Evidence map›Paper›PMID 32770330›Full record

ArticleHEC forum : an interdisciplinary journal on hospitals' ethical and legal issues2022

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

J C de Snoo-Trimp, A C Molewijk, M Svantesson, G A M Widdershoven, H C W de Vet

Abstract read
In one paragraph

Article in HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. 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 · 2024
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

J C de Snoo-TrimpAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, De Boelelaan 1117, Amsterdam, The Netherlands. j.desnoo@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-6344-4886
A C MolewijkAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, De Boelelaan 1117, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-1944-9759
M SvantessonFaculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.ORCID http://orcid.org/0000-0003-0679-5695
G A M WiddershovenAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Ethics, Law and Humanities, Amsterdam Public Health Research Institute, De Boelelaan 1117, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-7620-6812
H C W de VetAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Epidemiology and Biostatistics, Amsterdam Public Health Research Institute, De Boelelaan 1117, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-5454-2804

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Ethics ConsultationHealth PersonnelHumansMoralsNorwaySwedenClinical ethics supportEvaluationFactor analysesMoral case deliberationOutcomes

Identifiers

PMID32770330
PMCPMC8813689

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.