Concept Clarification of Moral Case Deliberation
Concept Clarification of Moral Case Deliberation
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道德案件审议的概念澄清
DOI：
10.4236/ojn.2018.86031
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Dara Rasoal
中科院分区：
文献类型：
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作者：
Dara Rasoal
背景：几十年来，医疗保健专业人员在临床实践中遇到了伦理上的困难。为了处理这些问题，建立了各种临床伦理支持。道德个案审议是一种新兴的对临床实践中伦理疑难个案进行审议的方法。然而，有缺乏知识，描述的特点，道德的情况下审议，这是如何不同的相关临床伦理支持的概念分析可能会澄清的差异。目的：对道德案件审议的概念及相关概念进行辨析。方法：综合文献复习。罗杰的概念分析的进化观点已被用于澄清的概念。使用数据库中的特定关键字，搜索1995-2017年在CINAHL，MEDLINE，Psych Info，Academic Search Elite和AMED中以英语发表的同行评审学术论文。结果如下：道德个案审议（MCD）被定义为具有四个具体特征的方法：1）通过对话分享观点，2）培养道德意识，3）道德情感审议，4）道德支持和共同学习。当从患者的角度激发讨论时，接受过MCD反思特定方法培训的主持人的存在似乎很重要。结论：澄清道德的情况下审议的概念可以是有益的医疗专业人员时，选择一个促进为基础的反射。通过相互对话和观点分享，文化部可以培养工作人员的道德意识，创造一个表达情感的空间，并最终成为一个共同学习的平台。
Background: Health care professionals have encountered ethically difficult situations for decades in their clinical practice. Various clinical ethics support has been established in order to deal with these issues. Moral case deliberation is a new developed approach that deliberates over ethically difficult cases in clinical practice. However, there is lack of knowledge that describes the characteristics of the moral case deliberation and how this differs to related clinical ethics support where a concept analysis may clarify the differences. Aim: To analyse the concept of moral case deliberation and related concepts. Methods: Integrative literature review. Rodger’s evolutionary view of concept analysis has been used for clarification of the concept. Using specific keywords in the databases, searching for peer-reviewed academic paper published in English between 1995-2017 in the CINAHL, MEDLINE, Psych Info, Academic Search Elite and AMED. Results: Moral case deliberation (MCD) was defined as an approach with four specific characteristics: 1) Perspective sharing via dialogue, 2) training moral awareness, 3) moral emotional deliberation, and 4) moral support and joint learning. The presence of a facilitator who is trained in a specific method for the MCD reflection seemed to be important when stimulating the discussion from a patient perspective. Conclusions: Clarify the concept of moral case deliberation can be useful for healthcare professionals when choosing a facilitate-base reflection. Through a mutual dialogue and perspective sharing can MCD train staff members in moral awareness, create a space for emotions to be expressed and finally work as an platform for joint learning.