Outcomes of Moral Case Deliberation - the development of an evaluation instrument for clinical ethics support (the Euro-MCD)

Mia Svantesson1, Jan Karlsson1, Pierre Boitte2, Jan Schildman3, Linda Dauwerse4, Guy Widdershoven4, Reidar Pedersen5, Martijn Huisman6, Bert Molewijk4
1Centre for Health Care Sciences, Örebro University hospital and School of Health and Medical Sciences, Örebro university, Örebro, Sweden
2Centre of Medical Ethics, Department of Ethics, Catholic University of Lille, Lille, France
3Institute for Medical Ethics and History of Medicine, NRW Junior Research Group “Medical Ethics at the End of Life: Norm and Empiricism”, Ruhr-University Bochum, Bochum, Germany
4Institute for Health and Care Research, VU University Medical Center and Department of Sociology, VU University, Amsterdam, The Netherlands
5Centre for Medical Ethics, Institute of Health and Society, University of Oslo, Oslo, Norway
6Department of Epidemiology & Biostatistics and the EMGO, Dep. Medical Humanities, Vumc & Emgo, Amsterdam, The Netherlands

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Fox E, Myers S, Pearlman RA: Ethics consultation in United States hospitals: a national survey. Am J Bioeth. 2007, 7: 13-25.

Schildmann J, Gordon J, Vollman J: Clinical Ethics Consultation: theories - methods - evaluation. 2010, Surrey: Ashgate Publishers, Farnham

Dauwerse L, Abma T, Molewijk B, Widdershoven G: Need for ethics support in healthcare institutions: views of Dutch board members and ethics support staff. J Med Ethics. 2011, 37: 456-460. 10.1136/jme.2010.040626.

Dauwerse L, Abma TA, Molewijk B, Widdershoven G: Goals of Clinical Ethics Support: Perceptions of Dutch Healthcare Institutions. Health Care Anal. 2011, 21 (4): 323-337.

Molewijk B, Kleinlugtenbelt D, Widdershoven G: The role of emotions in moral case deliberation: theory, practice, and methodology. Bioethics. 2011, 25: 383-393. 10.1111/j.1467-8519.2011.01914.x.

Molewijk AC, Abma T, Stolper M, Widdershoven G: Teaching ethics in the clinic. The theory and practice of moral case deliberation. J Med Ethics. 2008, 34: 120-124. 10.1136/jme.2006.018580.

Weidema FC, Molewijk AC, Widdershoven GA, Abma TA: Enacting Ethics: Bottom-up Involvement in Implementing Moral Case Deliberation. Health Care Anal. 2012, 20 (1): 1-19.

van der Dam SS, Abma TA, Molewijk AC, Kardol MJ, Schols JM, Widdershoven GA: Organizing moral case deliberation experiences in two Dutch nursing homes. Nurs Ethics. 2011, 18: 327-340. 10.1177/0969733011400299.

Svantesson M, Anderzen-Carlsson A, Thorsen H, Kallenberg K, Ahlstrom G: Interprofessional ethics rounds concerning dialysis patients: staff's ethical reflections before and after rounds. J Med Ethics. 2008, 34: 407-413. 10.1136/jme.2007.023572.

Svantesson M, Lofmark R, Thorsen H, Kallenberg K, Ahlstrom G: Learning a way through ethical problems: Swedish nurses' and doctors' experiences from one model of ethics rounds. J Med Ethics. 2008, 34: 399-406. 10.1136/jme.2006.019810.

Kälvemark Sporrong S, Arnetz B, Hansson MG, Westerholm P, Hoglund AT: Developing ethical competence in health care organizations. Nurs Ethics. 2007, 14: 825-837. 10.1177/0969733007082142.

Hansson MG: Imaginative ethics–bringing ethical praxis into sharper relief. Med Health Care Philos. 2002, 5: 33-42. 10.1023/A:1014257603144.

