What is a High-Quality Moral Case Deliberation? Facilitators' Perspectives in the Euro-MCD Project

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Jakobsen, Lena M.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 (author)

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

Molewijk, BertDepartment 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 (author)
de Snoo-Trimp, JanineDepartment of Ethics, Law and Humanities, Amsterdam UMC, VU University, Amsterdam, The Netherlands (author)
Svantesson, Mia,1960-Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,University Health Care Research Centre(Swepub:oru)maso (author)
Ursin, GørilFaculty of Nursing and Health Science, Nord University, Bodø, Norway (author)
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, NorwayDepartment 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 (creator_code:org_t)

By the author/editor: Jakobsen, Lena M ...; Molewijk, Bert; de Snoo-Trimp, J ...; Svantesson, Mia, ...; Ursin, Gøril

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Medical Ethics

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