Cristin-resultat-ID: 1587776
Sist endret: 18. oktober 2018 15:47
NVI-rapporteringsår: 2018
Resultat
Vitenskapelig artikkel
2018

The significance of ethics reflection groups in mental health care: a focus group study among health care professionals

Bidragsytere:
  • Marit Helene Hem
  • Albert Christiaan Molewijk
  • Elisabeth Gjerberg
  • Lillian Lillemoen og
  • Reidar Pedersen

Tidsskrift

BMC Medical Ethics
ISSN 1472-6939
e-ISSN 1472-6939
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2018
Publisert online: 2018
Volum: 19
Hefte: 54
Open Access

Importkilder

Scopus-ID: 2-s2.0-85048079755

Beskrivelse Beskrivelse

Tittel

The significance of ethics reflection groups in mental health care: a focus group study among health care professionals

Sammendrag

Background: Professionals 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. Methods: In 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. Results: Most 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. Conclusion: This 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.

Bidragsytere

Aktiv cristin-person

Marit Helene Hem

  • Tilknyttet:
    Forfatter
    ved Senter for medisinsk etikk ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Fakultet for helsefag ved VID vitenskapelige høgskole

Albert Christian Molewijk

Bidragsyterens navn vises på dette resultatet som Albert Christiaan Molewijk
  • Tilknyttet:
    Forfatter
    ved Senter for medisinsk etikk ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Academisch Medisch Centrum

Elisabeth Gjerberg

  • Tilknyttet:
    Forfatter
    ved Senter for medisinsk etikk ved Universitetet i Oslo
Inaktiv cristin-person

Lillian Lillemoen

  • Tilknyttet:
    Forfatter
    ved Senter for medisinsk etikk ved Universitetet i Oslo

Reidar Pedersen

  • Tilknyttet:
    Forfatter
    ved Senter for medisinsk etikk ved Universitetet i Oslo
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