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How to succeed with ethics reflection groups in community healthcare? Professionals' perceptions
Heidi Karlsen1, Lillian Lillemoen1, Morten Magelssen1
1University of Oslo, Norway.
Nursing Ethics
|February 21, 2018
Summary
Successful ethics reflection in municipal healthcare requires skilled facilitators and strong organizational support. Addressing factors like competence, group organization, and workplace stability is key to overcoming barriers and enhancing ethical competence.
Area of Science:
- Healthcare Ethics
- Organizational Psychology
- Public Health
Background:
- Municipal healthcare personnel face frequent ethical challenges.
- A national project in Norway aimed to enhance ethical competence in municipal healthcare services.
- This study investigated factors influencing successful ethics reflection groups.
Purpose of the Study:
- To identify promoters of successful ethics reflection among healthcare staff.
- To identify barriers to successful ethics reflection among healthcare staff.
Main Methods:
- Qualitative study design.
- 10 focus-group interviews conducted with 56 municipal healthcare participants.
- Data collected with informed consent and approved by the Data Protection Official.
Main Results:
- Key promoters of successful ethics reflection include competence, facilitator's role, group organization, and organizational support.
- Absence of these factors acts as significant barriers.
- Facilitator's role was identified as the most crucial success factor.
Conclusions:
- Systematic approaches to reflection and group organization are vital for success.
- Organizational instabilities in community healthcare (e.g., vacancies, high workload) hinder ethics reflection.
- Both internal and external factors influence ethics reflection groups, with municipal instabilities being a clear inhibitor.
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