RT Article
T1 Morisprudence: a theoretical framework for studying the relationship linking moral case deliberation, organisational learning and quality improvement
JF Journal of medical ethics
VO 48
IS 11
SP 868
OP 876
A1 Kok, Niek
A1 Zegers, Marieke
A1 Hoeven, Hans van der
A1 Hoedemaekers, Cornelia
A1 Gurp, Jelle van
A2 Zegers, Marieke
A2 Hoeven, Hans van der
A2 Hoedemaekers, Cornelia
A2 Gurp, Jelle van
LA English
YR 2022
UL https://ixtheo.de/Record/1918655464
AB There is a claim that clinical ethics support services (CESS) improve healthcare quality within healthcare organisations. However, there is lack of strong evidence supporting this claim. Rather, the current focus is on the quality of CESS themselves or on individual learning outcomes. In response, this article proposes a theoretical framework leading to empirical hypotheses that describe the relationship between a specific type of CESS, moral case deliberation and the quality of care at the organisational level. We combine insights from the literature on CESS, organisational learning and quality improvement and argue that moral case deliberation causes healthcare professionals to acquire practical wisdom. At the organisational level, where improving quality is a continuous and collective endeavour, this practical wisdom can be aggregated into morisprudence, which is an ongoing formulation of moral judgements across cases encountered within the organisation. Focusing on the development of morisprudence enables refined scrutinisation of CESS-related quality claims.
DO 10.1136/medethics-2021-107943