{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T15:04:42Z","timestamp":1789571082184,"version":"build-2803163510"},"reference-count":77,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HEC Forum"],"DOI":"10.1007\/s10730-026-09613-9","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:30:46Z","timestamp":1789569046000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient Participation in Moral Case Deliberation: Evaluating the Dynamics of Shared Reflection in a Mental Healthcare Setting in T\u00fcrkiye"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1252-3469","authenticated-orcid":false,"given":"Mustafa Volkan","family":"Kavas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7807-5369","authenticated-orcid":false,"given":"Damla","family":"Sayar Akaslan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1944-9759","authenticated-orcid":false,"given":"Bert A. C.","family":"Molewijk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"issue":"5","key":"9613_CR1","doi-asserted-by":"publisher","first-page":"546","DOI":"10.1191\/0969733006nej892oa","volume":"13","author":"TA Abma","year":"2006","unstructured":"Abma, T. A., & Widdershoven, G. A. (2006). Moral deliberation in psychiatric nursing practice. Nursing Ethics,13(5), 546\u2013557. https:\/\/doi.org\/10.1191\/0969733006nej892oa","journal-title":"Nursing Ethics"},{"issue":"3","key":"9613_CR2","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1007\/s10728-008-0102-z","volume":"17","author":"TA Abma","year":"2009","unstructured":"Abma, T. A., Molewijk, B., & Widdershoven, G. A. (2009). Good care in ongoing dialogue. Improving the quality of care through moral deliberation and responsive evaluation. Health Care Analysis, 17(3), 217\u2013235. https:\/\/doi.org\/10.1007\/s10728-008-0102-z","journal-title":"Health Care Analysis"},{"issue":"5","key":"9613_CR3","doi-asserted-by":"publisher","first-page":"799","DOI":"10.1097\/CCM.0000000000002999","volume":"46","author":"SS Au","year":"2018","unstructured":"Au, S. S., Couillard, P., Roze des Ordons, A., Fiest, K. M., Lorenzetti, D. L., & Jette, N. (2018). Outcomes of ethics consultations in adult ICUs: A systematic review and meta-analysis. Critical Care Medicine, 46(5), 799\u2013808. https:\/\/doi.org\/10.1097\/CCM.0000000000002999","journal-title":"Critical Care Medicine"},{"issue":"1","key":"9613_CR4","doi-asserted-by":"publisher","first-page":"59","DOI":"10.7326\/0003-4819-133-1-200007040-00012","volume":"133","author":"MP Aulisio","year":"2000","unstructured":"Aulisio, M. P., Arnold, R. M., & Youngner, S. J. (2000). Health care ethics consultation: Nature, goals, and competencies: A position paper from the Society for Health and Human Values\u2013Society for Bioethics Consultation Task Force on standards for bioethics consultation. Annals of Internal Medicine, 133(1), 59\u201369. https:\/\/doi.org\/10.7326\/0003-4819-133-1-200007040-00012","journal-title":"Annals of Internal Medicine"},{"key":"9613_CR5","doi-asserted-by":"publisher","unstructured":"Baker, R. (2022). A brief introduction to the history of clinical ethics. In K. Wasson, & M. Kuczewski (Eds.), Thorny Issues in Clinical Ethics Consultation (pp. 3-12). Springer. https:\/\/doi.org\/10.1007\/978-3-030-91916-0_1","DOI":"10.1007\/978-3-030-91916-0_1"},{"issue":"1","key":"9613_CR6","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1177\/1477750916661976","volume":"12","author":"AJ Ballantyne","year":"2017","unstructured":"Ballantyne, A. J., Dai, E., & Gray, B. (2017). Patient participation in clinical ethics support services \u2013 Patient-centered care, justice and cultural competence. Clinical Ethics,12(1), 