Implementing moral case deliberation in Dutch health care; improving moral competency of professionals and the quality of care

B. Molewijk, E. V. Zadelhoff, B. Lendemeijer, G. Widdershoven
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引用次数: 72

Abstract

between evaluative meetings. Results: Both qualitative and quantitative results of the 220 questionnaires of 50 MCDs showed that the MCDs were regarded as very useful. Most participants saw the relevance of MCD for their daily work high and judged the quality of the dialogue positively. Their open, straight, constructive communicating and moral sensitivity increased; their presuppositions, prejudices and automatic responses decreased. Discussion: Future implementation research has to find out what the long term impact will be on the quality of care. Therefore, the next step in this project will focus on (methodology for) research on the follow up of outcomes of MCD and the integration of these outcomes with institutional policy issues.
荷兰卫生保健中道德案例审议的实施提高专业人员的道德素质和护理质量
在评估会议之间。结果:对50个mcd进行的220份问卷的定性和定量结果均显示mcd是非常有用的。大多数参与者认为MCD与他们日常工作的相关性很高,并积极评价对话的质量。他们开放、直率、建设性的沟通和道德敏感度提高了;他们的预设、偏见和自动反应减少了。讨论:未来的实施研究必须找出对护理质量的长期影响。因此,本项目的下一步工作将侧重于研究MCD成果的后续行动以及将这些成果与体制政策问题相结合的方法。
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