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Related Experiment Videos

Evaluating Clinical Ethics Support: A Participatory Approach.

Suzanne Metselaar, Guy Widdershoven, Rouven Porz

    Bioethics
    |April 19, 2017
    PubMed
    Summary

    This study advocates for participatory evaluation of clinical ethics support services (CESS). It emphasizes involving CESS providers and receivers in setting evaluation criteria for better contextual relevance and inclusivity.

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    Area of Science:

    • Bioethics
    • Health Services Research
    • Evaluation Science

    Background:

    • Current formalization in evaluation research shifts ownership of 'good' clinical ethics support services (CESS) from practitioners to external stakeholders.
    • This shift raises questions about whether predefined standards adequately reflect the needs and insights of those directly involved in CESS.

    Purpose of the Study:

    • To propose a participatory approach for evaluating CESS that centers the experiences of those directly involved.
    • To ensure evaluations are context-specific, democratic, and inclusive, moving beyond external, predefined outcomes.

    Main Methods:

    • Advocates for involving CESS receivers and providers not just as respondents, but in agenda-setting and criterion articulation.
    • Proposes an approach focusing on concrete CESS contexts, reflective/dialogical learning, and democratic inclusivity.
    Keywords:
    clinical ethics supportdialogueevaluationmoral case deliberationparticipationresponsive evaluation

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  • Draws parallels with realist, dialogical, and responsive evaluation methodologies.

    • Main Results:

    • A participatory approach to CESS evaluation is presented as an alternative to externally imposed standards.
    • Highlights the importance of context, dialogue, and inclusivity in evaluating CESS effectiveness.
    • Discusses critical issues and provides an example of this participatory evaluation in practice.

    Conclusions:

    • Participatory evaluation ensures that CESS evaluations are more relevant, ethical, and responsive to the needs of all stakeholders.
    • Involving practitioners and recipients in evaluation design and execution is crucial for meaningful CESS improvement.
    • This approach offers a more democratic and inclusive model for assessing the quality of clinical ethics support services.