11\u201318. https:\/\/doi.org\/10.1177\/1477750916661976","journal-title":"Clinical Ethics"},{"issue":"3","key":"9613_CR7","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/j.pec.2011.06.008","volume":"84","author":"JM Bensing","year":"2011","unstructured":"Bensing, J. M., Deveugele, M., Moretti, F., Fletcher, I., van Vliet, L., Van Bogaert, M., & Rimondini, M. (2011). How to make the medical consultation more successful from a patient\u2019s perspective? Tips for doctors and patients from lay people in the United Kingdom, Italy, Belgium and the Netherlands. Patient Education and Counseling,84(3), 287\u2013293. https:\/\/doi.org\/10.1016\/j.pec.2011.06.008","journal-title":"Patient Education and Counseling"},{"issue":"1","key":"9613_CR8","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-025-01267-5","volume":"26","author":"I Billstein","year":"2025","unstructured":"Billstein, I., Bartholdson, C., Castor, A., Molewijk, B., & Pergert, P. (2025). Ethics support personnel\u2019s perceptions of patient and parent participation in clinical ethics support services in pediatric oncology. BMC Medical Ethics,26(1), Article 104. https:\/\/doi.org\/10.1186\/s12910-025-01267-5","journal-title":"BMC Medical Ethics"},{"issue":"4","key":"9613_CR9","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1136\/medethics-2021-107426","volume":"49","author":"L Blackler","year":"2023","unstructured":"Blackler, L., Scharf, A. E., Matsoukas, K., Colletti, M., & Voigt, L. P. (2023). Call to action: Empowering patients and families to initiate clinical ethics consultations. Journal of Medical Ethics, 49(4), 240\u2013243. https:\/\/doi.org\/10.1136\/medethics-2021-107426","journal-title":"Journal of Medical Ethics"},{"issue":"1","key":"9613_CR10","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1177\/09697330251366595","volume":"33","author":"E Braun","year":"2026","unstructured":"Braun, E., Faissner, M., Hempeler, C., Markwort, S., M\u00fcller, T., Pollm\u00e4cher, T., Radenbach, K., Roth, F., Schomburg, A. K., Simon, A., & Gather, J. (2026). Implementing clinical ethics support services in psychiatry: A qualitative study. Nursing ethics, 33(1), 101\u2013117. https:\/\/doi.org\/10.1177\/09697330251366595","journal-title":"Nursing ethics"},{"issue":"8","key":"9613_CR11","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1136\/medethics-2020-107092","volume":"47","author":"J Brierley","year":"2021","unstructured":"Brierley, J., Archard, D., & Cave, E. (2021). Challenging misconceptions about clinical ethics support during COVID-19 and beyond. Journal of Medical Ethics, 47(8), 549\u2013552. https:\/\/doi.org\/10.1136\/medethics-2020-107092","journal-title":"Journal of Medical Ethics"},{"issue":"3","key":"9613_CR12","doi-asserted-by":"publisher","first-page":"9","DOI":"10.2307\/3562196","volume":"18","author":"S Callahan","year":"1988","unstructured":"Callahan, S. (1988). The role of emotion in ethical decisionmaking. The Hastings Center Report, 18(3), 9\u201314.","journal-title":"The Hastings Center Report"},{"issue":"2","key":"9613_CR13","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1136\/jme.2010.038026","volume":"38","author":"M \u00c7etin","year":"2012","unstructured":"\u00c7etin, M., U\u00e7ar, M., G\u00fcven, T., Ata\u00e7, A., & \u00d6zer, M. (2012). What do patients expect from their physicians? Qualitative research on the ethical aspects of patient statements. Journal of Medical Ethics, 38(2), 112\u2013116. https:\/\/doi.org\/10.1136\/jme.2010.038026","journal-title":"Journal of Medical Ethics"},{"issue":"3","key":"9613_CR14","doi-asserted-by":"publisher","first-page":"418","DOI":"10.1177\/0146167217741344","volume":"44","author":"KE