ArticleHEC forum : an interdisciplinary journal on hospitals' ethical and legal issues2016
Managing Ethical Difficulties in Healthcare: Communicating in Inter-professional Clinical Ethics Support Sessions.
Article in HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Effects of ethics communication in health care: a cluster randomised controlled trial.BMC medical ethics · 2025Trial
- Assessing ethical competence and ethical climate: development and psychometric testing of the Clinical Ethics Support Measurement Instrument (CES-MI).BMC medical ethics · 2026Article
- Positioning Ethics When Direct Patient Care is Prioritized: Experiences from Implementing Ethics Case Reflection Rounds in Childhood Cancer Care.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2025Article
- Ethics sensitivity among dialysis nurses in Jazan region: A descriptive cross-sectional study.Journal of family medicine and primary care · 2024Article
- CURA-An Ethics Support Instrument for Nurses in Palliative Care. Feasibility and First Perceived Outcomes.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2023Article
- Descriptions of long-term impact from inter-professional ethics communication in groups.Nursing ethics · 2023Article
- Two years of ethics reflection groups about coercion in psychiatry. Measuring variation within employees' normative attitudes, user involvement and the handling of disagreement.BMC medical ethics · 2023Article
- Conceptualizing the impact of moral case deliberation: a multiple-case study in a health care institution for people with intellectual disabilities.BMC medical ethics · 2022Article
- The Swedish translation and cultural adaptation of the Measure of Moral Distress for Healthcare Professionals (MMD-HP).BMC medical ethics · 2021Article
- How do healthcare professionals respond to ethical challenges regarding information management? A review of empirical studies.Global bioethics = Problemi di bioetica · 2021Article
- Moral competence, moral teamwork and moral action - the European Moral Case Deliberation Outcomes (Euro-MCD) Instrument 2.0 and its revision process.BMC medical ethics · 2020Article
- Developing an ethics support tool for dealing with dilemmas around client autonomy based on moral case deliberations.BMC medical ethics · 2018Article
- Relational autonomy in the care of the vulnerable: health care professionals' reasoning in Moral Case Deliberation (MCD).Medicine, health care, and philosophy · 2018Article
- Impact of moral case deliberation in healthcare settings: a literature review.BMC medical ethics · 2018Review
- Same Principles, Different Worlds: A Critical Discourse Analysis of Medical Ethics and Nursing Ethics in Finnish Professional Texts.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2018Article
- Clinical Ethics Support for Healthcare Personnel: An Integrative Literature Review.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2017Review
- Art of breaking bad news: A qualitative study in Indian healthcare perspective.Indian journal of psychiatryArticle
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Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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.
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Registered trials
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