Table 2 Overview of the MCD sessions
MCD # | Moral dilemma as defined by the group in the first part of the session (3) | Conclusion of MCD session |
|---|---|---|
1 | Should I inform the Inspectorate about our worries about the home situation of our client or is the home situation beyond the limits of our care? | Intention to be more open to connection with client’s relatives; no plans made for practice |
2 | Should I keep the client in the group activity room or allow the client to move around in the building when the client is restless? | Intention to discuss practical actions in subsequent meeting |
3 | May I share information from a confidential talk with a client with my team or should I respect the client’s wish not to share it? | New consensus on existing statement |
4*^ | May we leave the client alone when taking care of clients in another building or should we take the client with us? | New consensus on existing statement and making plans for practical consequences |
5* | Are we allowed to stop home care to protect care workers´ health and safety, or is it our duty to continue home care for this client? | Making plans for concrete actions |
6^ | Should we go along with the wishes of the client’s relatives or should we set a limit, based on our professional expertise? | Making plans for concrete actions |
7 | Should we stop home care for this care-refusing client, or should we continue and intensify care with out-of-home placement? | Making plans for concrete actions |
8 | May I apply a freedom-restrictive tool to this child when parents’ wish it to be applied, or may I refrain from using it, as I feel doubtful about its effectiveness? | Open ended, no plans made for practice |