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Table 1 Overview of studies for revision process Euro-MCD Instrument (2014)

From: Moral competence, moral teamwork and moral action - the European Moral Case Deliberation Outcomes (Euro-MCD) Instrument 2.0 and its revision process

Study

Focus

Methods

Key findings

I

De Snoo-Trimp et al. 2017 [20]

Perceived importance of outcomes before participation in MCD

Mixed methods – Euro-MCD Instrument closed responses from Dutch healthcare professionals and interviews with Dutch healthcare professionals

Outcomes referring to Enhanced Collaboration, Improved Moral Reflexivity and Concrete Results were perceived as most important.

Quality of care was noted as extra possible outcome in interviews

II

Svantesson et al. 2019 [21]

Perceived importance of outcomes before participation in MCD

Mixed methods – Euro-MCD Instrument closed and open responses of healthcare professionals in the Netherlands, Sweden and Norway

Outcomes referring to Enhanced Collaboration and Concrete Results were perceived as most important

Better interaction with patient and family members was mentioned as extra possible outcome in open answers

III

De Snoo-Trimp et al. 2020

Analyzing structure and stability of items on perceived importance before and after MCD participation

Quantitative – Euro-MCD Instrument closed responses of healthcare professionals in Netherlands, Sweden and Norway and factor structure

Outcomes referring to Enhanced Collaboration and Moral Reflexivity were perceived as most important both before and after participation.

Healthcare professionals found similar outcomes the most important after participating in MCD series but rated outcomes less important than prior to participation.

Factor structure showed 3 domains of outcomes.

IV

De Snoo-Trimp et al. 2019 [22]

Experience of outcomes after MCD participation, both during sessions as well as in daily practice

Quantitative – Euro-MCD Instrument closed responses of healthcare professionals in Netherlands, Sweden and Norway and factor structure

Outcomes referring to Enhanced Collaboration, Moral Attitude and Moral Reflexivity were mostly experienced.

Factor structure showed 4 domains of outcomes.

V

De Snoo-Trimp et al. 2018 [23]

Defining and categorizing MCD outcomes in focus group sessions with experienced MCD participants

Qualitative: focus group sessions with experienced MCD participants in the Netherlands, using method of Concept Mapping

In total, 85 possible MCD outcomes were categorized into 8 domains, of which 4 referred to individual development, 2 referred to the group level, 1 concerned the organizational level and 1 was about concrete actions.

VI

Silén & Svantesson 2019 [24]

Experienced impact what MCD meant for daily practice according to managers

Qualitative: interviews with managers from workplaces where MCD was practiced in Euro-MCD project in Sweden

The theme of enhanced ethical climate emerged as main outcome in experiences of managers.