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Interprofessional ethics rounds concerning dialysis patients: staff’s ethical reflections before and after rounds
  1. M Svantesson1,2,
  2. A Anderzén-Carlsson1,
  3. H Thorsén1,
  4. K Kallenberg1,3,
  5. G Ahlström4
  1. 1
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden
  2. 2
    Anaesthesia and Intensive Care Department and Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden
  3. 3
    University Hospital, Örebro, Sweden
  4. 4
    School of Health Sciences, Jönköping, Sweden
  1. M Svantesson, Centre for Health Care Sciences, Örebro University Hospital, Box 1324, SE-701 13 Örebro, Sweden; mia.svantesson{at}


Objective: To evaluate whether ethics rounds stimulated ethical reflection.

Methods: Philosopher-ethicist-led interprofessional team ethics rounds concerning dialysis patient care problems were applied at three Swedish hospitals. The philosophers were instructed to stimulate ethical reflection and promote mutual understanding between professions but not to offer solutions. Questionnaires directly before and after rounds were answered by 194 respondents. The analyses were primarily content analysis with Boyd’s framework but were also statistical in nature.

Findings: Seventy-six per cent of the respondents reported a moderate to high rating regarding new insights on ethical problem identification, but the ethics rounds did not seem to stimulate the ethical reflection that the respondents had expected (p<0.001). Dominant new insights did not seem to fit into traditional normative ethics but were instead interpreted as hermeneutic ethics. This was illustrated in the extended perspective on the patient and increased awareness of relations to other professions. Regarding insights into how to solve ethical problems, the request for further interprofessional dialogue dominated both before and after rounds.

Conclusion: The findings show the need for interprofessional reflective ethical practice but a balance between ethical reflection and problem solving is suggested if known patients are discussed. Further research is needed to explore the most effective leadership for reflective ethical practice.

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  • Funding: This study received financial support from the Research Committee of Örebro County Council.

  • Competing interests: None declared.

  • Ethics approval: Ethical approval was obtained from the Regional Ethical Review Board in Uppsala, Sweden. The informed consent was based on written information regarding the study and voluntary participation.

  • i The term moral deliberation might also be used but seems more to be associated with decision-making.

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