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Ethics reflection groups in community health services: an evaluation study.

Lillian Lillemoen1, Reidar Pedersen2

  • 1University of Oslo, P.O.Box 1130, Blindern, NO-0318, Oslo, Norway. lillian.lillemoen@medisin.uio.no.

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Summary

Ethics reflection groups in community health services significantly improve clinical practice and staff development. This approach fosters better cooperation and patient collaboration, proving beneficial for all involved.

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Area of Science:

  • Healthcare Ethics
  • Community Health Services
  • Organizational Development

Background:

  • Systematic ethics support in Norwegian community health services is nascent.
  • Limited evaluation studies exist on the impact of ethics reflection on care quality.
  • This study addresses the need for evaluating ethics reflection in community health settings.

Purpose of the Study:

  • To evaluate systematic ethics reflection groups in community health services.
  • To assess the impact from the perspectives of employees, facilitators, and managers.
  • To identify factors crucial for successful implementation and development.

Main Methods:

  • Mixed-methods design incorporating qualitative focus group interviews, observations, and written reports.
  • Study conducted across nursing homes, home care districts, and a learning disability residence.
  • Participants included healthcare employees, group facilitators, and service managers.

Main Results:

  • Ethics reflection was found to strengthen clinical practice, leading to improved solutions and enhanced cooperation.
  • Positive outcomes included better collaboration with patients and families, with no negative experiences reported.
  • The process was described as a "win-win situation," offering insights for future development.

Conclusions:

  • Ethics reflection groups focusing on daily work challenges significantly improve practice, collegial support, and professional development.
  • Managerial support and integration into daily routines are essential for successful ethics support.
  • The findings provide valuable insights and practical tips for developing ethics support in community health services.