Catarina Fischer Grönlund

Assessing ethical competence and ethical climate: development and psychometric testing of the Clinical Ethics Support Measurement Instrument (CES-MI)

Cecilia Bartholdson, Anna Bennesved, Marika Wenemark, Catarina Fischer Grönlund et autres

Abstract Background Clinical ethics support (CES) is increasingly recognised as essential in healthcare, yet its evaluation remains challenging due to the complexity of CES practices and the latent, psychosocial nature of relevant outcomes. The European Moral Case Deliberation Outcomes Instruments (Euro-MCD original …

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Case-Based Clinical Ethics Support – A Description and Normative Discussion of Methodological Issues from the Swedish Perspective

Pernilla Pergert, Mia Svantesson, Cecilia Bartholdson, Anders Bremer et autres

Clinical Ethics Support (CES) includes various forms of systematic support to deal with ethical challenges in healthcare and case-based CES (C-CES) is used for CES in particular cases. The aim was to describe and normatively discuss organizational and methodological aspects of C-CES …

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Moral distress thermometer: Swedish translation, cultural adaptation and validation

Catarina Fischer Grönlund, Ulf Isaksson, Margareta Brännström

BACKGROUND: Moral distress is a problem and negative experience among health-care professionals. Various instruments have been developed to measure the level and underlying reasons for experienced moral distress. The moral distress thermometer (MDT) is a single-tool instrument to capture the level of …

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Psychometric testing of the Swedish version of the measure of moral distress for healthcare professionals (MMD-HP)

Catarina Fischer Grönlund, Margareta Brännström, Ulf Isaksson

BACKGROUND: Moral distress has been described as moral constraints and uncertainty connected with guilty feelings of being unable to give care in accordance with one's values for good care. Various instruments to measure moral distress have been developed. The instrument measure of …

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Descriptions of long-term impact from inter-professional ethics communication in groups

Britt‐Marie Wälivaara, Karin Zingmark, Catarina Fischer Grönlund

BACKGROUND: On a daily basis, healthcare professionals deal with various ethical issues and it can be difficult to determine how to act best. Clinical ethics support (CES) has been developed to provide support for healthcare professionals dealing with complex ethical issues. A …

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Postgraduate nursing students’ experiences of practicing ethical communication

Catarina Fischer Grönlund, Margareta Brännström

BACKGROUND: Ethics communication has been described as a pedagogical form, promoting development of ethical competence among nursing students. The 'one to five method' was developed by this research group as a tool for facilitating ethical communication in groups among healthcare professionals but …

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The Swedish translation and cultural adaptation of the Measure of Moral Distress for Healthcare Professionals (MMD-HP)

Catarina Fischer Grönlund, Margareta Brännström

BACKGROUND: Moral distress has been described as an emotionally draining condition caused by being prevented from providing care according to one's convictions. Studies have described the impact of moral distress on healthcare professionals, their situations and experiences. The Measure of Moral Distress …

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The ‘one to five’ method - A tool for ethical communication in groups among healthcare professionals

Catarina Fischer Grönlund, Margareta Brännström, Karin Zingmark

Healthcare professionals have expressed a wish for facilitated inter-professional communications about ethical difficulties experienced in clinical practice. The introduction of an easily accessible method for facilitating ethical communication in groups may promote its implementation in everyday clinical practice. The aim of this …

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Meeting in a ‘free-zone’: Clinical ethical support in integrated heart-failure and palliative care

Margareta Brännström, Catarina Fischer Grönlund, Karin Zingmark, Anna Söderberg

BACKGROUND: Integrating heart-failure and palliative care combines expertise from two cultures, life-saving cardiology and palliative care, and involves ethically difficult situations that have to be considered from various perspectives. We found no studies describing experiences of clinical ethical support (CES) in integrated …

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Development, validity and reliability testing the Swedish Ethical Climate Questionnaire

Catarina Fischer Grönlund, Anna Söderberg, Vera Dahlqvist, Lars Andersson et autres

BACKGROUND: An ethical climate has been described as a working climate embracing shared perceptions about morally correct behaviour concerning ethical issues. Various ethical climate questionnaires have been developed and validated for different contexts, but no questionnaire has been found concerning the ethical …

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Swedish Ethical Climate Questionnaire

Catarina Fischer Grönlund, Anna Söderberg, Vera Dahlqvist, Lars I Andersson et autres

Communicative and organizational aspects of clinical ethics support

Catarina Fischer Grönlund, Anna Söderberg, Vera Dahlqvist, Mikael Sandlund et autres

Studies show that healthcare professionals need inter-professional clinical ethics support (CES) in order to communicate and reflect on ethically difficult care situations that they experience in their clinical practice. Internationally, various CES interventions have been performed, but the communication processes and organisation …

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