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Table 8 Question one-to-one interview

From: How to introduce medical ethics at the bedside - Factors influencing the implementation of an ethical decision-making model

“Is there enough staff to deal with and solve an ethical problem?”

Total

Yes, without reasons

  

16

Yes, with reasons/addition

Engaged, experienced people

- There is plenty of experienced and trained staff.

- There are many interested and engaged persons.

5

 

Organizational

- The nursing leader supports METAP case discussions by replacing staff members.

1

Yes, with restriction

Not always enough staff

- That’s very different. Sometimes yes, sometimes not.

- There may still be a little bit more.

- Sometimes you have nearly to force it in, but it always has been possible.

- If there is not enough staff, you have to shift a case discussion 1 or 2 days.

6

 

Depending on the situation

- It is very situational. An ethical case discussion once had to be cancelled due to an emergency.

- It may happen that there is not enough time to collect all necessary information in a very unstable patient situation.

3

 

Resources are allocated

- It is made possible also with scarce resources.

4

 

Difficulties organizing level 3

- Sometimes the fixed dates are difficult because the persons knowing the patient better are not working at that time.

- Sometime it is difficult to find a moderator or a suitable date.

- It is difficult to prepare the discussion if it takes place on short-notice.

10