Department of Medical Humanities, Amsterdam UMC, VU University Medical Centre, APH, Amsterdam, The Netherlands.
Netherlands Defense Academy, Breda, the Netherlands.
HEC Forum. 2022 Jun;34(2):169-186. doi: 10.1007/s10730-020-09432-6. Epub 2021 Jan 15.
The prevalence of Clinical ethics support (CES) services is increasing. Yet, questions about what quality of CES entails and how to foster the quality of CES remain. This paper describes the development of a national network (NEON), which aimed to conceptualize and foster the quality of CES in the Netherlands simultaneously. Our methodology was inspired by a responsive evaluation approach which shares some of our key theoretical presuppositions of CES. A responsive evaluation methodology engages stakeholders in developing quality standards of a certain practice, instead of evaluating a practice by predefined standards. In this paper, we describe the relationship between our theoretical viewpoint on CES and a responsive evaluation methodology. Then we describe the development of the network (NEON) and focus on three activities that exemplify our approach. In the discussion, we reflect on the similarities and differences between our approach and other international initiatives focusing on the quality of CES.
临床伦理支持 (CES) 服务的普及程度正在增加。然而，关于 CES 需要具备什么样的质量以及如何提高 CES 的质量的问题仍然存在。本文描述了一个国家网络 (NEON) 的发展，该网络旨在同时概念化和促进荷兰 CES 的质量。我们的方法受到了响应式评估方法的启发，该方法分享了我们对 CES 的一些关键理论假设。响应式评估方法使利益相关者参与到某项实践的质量标准的制定中，而不是用预先设定的标准来评估某项实践。在本文中，我们描述了我们对 CES 的理论观点与响应式评估方法之间的关系。然后，我们描述了网络 (NEON) 的发展，并重点介绍了三个体现我们方法的活动。在讨论中，我们反思了我们的方法与其他关注 CES 质量的国际倡议之间的异同。