Chaney","year":"2018","unstructured":"Chaney, K. E., & Sanchez, D. T. (2018). The endurance of interpersonal confrontations as a prejudice reduction strategy. Personality & Social Psychology Bulletin, 44(3), 418\u2013429. https:\/\/doi.org\/10.1177\/0146167217741344","journal-title":"Personality & Social Psychology Bulletin"},{"issue":"1","key":"9613_CR15","first-page":"49","volume":"25","author":"Z Cirhinlioglu","year":"2021","unstructured":"Cirhinlioglu, Z. (2021). Sivas\u2019ta hekim-hasta ili\u015fkileri-II. [Patient\u2013physician relationships in Sivas-II]. Cumhuriyet \u00dcniversitesi Sosyal Bilimler Dergisi, 25(1), 49\u201379. Retrieved January 15, 2026, fromhttps:\/\/library.dogus.edu.tr\/mvt\/pdf.php?pdf=0000215&lng=0","journal-title":"Cumhuriyet \u00dcniversitesi Sosyal Bilimler Dergisi"},{"issue":"4","key":"9613_CR16","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1007\/s41649-024-00289-2","volume":"16","author":"MM Civaner","year":"2024","unstructured":"Civaner, M. M. (2024). The effectiveness of a hospital ethics committee in a non-Western country: Lessons from a ten-year experience. Asian Bioethics Review, 16(4), 615\u2013634. https:\/\/doi.org\/10.1007\/s41649-024-00289-2","journal-title":"Asian Bioethics Review"},{"key":"9613_CR17","unstructured":"Court, S. (2024). Patient participation in Clinical Ethics Support Services [Unpublished master\u2019s thesis]. Utrecht University. Retrieved January 15, 2026, from https:\/\/studenttheses.uu.nl\/handle\/20.500.12932\/46779"},{"issue":"1","key":"9613_CR18","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1007\/s11019-020-09986-9","volume":"24","author":"C Crico","year":"2021","unstructured":"Crico, C., Sanchini, V., Casali, P. G., & Pravettoni, G. (2021). Evaluating the effectiveness of clinical ethics committees: A systematic review. Medicine Health Care and Philosophy, 24(1), 135\u2013151. https:\/\/doi.org\/10.1007\/s11019-020-09986-9","journal-title":"Medicine Health Care and Philosophy"},{"issue":"5","key":"9613_CR19","doi-asserted-by":"publisher","first-page":"784","DOI":"10.1037\/0022-3514.90.5.784","volume":"90","author":"AM Czopp","year":"2006","unstructured":"Czopp, A. M., Monteith, M. J., & Mark, A. Y. (2006). Standing up for a change: Reducing bias through interpersonal confrontation. Journal of Personality and Social Psychology, 90(5), 784\u2013803. https:\/\/doi.org\/10.1037\/0022-3514.90.5.784","journal-title":"Journal of Personality and Social Psychology"},{"issue":"8","key":"9613_CR20","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1136\/jme.2010.040626","volume":"37","author":"L Dauwerse","year":"2011","unstructured":"Dauwerse, L., Abma, T., Molewijk, B., & Widdershoven, G. (2011). Need for ethics support in healthcare institutions: Views of Dutch board members and ethics support staff. Journal of Medical Ethics, 37(8), 456\u2013460. https:\/\/doi.org\/10.1136\/jme.2010.040626","journal-title":"Journal of Medical Ethics"},{"issue":"3","key":"9613_CR21","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1007\/s11019-013-9537-6","volume":"17","author":"L Dauwerse","year":"2014","unstructured":"Dauwerse, L., Stolper, M., Widdershoven, G., & Molewijk, B. (2014). Prevalence and characteristics of moral case deliberation in Dutch health care. Medicine Health Care and Philosophy, 17(3), 365\u2013375. https:\/\/doi.org\/10.1007\/s11019-013-9537-6","journal-title":"Medicine Health Care and Philosophy"},{"issue":"2","key":"9613_CR22","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1177\/0969733019849454","volume":"27","author":"JC de Snoo-Trimp","year":"2020","unstructured":"de