Table 1 Implementation strategies
The project group | - Formed after selection of project sites and ethics facilitators - Members: The first author, managers at all project sites, all ethics facilitators - Three meetings and an “end-of-study workshop” were conducted |
One-day course for ethics facilitators | - Planned as a standard course once a year by the Clinical Ethics Committee of Psychiatry - The program topics: • What is structured ethics reflection? • What is an ethics dilemma or challenge? • Introduction to ethics principles and positions • Introduction to the SME model (see below) • How to facilitate an ethics reflection group • Workshop; in smaller groups the participants practiced and used the SME model on an ethics dilemma experienced by one of the course participants |
Mini-course for ethics facilitators | - A tailored short-version of the one-day course for one or two participants - The workshop element was omitted |
Training for ethics facilitators | - Training of ethics facilitators in using the SME model in their ethical reflection groups - 6–8 meetings in each ethics reflection group |
Supervision | - Supporting and supervising the ethics facilitators in using the SME model - 3 meetings in each ethics reflection group |