Vellinga A, van Melle-Baaijens E A H
Tijdschr Psychiatr. 2016;58(3):207-14.
Nowadays, reflecting on ethics, which we choose to call moral case deliberation, is occurring more and more frequently in psychiatric institutions. We have personal experience of organising and supervising moral case deliberation in a large psychiatric institute and we can confirm the positive effects of moral case deliberation which have been reported in the literature.
To describe a structured method for moral case deliberation which enables care-givers in health care and/or addiction care to reflect on moral dilemmas.
We refer to the main findings in relevant literature and describe how we developed a structured method for implementing moral case deliberation.
Our studies of the literature indicate that systematic reflection about ethical dilemmas can improve the quality of care and make care-givers more satisfied with their work. This is why we have developed our own method which is applicable particularly to psychiatric and/or addition care and which can be used systematically in discussions of moral dilemmas.
Our method for discussing ethical issues works well in clinical practice, particularly when it is embedded in a multidisciplinary context. Of course, to ensure the continuity of the system, deliberation about moral and ethical issues needs to be financially safeguarded and embedded in the organisation. Discussion of moral issues improves the quality of care and increases care-givers' satisfaction with their work.
如今，对伦理问题进行反思（我们将其称为道德案例审议）在精神病院中越来越频繁地出现。我们有在一家大型精神病院组织和监督道德案例审议的亲身经历，并且能够证实文献中所报道的道德案例审议的积极效果。
描述一种结构化的道德案例审议方法，使医疗保健和/或成瘾护理领域的护理人员能够对道德困境进行反思。
我们参考了相关文献中的主要发现，并描述了我们如何开发一种实施道德案例审议的结构化方法。
我们对文献的研究表明，对伦理困境进行系统反思可以提高护理质量，并使护理人员对自己的工作更满意。这就是为什么我们开发了自己的方法，该方法特别适用于精神病学和/或成瘾护理，并且可以在道德困境的讨论中系统地使用。
我们讨论伦理问题的方法在临床实践中效果良好，特别是当它融入多学科背景时。当然，为确保该体系的连续性，对道德和伦理问题的审议需要有资金保障并融入组织之中。对道德问题的讨论可提高护理质量，并增加护理人员对其工作的满意度。
