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Table 4 Final model of categorisation

From: Outcomes of Moral Case Deliberation - the development of an evaluation instrument for clinical ethics support (the Euro-MCD)

Domains Items References
Enhanced emotional support* 1. Enhances possibility to share difficult emotions and thoughts with co-workers [5, 8, 10]
  2. Strengthens my self-confidence when managing ethically difficult situations [10]
  3. Enables me to better manage the stress caused by ethically difficult situations [6, 8, 23, 32]
  4. Increases awareness of my own emotions regarding ethically difficult situations [5, 14]
  5. I feel more secure to express doubts or uncertainty regarding ethically difficult situations [6, 8, 33, 34]
Enhanced collaboration 6. Greater opportunity for everyone to have their say [8, 10]
  7. Better mutual understanding of each other’s reasoning and acting [8, 10, 21]
  8. Enhances mutual respect amongst co-workers [2, 14, 21]
  9. I and my co-workers manage disagreements more constructively [1, 35]
  10. More open communication among co-workers [2, 8, 10, 21]
Improved moral reflexivity 11. Develops my skills to analyse ethically difficult situations [1, 6, 15, 35, 36]
  12. Increases my awareness of the complexity of ethically difficult situations [9, 21]
  13. Develops my ability to identify the core ethical question in the difficult situations [10, 15, 21, 34, 37]
  14. I see the ethically difficult situations from different perspectives [810, 14, 21, 38]
  15. Enhances my understanding of ethical theories (ethical principles, values and norms) [15, 34]
Improved moral attitude 16. I become more aware of my preconceived notions [6, 10, 12]
  17. I gain more clarity about my own responsibility in the ethically difficult situations [9, 10, 12]
  18. I listen more seriously to others’ opinions [14, 21]
  19. Gives me more courage to express my ethical standpoint [21]
  20. I understand better what it means to be a good professional [21]
Impact on organizational level 21. I and my co-workers become more aware of recurring ethically difficult situations [33, 35]
  22. Contributes to the development of practice/policies in the workplace [21]
  23. I and my co-workers examine more critically the existing practice/policies in the workplace/organization (new)
Concrete results 24. Find more courses of actions in order to manage the ethically difficult situation [34, 35, 39, 40]
25. Consensus is gained amongst co-workers in how to manage the ethically difficult situations [9, 15, 40]
26. Enables me and my co-workers to decide on concrete actions in order to manage the ethically difficult situations [2, 15, 36, 37]
  1. *References [1113].