Family Systems Care ‒ Expert consensus on ethics behind committed practice

BackgroundEthically challenging situations often arise in interactions between healthcare professionals (HCPs) and families. Although the Calgary models offer guidance for practical work and are beneficial in various challenging situations, explicit awareness and recognition of the ethical concepts and theories underlying Family Systems Care (FSC) is generally lacking.Method - Research aimThis study examined the basis of FSC in virtue ethics, deontology, and teleology.Research designUtilizing a qualitative design, an expert consensus was conducted through two focus group interviews, a Delphi group, and an expert panel.Participants and research contextThe expert consensus consisted of 23 professionals in FSC from various specialities, including nurses (n = 18), midwives (n = 4), and a general practitioner, who explored ethical considerations in clinical practice.Ethical considerationsThe research project was conducted in accordance with the ethical principles of participants' informed consent and the Declaration of Helsinki.FindingsParticipants recognized the significance of classical virtues such as faith, fortitude, hope, and caritas in FSC. They emphasized that these virtues not only guide HCPs in their practice but also empower families to rediscover their strengths amid suffering. Additionally, the integration of deontological principles and teleological perspectives highlighted the importance of balancing individual and collective well-being, and fostering compassionate relationships while navigating ethical complexities in therapeutic conversations.ConclusionThis study highlights the importance of virtue ethics, deontology, and teleology in guiding HCPs' moral reasoning within FSC. Participants emphasized respect and appreciation as essential values for maintaining trust with families during ethical challenges. By integrating ethical theories into practice, HCPs can navigate complex situations effectively, fostering compassionate and dignified care.