ArticleBMC medical ethics2018
The significance of ethics reflection groups in mental health care: a focus group study among health care professionals.
Article in BMC medical ethics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ethics education to support ethical competence learning in healthcare: an integrative systematic review.BMC medical ethics · 2022Pooled it
- Effects of ethics communication in health care: a cluster randomised controlled trial.BMC medical ethics · 2025Trial
- A Cross-Sectional Study on Healthcare Providers' Perceived Compassion and Emotional Exhaustion Across Five Acute Geriatric Units: The Importance of Mutual Respect and Open Reflection.Healthcare (Basel, Switzerland) · 2026Article
- Responding to Moral Challenges in Clinical Practice: A Qualitative Assessment of Clinical Ethics Support Needs at Three Tanzanian Hospitals.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 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
- Preventing burnout from moral distress among prehospital emergency personnel through action research and targeted clinical ethics support.Scientific reports · 2024Article
- What is a High-Quality Moral Case Deliberation?-Facilitators' Perspectives in the Euro-MCD Project.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2024Article
- [The Basel model of principle-oriented clinical ethics consultation 2.0 : An introduction for psychiatry].Der Nervenarzt · 2024Article
- A systematic scoping review of group reflection in medical education.BMC medical education · 2024Article
- Ethical Issues in Clinical Decision-Making about Involuntary Psychiatric Treatment: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Financial medicine as a source of moral distress: An unrecognised pathway to moral injury in the South African EMS systems.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Professional prehospital clinicians' experiences of ethical challenges associated with the collaboration with organised voluntary first responders: a qualitative study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Developing the CARE intervention to enhance ethical self-efficacy in dementia care through the use of literary texts.BMC medical 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
- A two-center pilot study on the effects of clinical ethics support on coercive measures in psychiatry.BMC psychiatry · 2022Article
- Patients with severe mental illness and the ethical challenges related to confidentiality during family involvement: A scoping review.Frontiers in public health · 2022Article
- Making the (Business) Case for Clinical Ethics Support in the UK.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2021Article
- Dealing with care disruption in High and Intensive Care wards: From difficult patients to difficult situations.International journal of mental health nursing · 2021Article
- Hospital ethics reflection groups: a learning and development resource for clinical practice.BMC medical ethics · 2019Article
- Implementing ethics reflection groups in hospitals: an action research study evaluating barriers and promotors.BMC medical ethics · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProfessionals within the mental health services face many ethical dilemmas and challenging situations regarding the use of coercion. The purpose of this study was to evaluate the significance of participating in systematic ethics reflection groups focusing on ethical challenges related to coercion.
methodsIn 2013 and 2014, 20 focus group interviews with 127 participants were conducted. The interviews were tape recorded and transcribed verbatim. The analysis is inspired by the concept of 'bricolage' which means our approach was inductive.
resultsMost participants report positive experiences with participating in ethics reflection groups: A systematic and well-structured approach to discuss ethical challenges, increased consciousness of formal and informal coercion, a possibility to challenge problematic concepts, attitudes and practices, improved professional competence and confidence, greater trust within the team, more constructive disagreement and room for internal critique, less judgmental reactions and more reasoned approaches, and identification of potential for improvement and alternative courses of action. On several wards, the participation of psychiatrists and psychologists in the reflection groups was missing. The impact of the perceived lack of safety in reflection groups should not be underestimated. Sometimes the method for ethics reflection was utilised in a rigid way. Direct involvement of patients and family was missing.
conclusionThis focus group study indicates the potential of ethics reflection groups to create a moral space in the workplace that promotes critical, reflective and collaborative moral deliberations. Future research, with other designs and methodologies, is needed to further investigate the impact of ethics reflection groups on improving health care practices.
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