Snoo-Trimp, J. C., Molewijk, B., Ursin, G., Brinchmann, B. S., Widdershoven, G. A., de Vet, H. C., et al. (2020). Field-testing the Euro-MCD Instrument: Experienced outcomes of moral case deliberation. Nursing Ethics, 27(2), 390\u2013406. https:\/\/doi.org\/10.1177\/0969733019849454","journal-title":"Nursing Ethics"},{"key":"9613_CR23","doi-asserted-by":"publisher","unstructured":"de Snoo-Trimp, J. C., van Gurp, J. L., & Molewijk, A. C. (2022). Conceptualizing the impact of moral case deliberation: A multiple-case study in a health care institution for people with intellectual disabilities. BMC Medical Ethics, 23(1). https:\/\/doi.org\/10.1186\/s12910-022-00747-2","DOI":"10.1186\/s12910-022-00747-2"},{"key":"9613_CR24","unstructured":"Demir, M. (2011). Hacettepe \u00dcniversitesi hastaneleri hekimlerinin klinik etik problemlerin fark\u0131ndal\u0131\u011f\u0131 ara\u015ft\u0131rmas\u0131\u2014hastane etik kurul model \u00f6nerisi [A research on the awareness of clinical ethical problems among physicians of Hacettepe University hospitals\u2014hospital ethics committee model proposal] [Unpublished specialization thesis]. Hacettepe University. Retrieved January 15, 2026, from https:\/\/tez.yok.gov.tr\/UlusalTezMerkezi\/tezDetay.jsp?id=Yu4bvG58O4Bv6OstOKFGTw&no=jN1u1jiE94Ap1IwKE-0VZw"},{"issue":"3","key":"9613_CR25","first-page":"186","volume":"41","author":"M Demir","year":"2010","unstructured":"Demir, M., & B\u00fcken, N. (2010). D\u00fcnyada ve T\u00fcrkiye\u2019de hastane\/klinik etik kurullar\u0131 [Hospital\/clinical ethics committees in the world and in Turkey]. Hacettepe T\u0131p Dergisi, 41(3), 186\u2013194. Retrieved January 15, 2026, from https:\/\/turkmedline.net\/detay\/dunyada-ve-turkiyelsquode-hastane-klinik-etik-kurullari\/b2ccf962366b1a2\/tr\/262%2B2010%2B41%2B3","journal-title":"Hacettepe T\u0131p Dergisi"},{"issue":"1","key":"9613_CR26","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1186\/s12910-022-00801-z","volume":"23","author":"M Eijkholt","year":"2022","unstructured":"Eijkholt, M., de Snoo-Trimp, J., Ligtenberg, W., & Molewijk, B. (2022). Patient participation in Dutch ethics support: Practice, ideals, challenges and recommendations\u2014A national survey. BMC Medical Ethics, 23(1), 62. https:\/\/doi.org\/10.1186\/s12910-022-00801-z","journal-title":"BMC Medical Ethics"},{"issue":"5","key":"9613_CR27","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1191\/0969733003ne6290a","volume":"10","author":"N Ersoy","year":"2003","unstructured":"Ersoy, N., & G\u00fcndo\u011fmu\u015f, \u00dc. N. (2003). A study of the ethical sensitivity of physicians in Turkey. Nursing Ethics, 10(5), 472\u2013484. https:\/\/doi.org\/10.1191\/0969733003ne6290a","journal-title":"Nursing Ethics"},{"key":"9613_CR28","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1186\/s12910-015-0028-6","volume":"16","author":"R F\u00f8rde","year":"2015","unstructured":"F\u00f8rde, R., & Linja, T. (2015). It scares me to know that we might not have been there! A qualitative study into the experiences of parents of seriously ill children participating in ethical case discussions. BMC Medical Ethics, 16, 40. https:\/\/doi.org\/10.1186\/s12910-015-0028-6","journal-title":"BMC Medical Ethics"},{"issue":"3","key":"9613_CR29","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1258\/ce.2009.009020","volume":"4","author":"V Fournier","year":"2009","unstructured":"Fournier, V., Rari, E., F\u00f8rde, R., Neitzke, G., Pegoraro, R., & Newson, A. J. (2009). Clinical ethics consultation in Europe: A comparative and ethical review of the role of patients. Clinical Ethics, 4(3), 131\u2013138. https:\/\/doi.org\/10.1258\/ce.2009.009020","journal-title":"Clinical