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Managing Ethical Difficulties in Healthcare: Communicating in Inter-professional Clinical Ethics Support Sessions.
Umeå universitet.
Ersta Sköndal University College, Department of Health Care Sciences.
Luleå tekniska universitet.
Umeå universitet.
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2016 (English)In: HEC Forum, ISSN 0956-2737, E-ISSN 1572-8498Article in journal (Refereed) Epub ahead of print
Abstract [en]

Several studies show that healthcare professionals need to communicate inter-professionally in order to manage ethical difficulties. A model of clinical ethics support (CES) inspired by Habermas' theory of discourse ethics has been developed by our research group. In this version of CES sessions healthcare professionals meet inter-professionally to communicate and reflect on ethical difficulties in a cooperative manner with the aim of reaching communicative agreement or reflective consensus. In order to understand the course of action during CES, the aim of this study was to describe the communication of value conflicts during a series of inter-professional CES sessions. Ten audio- and video-recorded CES sessions were conducted over eight months and were analyzed by using the video analysis tool Transana and qualitative content analysis. The results showed that during the CES sessions the professionals as a group moved through the following five phases: a value conflict expressed as feelings of frustration, sharing disempowerment and helplessness, the revelation of the value conflict, enhancing realistic expectations, seeing opportunities to change the situation instead of obstacles. In the course of CES, the professionals moved from an individual interpretation of the situation to a common, new understanding and then to a change in approach. An open and permissive communication climate meant that the professionals dared to expose themselves, share their feelings, face their own emotions, and eventually arrive at a mutual shared reality. The value conflict was not only revealed but also resolved.

Place, publisher, year, edition, pages
2016.
Keyword [en]
Care ethics, Clinical ethics support, Ethically difficulties, Healthcare-professionals, Inter-professional communication
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5256DOI: 10.1007/s10730-016-9303-2PubMedID: 27147521OAI: oai:DiVA.org:esh-5256DiVA: diva2:934662
Available from: 2016-06-09 Created: 2016-06-09 Last updated: 2016-06-09Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
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