Libow LS, Olson E, Neufeld RR, Martico-Greenfield T, Meyers H, Gordon N, Barnett P: Ethics rounds at the nursing home: an alternative to an ethics committee. J Am Geriatr Soc. 1992, 40: 95-97.

Gracia D: Ethical case deliberation and decision making. Med Health Care Philos. 2003, 6: 227-233. 10.1023/A:1025969701538.

Reiter-Theil S, Mertz M, Schurmann J, Stingelin Giles N, Meyer-Zehnder B: Evidence - competence - discourse: the theoretical framework of the multi-centre clinical ethics support project METAP. Bioethics. 2011, 25: 403-412. 10.1111/j.1467-8519.2011.01915.x.

Børslett H: Lillemoen, Pedersen [Let the ethics flourish - a book of systematic reflection in clinical practice] La etikken blomstre i praksis - en bok om systematisk refleksjon i arbeidshverdagen. 2011, UIO Norway: SME

Olofsson B: Opening up: psychiatric nurses' experiences of participating in reflection groups focusing on the use of coercion. J Psychiatr Ment Health Nurs. 2005, 12: 259-267. 10.1111/j.1365-2850.2005.00827.x.

Pedersen P, Hurst SA, Schildmann J, Schuster S, Molewijk B: The development of a descriptive evaluation tool for clinical ethics case consultations. Clinical Ethics. 2010, 5: 136-141. 10.1258/ce.2010.010025.

Schildmann J, Molewijk B, Benaroyo L, Forde R, Neitzke G: Evaluation of clinical ethics support services and its normativity. J Med Ethics. 2013, 39 (11): 681-685. 10.1136/medethics-2012-100697.

Forsgärde M, Westman B, Nygren L: Ethical discussion groups as an intervention to improve the climate in interprofessional work with the elderly and disabled. J Interprof Care. 2000, 14: 351-361. 10.1080/13561820020003900.

Molewijk B, Verkerk M, Milius H, Widdershoven G: Implementing moral case deliberation in a psychiatric hospital: process and outcome. Med Health Care Philos. 2008, 11: 43-56. 10.1007/s11019-007-9103-1.

Pfafflin M, Kobert K, Reiter-Theil S: Evaluating clinical ethics consultation: a European perspective. Camb Q Healthc Ethics. 2009, 18: 406-419. 10.1017/S0963180109090604.

Craig JM, May T: Evaluating the outcomes of ethics consultation. J Clin Ethics. 2006, 17: 168-180.

Keeney S, Hasson F, McKenna HP: A critical review of the Delphi technique as a research methodology for nursing. Int J Nurs Stud. 2001, 38: 195-200. 10.1016/S0020-7489(00)00044-4.

Collins D: Pretesting survey instruments: an overview of cognitive methods. Qual Life Res. 2003, 12: 229-238. 10.1023/A:1023254226592.

Patrick DL, Burke LB, Gwaltney CJ, Leidy NK, Martin ML, Molsen E, Ring L: Content validity–establishing and reporting the evidence in newly developed patient-reported outcomes (PRO) instruments for medical product evaluation: ISPOR PRO Good Research Practices Task Force report: part 2–assessing respondent understanding. Value Health. 2011, 14: 978-988. 10.1016/j.jval.2011.06.013.

Polit DF, Beck CT, Owen SV: Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007, 30: 459-467. 10.1002/nur.20199.

De Vet H, Terwee C, Mokkink L, Knol D: Measurement in Medicine. A practical guide. 2011, Cambridge: Cambridge University Press

Molewijk B, Widdershoven G: Report of the Maastricht meeting of the European Clinical Ethics Network. Clinical Ethics. 2007, 2: 42-45.

Brod M, Tesler LE, Christensen TL: Qualitative research and content validity: developing best practices based on science and experience. Qual Life Res. 2009, 18: 1263-1278. 10.1007/s11136-009-9540-9.

Yaghmaie F: Content validity and its estimation. J Med Educ. 2003, 3 (1): 25-27.