Ethics"},{"issue":"1","key":"9613_CR30","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1186\/s12910-018-0325-y","volume":"19","author":"MM Haan","year":"2018","unstructured":"Haan, M. M., van Gurp, J. L. P., Naber, S. M., & Groenewoud, A. S. (2018). Impact of moral case deliberation in healthcare settings: A literature review. BMC Medical Ethics, 19(1), 85. https:\/\/doi.org\/10.1186\/s12910-018-0325-y","journal-title":"BMC Medical Ethics"},{"issue":"4","key":"9613_CR31","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1177\/0969733014539783","volume":"22","author":"MH Hem","year":"2015","unstructured":"Hem, M. H., Pedersen, R., Norvoll, R., & Molewijk, B. (2015). Evaluating clinical ethics support in mental healthcare: A systematic literature review. Nursing Ethics, 22(4), 452\u2013466. https:\/\/doi.org\/10.1177\/0969733014539783","journal-title":"Nursing Ethics"},{"issue":"1","key":"9613_CR32","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1186\/s12910-023-00942-9","volume":"24","author":"E Hoon","year":"2023","unstructured":"Hoon, E., Edwards, J., Harvey, G., Eliott, J., Merlin, T., Carter, D., et al. (2023). Establishing a clinical ethics support service: Lessons from the first 18 months of a new Australian service. BMC Medical Ethics, 24(1), 62. https:\/\/doi.org\/10.1186\/s12910-023-00942-9","journal-title":"BMC Medical Ethics"},{"issue":"6","key":"9613_CR33","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1001\/virtualmentor.2013.15.6.msoc1-1306","volume":"15","author":"AM Hughes","year":"2013","unstructured":"Hughes, A. M., & Salas, E. (2013). Hierarchical medical teams and the science of teamwork. Virtual Mentor,15(6), 529\u2013533. https:\/\/doi.org\/10.1001\/virtualmentor.2013.15.6.msoc1-1306","journal-title":"Virtual Mentor"},{"issue":"3","key":"9613_CR34","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1007\/s11019-018-09882-3","volume":"22","author":"G Inguaggiato","year":"2019","unstructured":"Inguaggiato, G., Metselaar, S., Porz, R., & Widdershoven, G. (2019). A pragmatist approach to clinical ethics support: Overcoming the perils of ethical pluralism. Medicine, Health Care and Philosophy, 22(3), 427\u2013438. https:\/\/doi.org\/10.1007\/s11019-018-09882-3","journal-title":"Medicine Health Care and Philosophy"},{"issue":"7","key":"9613_CR35","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1136\/medethics-2015-103266","volume":"42","author":"N Irmak","year":"2016","unstructured":"Irmak, N. (2016). Right to refuse treatment in Turkey: A diagnosis and a slightly less than modest proposal for reform. Journal of Medical Ethics, 42(7), 435\u2013438. https:\/\/doi.org\/10.1136\/medethics-2015-103266","journal-title":"Journal of Medical Ethics"},{"issue":"8","key":"9613_CR36","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1177\/0969733014557115","volume":"22","author":"RMJPA Janssens","year":"2015","unstructured":"Janssens, R. M. J. P. A., van Zadelhoff, E., van Loo, G., Widdershoven, G. A., & Molewijk, B. A. C. (2015). Evaluation and perceived results of moral case deliberation. Nursing Ethics, 22(8), 870\u2013880. https:\/\/doi.org\/10.1177\/0969733014557115","journal-title":"Nursing Ethics"},{"key":"9613_CR37","doi-asserted-by":"publisher","unstructured":"Jox, R., & Reiter-Theil, S. (2022). Historical development of clinical ethics consultation in Europe. In K. Wasson, & M. Kuczewski (Eds.), Thorny Issues in Clinical Ethics Consultation (pp. 47\u201354). Springer. https:\/\/doi.org\/10.1007\/978-3-030-91916-0_6","DOI":"10.1007\/978-3-030-91916-0_6"},{"issue":"6","key":"9613_CR38","doi-asserted-by":"publisher","first-page":"1081","DOI":"10.3906\/sag-1009-1171","volume":"41","author":"FG