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

Lena Marian JakobsenBert C MolewijkJanine C de Snoo-TrimpMia SvantessonGøril Ursin
Published in: HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues (2024)
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.
Keyphrases
  • healthcare
  • quality improvement
  • decision making
  • primary care
  • physical activity
  • mental health
  • depressive symptoms
  • metabolic syndrome
  • social support
  • body composition
  • adipose tissue
  • high intensity
  • glycemic control