Field-Testing the Euro-MCD Instrument: Important Outcomes According to Participants Before and After Moral Case Deliberation

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MARC

de Snoo-Trimp, J. C.Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands (author)

Field-Testing the Euro-MCD Instrument : Important Outcomes According to Participants Before and After Moral Case Deliberation

Article/chapterEnglish2022

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2020-08-08
Springer Netherlands,2022
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LIBRIS-ID:oai:DiVA.org:oru-84753
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-84753URI
https://doi.org/10.1007/s10730-020-09421-9DOI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

Ethics support services like Moral Case Deliberation (MCD) intend to support healthcare professionals in ethically difficult situations. To assess outcomes of MCD, the Euro-MCD Instrument has been developed. Field studies to test this instrument are needed and have been conducted, examining important outcomes before MCD participation and experienced outcomes. The current study aimed to (1) describe how participants' perceive the importance of MCD outcomes after MCD; (2) compare these perceptions with those before MCD participation; and (3) test the factor structure of these outcomes. Swedish, Norwegian and Dutch healthcare professionals rated the importance of outcomes in the Euro-MCD Instrument after four and eight MCDs. Ratings were compared with those before MCD participation using paired and independent samples t-tests. The factor structure was tested using exploratory factor analyses. After 4 and 8 MCDs, 443 respectively 247 respondents completed the instrument. More than 69% rated all MCD outcomes as 'quite' or 'very' important, especially outcomes from Enhanced Collaboration, Improved Moral Reflexivity and Improved Moral Attitude. Significant differences for 16 outcomes regarding ratings before and after MCD participation were not considered meaningful. Factor analyses suggested three categories, which seemingly resemble the domains Improved Moral Reflexivity, Enhanced Collaboration and a combination of Improved Moral Attitude and Enhanced Emotional Support. After participation in MCDs, respondents confirmed the importance of outcomes in the Euro-MCD Instrument. The question on perceived importance and the categorization of outcomes need reconsideration. The revised instrument will be presented elsewhere, based on all field studies and theoretical reflections.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Medicinsk etik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Medical Ethics hsv//eng
Clinical ethics support
Evaluation
Factor analyses
Moral case deliberation
Outcomes

Added entries (persons, corporate bodies, meetings, titles ...)

Molewijk, A. C.Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands; Center for Medical Ethics, University of Oslo, Oslo, Norway (author)
Svantesson, Mia,1960-Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,University Health Care Research Center(Swepub:oru)maso (author)
Widdershoven, G. A. M.Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands (author)
de Vet, H. C. W.Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands (author)
Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, Amsterdam, The NetherlandsAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands; Center for Medical Ethics, University of Oslo, Oslo, Norway (creator_code:org_t)

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In:HEC Forum: Springer Netherlands34:1, s. 1-240956-27371572-8498

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

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