Kad\u0131o\u011flu","year":"2011","unstructured":"Kad\u0131o\u011flu, F. G., Can, R., Okuyaz, S., Yal\u00e7\u0131n, S. \u00d6., & Kad\u0131o\u011flu, N. S. (2011). Physicians\u2019 attitudes toward clinical ethics consultation: A research study from Turkey. Turkish Journal of Medical Sciences, 41(6), 1081\u20131090. https:\/\/doi.org\/10.3906\/sag-1009-1171","journal-title":"Turkish Journal of Medical Sciences"},{"issue":"3","key":"9613_CR39","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1177\/13674935231196197","volume":"27","author":"C Kanaris","year":"2023","unstructured":"Kanaris, C. (2023). Mind the power gap: How hierarchical leadership in healthcare is a risk to patient safety. Journal of Child Health Care, 27(3), 319\u2013322. https:\/\/doi.org\/10.1177\/13674935231196197","journal-title":"Journal of Child Health Care"},{"key":"9613_CR40","unstructured":"Karl\u0131kaya, E. (2007). Etik kons\u00fcltasyon\/dan\u0131\u015fmanl\u0131k konusunda kliniklerde \u00e7al\u0131\u015fan sa\u011fl\u0131k g\u00f6revlilerinin tutum ve beklentileri [Attitudes and expectations of healthcare professionals working in clinics regarding ethics consultation\/counseling] [Unpublished specialization thesis]. Istanbul University. Retrieved January 15, 2026, from https:\/\/tez.yok.gov.tr\/UlusalTezMerkezi\/tezDetay.jsp?id=4kkKPenLi34ZHvtpICqrUA&no=5_43AZ6wysQ3exWzTfWBsw"},{"issue":"10","key":"9613_CR41","doi-asserted-by":"publisher","first-page":"1294","DOI":"10.1097\/CCM.0000000000005940","volume":"51","author":"N Kok","year":"2023","unstructured":"Kok, N., Zegers, M., Teerenstra, S., Fuchs, M., van der Hoeven, J. G., van Gurp, J. L. P., & Hoedemaekers, C. W. E. (2023). Effect of structural moral case deliberation on burnout symptoms, moral distress, and team climate in ICU professionals: A parallel cluster randomized trial. Critical Care Medicine,51(10), 1294\u20131305. https:\/\/doi.org\/10.1097\/CCM.0000000000005940","journal-title":"Critical Care Medicine"},{"issue":"3","key":"9613_CR42","doi-asserted-by":"publisher","first-page":"676","DOI":"10.1007\/s11096-024-01854-3","volume":"47","author":"M Kruijtbosch","year":"2025","unstructured":"Kruijtbosch, M., Floor-Schreudering, A., van Leeuwen, E., & Bouvy, M. L. (2025). Fostering moral reflectivity in community pharmacists through moral case deliberation using the dilemma method. International Journal of Clinical Pharmacy,47(3), 676\u2013687. https:\/\/doi.org\/10.1007\/s11096-024-01854-3","journal-title":"International Journal of Clinical Pharmacy"},{"key":"9613_CR43","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1111\/j.1467-9329.2005.00271.x","volume":"18","author":"M Lacewing","year":"2005","unstructured":"Lacewing, M. (2005). Emotional self-awareness and ethical deliberation. Ratio, 18, 65\u201381. https:\/\/doi.org\/10.1111\/j.1467-9329.2005.00271.x","journal-title":"Ratio"},{"issue":"5","key":"9613_CR44","doi-asserted-by":"publisher","first-page":"730","DOI":"10.1177\/09697330231183085","volume":"30","author":"S Metselaar","year":"2023","unstructured":"Metselaar, S., & Molewijk, B. (2023). Fostering moral resilience through moral case deliberation. Nursing Ethics, 30(5), 730\u2013745. https:\/\/doi.org\/10.1177\/09697330231183085","journal-title":"Nursing Ethics"},{"issue":"2","key":"9613_CR45","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1136\/jme.2006.018580","volume":"34","author":"AC Molewijk","year":"2008","unstructured":"Molewijk, A. C., Abma, T., Stolper, M., & Widdershoven, G. (2008). Teaching ethics in the clinic. The theory and practice of moral case deliberation. Journal of Medical Ethics, 34(2), 