Erlen JA: Ethical practice in nursing: doing the right thing. Pa Nurse. 2007, 62: 20-21.

Silva DS, Gibson JL, Sibbald R, Connolly E, Singer PA: Clinical ethicists' perspectives on organisational ethics in healthcare organisations. J Med Ethics. 2008, 34: 320-323. 10.1136/jme.2007.020891.

Pedersen R, Akre V, Forde R: What is happening during case deliberations in clinical ethics committees? A pilot study. J Med Ethics. 2009, 35: 147-152. 10.1136/jme.2008.026393.

Forde R, Pedersen R, Akre V: Clinicians' evaluation of clinical ethics consultations in Norway: a qualitative study. Med Health Care Philos. 2008, 11: 17-25. 10.1007/s11019-007-9102-2.

Schneiderman LJ, Gilmer T, Teetzel HD, Dugan DO, Blustein J, Cranford R, Briggs KB, Komatsu GI, Goodman-Crews P, Cohn F, Young EW: Effect of ethics consultations on nonbeneficial life-sustaining treatments in the intensive care setting: a randomized controlled trial. JAMA. 2003, 290: 1166-1172. 10.1001/jama.290.9.1166.

Cohn F, Goodman-Crews P, Rudman W, Schneiderman LJ, Waldman E: Proactive ethics consultation in the ICU: a comparison of value perceived by healthcare professionals and recipients. J Clin Ethics. 2007, 18: 140-147.

Steinkamp NL: European debates on ethical case deliberation. Med Health Care Philos. 2003, 6: 225-226. 10.1023/A:1025921818376.

Finder SG, Bliton MJ: Responsibility after the apparent end: 'following-up' in clinical ethics consultation. Bioethics. 2011, 25: 413-424. 10.1111/j.1467-8519.2011.01910.x.

Slowther A: Ethics case consultation in primary care: contextual challenges for clinical ethicists. Camb Q Healthc Ethics. 2009, 18: 397-405. 10.1017/S0963180109090598.

Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P: Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health. 2005, 8: 94-104. 10.1111/j.1524-4733.2005.04054.x.

Van Widenfelt BM, Treffers PD, De Beurs E, Siebelink BM, Koudijs E: Translation and cross-cultural adaptation of assessment instruments used in psychological research with children and families. Clin Child Fam Psychol Rev. 2005, 8: 135-147. 10.1007/s10567-005-4752-1.

Molewijk B, Van Zadelhoff E, Lendemeijer B, Widdershoven G: Implementing moral case deliberation in Dutch health care; improving moral competency of professionals and the quality of care. Bioethica Forum. 2008, 1: 57-65.

Molewijk B, Kleinlugtenbelt D, Pugh SM, Widdershoven G: Emotions and clinical ethics support. A moral inquiry into emotions in moral case deliberation. HEC Forum. 2011, 23: 257-268. 10.1007/s10730-011-9162-9.

Glasberg AL, Eriksson S, Dahlqvist V, Lindahl E, Strandberg G, Soderberg A, Sorlie V, Norberg A: Development and initial validation of the Stress of Conscience Questionnaire. Nurs Ethics. 2006, 13: 633-648. 10.1177/0969733006069698.

Silen M, Svantesson M, Kjellstrom S, Sidenvall B, Christensson L: Moral distress and ethical climate in a Swedish nursing context: perceptions and instrument usability. J Clin Nurs. 2011, 20: 3483-3493. 10.1111/j.1365-2702.2011.03753.x.

Sporrong SK, Hoglund AT, Arnetz B: Measuring moral distress in pharmacy and clinical practice. Nurs Ethics. 2006, 13: 416-427. 10.1191/0969733006ne880oa.

Dougherty MB, Larson E: A review of instruments measuring nurse-physician collaboration. J Nurs Adm. 2005, 35: 244-253.

Schippers M, Den Hartog DN: Refelexivity in Teams: A Measure and Correlates. Applied Psychology. 2007, 56: 189-211. 10.1111/j.1464-0597.2006.00250.x.