RT Journal Article
SR Electronic
T1 Morisprudence: a theoretical framework for studying the relationship linking moral case deliberation, organisational learning and quality improvement
JF Journal of Medical Ethics
JO J Med Ethics
FD BMJ Publishing Group Ltd and Institute of Medical Ethics
SP 868
OP 876
DO 10.1136/medethics-2021-107943
VO 48
IS 11
A1 Kok, Niek
A1 Zegers, Marieke
A1 van der Hoeven, Hans
A1 Hoedemaekers, Cornelia
A1 van Gurp, Jelle
YR 2022
UL http://jme.bmj.com/content/48/11/868.abstract
AB There is a claim that clinical ethics support services (CESS) improve healthcare quality within healthcare organisations. However, there is lack of strong evidence supporting this claim. Rather, the current focus is on the quality of CESS themselves or on individual learning outcomes. In response, this article proposes a theoretical framework leading to empirical hypotheses that describe the relationship between a specific type of CESS, moral case deliberation and the quality of care at the organisational level. We combine insights from the literature on CESS, organisational learning and quality improvement and argue that moral case deliberation causes healthcare professionals to acquire practical wisdom. At the organisational level, where improving quality is a continuous and collective endeavour, this practical wisdom can be aggregated into morisprudence, which is an ongoing formulation of moral judgements across cases encountered within the organisation. Focusing on the development of morisprudence enables refined scrutinisation of CESS-related quality claims.Data sharing not applicable as no datasets were generated and/or analysed for this study. Not applicable.