120\u2013124. https:\/\/doi.org\/10.1136\/jme.2006.018580","journal-title":"Journal of Medical Ethics"},{"issue":"7","key":"9613_CR46","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1111\/j.1467-8519.2011.01914.x","volume":"25","author":"B Molewijk","year":"2011","unstructured":"Molewijk, B., Kleinlugtenbelt, D., & Widdershoven, G. (2011). The role of emotions in moral case deliberation: Theory, practice, and methodology. Bioethics, 25(7), 383\u2013393. https:\/\/doi.org\/10.1111\/j.1467-8519.2011.01914.x","journal-title":"Bioethics"},{"issue":"1","key":"9613_CR47","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1086\/733393","volume":"36","author":"K Murdoch","year":"2025","unstructured":"Murdoch, K. (2025). Hindering or helping: Discussing patient participation in clinical ethics support service deliberation. Journal of Clinical Ethics, 36(1), 9\u201315. https:\/\/doi.org\/10.1086\/733393","journal-title":"Journal of Clinical Ethics"},{"issue":"3","key":"9613_CR48","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1258\/ce.2009.009022","volume":"4","author":"G Neitzke","year":"2009","unstructured":"Neitzke, G. (2009). Patient involvement in clinical ethics services: From access to participation and membership. Clinical Ethics, 4(3), 146\u2013151. https:\/\/doi.org\/10.1258\/ce.2009.009022","journal-title":"Clinical Ethics"},{"issue":"3","key":"9613_CR49","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1258\/ce.2009.009019","volume":"4","author":"AJ Newson","year":"2009","unstructured":"Newson, A. J. (2009). The role of patients in clinical ethics support: A snapshot of practices and attitudes in the United Kingdom. Clinical Ethics,4(3), 139\u2013145. https:\/\/doi.org\/10.1258\/ce.2009.009019","journal-title":"Clinical Ethics"},{"issue":"3","key":"9613_CR50","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1258\/ce.2009.009015","volume":"4","author":"AJ Newson","year":"2009","unstructured":"Newson, A. J., Neitzke, G., & Reiter-Theil, S. (2009). The role of patients in European clinical ethics consultation. Clinical Ethics,4(3), 109\u2013110. https:\/\/doi.org\/10.1258\/ce.2009.009015","journal-title":"Clinical Ethics"},{"key":"9613_CR51","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511840715","volume-title":"Upheavals of thought: The intelligence of emotions","author":"MC Nussbaum","year":"2001","unstructured":"Nussbaum, M. C. (2001). Upheavals of thought: The intelligence of emotions. Cambridge University Press. https:\/\/doi.org\/10.1017\/CBO9780511840715"},{"key":"9613_CR52","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1111\/1468-5914.00135","volume":"30","author":"D Pizarro","year":"2000","unstructured":"Pizarro, D. (2000). Nothing more than feelings? The Role of Emotions in moral judgment. Journal for the Theory of Social Behaviour, 30, 355\u2013375. https:\/\/doi.org\/10.1111\/1468-5914.00135","journal-title":"Journal for the Theory of Social Behaviour"},{"issue":"7","key":"9613_CR53","doi-asserted-by":"publisher","first-page":"856","DOI":"10.1177\/0146167213484769","volume":"39","author":"HM Rasinski","year":"2013","unstructured":"Rasinski, H. M., Geers, A. L., & Czopp, A. M. (2013). I guess what he said wasn\u2019t that bad. Personality and Social Psychology Bulletin, 39(7), 856\u2013869. https:\/\/doi.org\/10.1177\/0146167213484769","journal-title":"Personality and Social Psychology Bulletin"},{"issue":"06","key":"9613_CR54","doi-asserted-by":"publisher","first-page":"390","DOI":"10.4236\/ojn.2018.86031","volume":"8","author":"D Rasoal","year":"2018","unstructured":"Rasoal, D. (2018). Concept clarification of moral case deliberation. Open Journal of Nursing, 8(06), 