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Table 5 Reasons for discarding items

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

Reasons for discarding items

Examples of discarded items

Not relevant enough for MCD

Reduce feelings of bad conscience

Diminish fear of legal liability

Too unspecific; not possible to categorise to only one domain

Strengthen confidence to see a way out

Improve ability to prioritise between clinical tasks in an ethical way

Too vague

Improve quality of care in patient cases

Become aware of the tension between my personal values and actual behaviour

Too abstract

Enhance moral sensitivity

Enhance knowledge of virtue ethics (such as courage, tolerance, compassion, honesty, humility)

Too academic

Know how to differentiate between ethical issues and other issues (such as psychological or legal)

Enhance knowledge how to apply the four ethical principles: respect for autonomy, non-maleficence, beneficence and justice