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2017 ; 20
(3
): 321-333
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Tragedy in moral case deliberation
#MMPMID27913914
Spronk B
; Stolper M
; Widdershoven G
Med Health Care Philos
2017[Sep]; 20
(3
): 321-333
PMID27913914
show ga
In healthcare practice, care providers are confronted with tragic situations, in
which they are expected to make choices and decisions that can have far-reaching
consequences. This article investigates the role of moral case deliberation (MCD)
in dealing with tragic situations. It focuses on experiences of care givers
involved in the treatment of a pregnant woman with a brain tumour, and their
evaluation of a series of MCD meetings in which the dilemmas around care were
discussed. The study was qualitative, focusing on the views and experiences of
the participants. A case study design is used by conducting semi-structured
interviews (N = 10) with health care professionals who both played a role in the
treatment of the patient and attended the MCD. The results show that MCD helps
people to deal with tragic situations. An important element of MCD in this
respect is making explicit the dilemma and the damage, demonstrating that there
is no simple solution. MCD prompts participants to formulate and share personal
experiences with one another and thus helps to create a shared perception of the
situation as tragic. The article concludes that MCD contributes to the sharing of
tragic experiences, and fosters mutual interaction during a tragedy. Its value
could be increased through explicit reflection on the aspect of contingency that
characterises tragedy.
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