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Managing Ethical Difficulties in Healthcare : Communicating in Inter-professional Clinical Ethics Support Sessions

Fischer Grönlund, Catarina, (författare)
Umeå universitet, Institutionen för omvårdnad
Dahlqvist, Vera (författare)
Zingmark, Karin (författare)
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Sandlund, Mikael, (författare)
Umeå universitet, Psykiatri
Söderberg, Anna, (författare)
Umeå universitet, Institutionen för omvårdnad
Grönlund, Catarina Fischer, (författare)
Umeå universitet
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Umeå universitet Medicinska fakulteten. Institutionen för omvårdnad. (creator_code:org_t)
Umeå universitet Medicinska fakulteten. Institutionen för klinisk vetenskap. Psykiatri. (creator_code:org_t)
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Ersta Sköndal högskola Institutionen för vårdvetenskap. (creator_code:org_t)
Luleå tekniska universitet Institutionen för hälsovetenskap. Omvårdnad. (creator_code:org_t)
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Ingår i: HEC Forum. - 0956-2737. ; 28:4, s. 321-338
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
  • Several studies show that healthcare professionals need to communicate inter-professionally in order to manage ethical difficulties. A model of clinical ethics support (CES) inspired by Habermas' theory of discourse ethics has been developed by our research group. In this version of CES sessions healthcare professionals meet inter-professionally to communicate and reflect on ethical difficulties in a cooperative manner with the aim of reaching communicative agreement or reflective consensus. In order to understand the course of action during CES, the aim of this study was to describe the communication of value conflicts during a series of inter-professional CES sessions. Ten audio- and video-recorded CES sessions were conducted over eight months and were analyzed by using the video analysis tool Transana and qualitative content analysis. The results showed that during the CES sessions the professionals as a group moved through the following five phases: a value conflict expressed as feelings of frustration, sharing disempowerment and helplessness, the revelation of the value conflict, enhancing realistic expectations, seeing opportunities to change the situation instead of obstacles. In the course of CES, the professionals moved from an individual interpretation of the situation to a common, new understanding and then to a change in approach. An open and permissive communication climate meant that the professionals dared to expose themselves, share their feelings, face their own emotions, and eventually arrive at a mutual shared reality. The value conflict was not only revealed but also resolved.


MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)


qualitative methods
Care ethics
Ethically difficulties
Clinical ethics support
Inter-professional communication

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