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Table 7 Open and closed questions in the two sections of the Euro-MCD instrument

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

Euro- MCD I (before the first MCD)

1. Imagine participating in Moral Case Deliberations. Please formulate in your own words 3 to 5 outcomes that you consider important to reach in order to support you and your co-workers in managing ethically difficult situations* in everyday clinical practice.

Open question

Regarding the 26 items:

Closed

2. How important is each of the outcomes to you?

‘Very’

 

‘Quite’

 

‘Somewhat’

 

‘Not’

 

‘Cannot take stand’

3. Please list 5 of above outcomes that you consider as most important.

Open question

Euro-MCD II (after multiple MCDs)

1. Please write down in your own words outcomes of the MCD that you have experienced during the MCD meeting(s)

Open questions

2. Please write down outcomes of the MCD that you have experienced afterwards, in the everyday clinical practice at your workplace

 

Regarding the 26 items:

Closed

3. Have you experienced the outcome during the MCD meeting(s)?

‘In high degree’

4. Have you experienced it after the MCD, in the everyday clinical practice?

‘In quite high degree’

5. How important is the outcome to you? (Very, quite, somewhat, not, cannot take stand)

‘In some’

 

‘Not at all’

 

‘Cannot take stand’

6. Please list 5 of above outcomes that you consider as most important (irrespective whether you have experienced them or not).

Open questions

7. What should be improved during the MCD meetings?

  1. *ethically difficult situation was defined as “situations in which you experience unease or uncertainty of what is right or good to do or are in disagreement about what should be done”.