 106-106
Author(s):  
Jos Kole ◽  
◽  
Keyword(s):  
Medical School ◽  
Conceptual Analysis ◽  
Healthcare Professionals ◽  
Practical Wisdom ◽  
Teaching Method ◽  
Moral Case Deliberation ◽  
Organizational Contexts ◽  
Moral Case ◽  
Strong Relation ◽  
The Individual

"Moral case deliberation is regularly used as a teaching method at our medical school. Besides we facilitate moral case deliberation on the ward in our hospital. In both instances, our assumption is that practicing moral case deliberation will assist our (future) healthcare professionals to cultivate the virtue of practical wisdom. But, is this assumption, right? The answer to this question requires both empirical research and conceptual analysis. This paper focuses on the latter. The claim defended is that we can elucidate the relation between moral case deliberation and practical wisdom through an analysis of so called morisprudence. We start with discussing two divergent but related interpretations of morisprudence: one introduced by Toulmin and Jonsen, related to casuistry, and one related to a Dutch interpretation with a strong relation to moral case deliberation. The combination of the both interpretations shed new light on the conceptual connections between cultivating prudence (practical wisdom) and moral case deliberation, but it also provides new insights into the individual and collective dimensions of practical wisdom, of character formation within organizational contexts. Finally, it may have consequences for how moral case deliberation should actually be employed to teach practical wisdom. "

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