390\u2013403. https:\/\/doi.org\/10.4236\/ojn.2018.86031","journal-title":"Open Journal of Nursing"},{"issue":"8","key":"9613_CR55","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1177\/0969733015583928","volume":"23","author":"D Rasoal","year":"2016","unstructured":"Rasoal, D., Kihlgren, A., James, I., & Svantesson, M. (2016). What healthcare teams find ethically difficult. Nursing Ethics, 23(8), 825\u2013837. https:\/\/doi.org\/10.1177\/0969733015583928","journal-title":"Nursing Ethics"},{"issue":"4","key":"9613_CR56","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1007\/s10730-017-9325-4","volume":"29","author":"D Rasoal","year":"2017","unstructured":"Rasoal, D., Skovdahl, K., Gifford, M., & Kihlgren, A. (2017). Clinical ethics support for healthcare personnel: An integrative literature review. HEC Forum,29(4), 313\u2013346. https:\/\/doi.org\/10.1007\/s10730-017-9325-4","journal-title":"HEC Forum"},{"issue":"3","key":"9613_CR57","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1023\/a:1025973902447","volume":"6","author":"S Reiter-Theil","year":"2003","unstructured":"Reiter-Theil, S. (2003). Balancing the perspectives. The patient\u2019s role in clinical ethics consultation. Medicine Health Care and Philosophy, 6(3), 247\u2013254. https:\/\/doi.org\/10.1023\/a:1025973902447","journal-title":"Medicine Health Care and Philosophy"},{"issue":"4","key":"9613_CR58","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1007\/s10730-007-9047-0","volume":"19","author":"G Richter","year":"2007","unstructured":"Richter, G. (2007). Greater patient, family and surrogate involvement in clinical ethics consultation: The model of clinical ethics liaison service as a measure for preventive ethics. HEC Forum, 19(4), 327\u2013340. https:\/\/doi.org\/10.1007\/s10730-007-9047-0","journal-title":"Hec Forum"},{"issue":"11","key":"9613_CR59","doi-asserted-by":"publisher","first-page":"877","DOI":"10.1136\/jme-2022-108671","volume":"48","author":"V Sanchini","year":"2022","unstructured":"Sanchini, V., Crico, C., Casali, P. G., & Pravettoni, G. (2022). Measuring the impact of clinical ethics support services: Further points for consideration. Journal of Medical Ethics, 48(11), 877\u2013878. https:\/\/doi.org\/10.1136\/jme-2022-108671","journal-title":"Journal of Medical Ethics"},{"key":"9613_CR60","doi-asserted-by":"publisher","DOI":"10.1177\/003329412513305","author":"TL Sonnentag","year":"2025","unstructured":"Sonnentag, T. L., Wadian, T. W., & Wolfson, M. J. (2025). Promoting individuals\u2019 intentions to be a moral rebel by confronting their compliance with morally compromising situations. Psychological Reports. https:\/\/doi.org\/10.1177\/003329412513305","journal-title":"Psychological Reports"},{"issue":"2","key":"9613_CR61","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1177\/14777509211011424","volume":"17","author":"B Spronk","year":"2022","unstructured":"Spronk, B., Widdershoven, G., & Alma, H. (2022). The role of emotions in moral case deliberation: Visions and experiences of facilitators. Clinical Ethics,17(2), 161\u2013171. https:\/\/doi.org\/10.1177\/14777509211011424","journal-title":"Clinical Ethics"},{"issue":"3","key":"9613_CR62","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1023\/a:1025928617468","volume":"6","author":"N Steinkamp","year":"2003","unstructured":"Steinkamp, N., & Gordijn, B. (2003). Ethical case deliberation on the ward. A comparison of four methods. Medicine, Health Care and Philosophy, 6(3), 235\u2013246. https:\/\/doi.org\/10.1023\/a:1025928617468","journal-title":"Medicine Health Care and Philosophy"},{"issue":"3\u20134","key":"9613_CR63","first-page":"53","volume":"23","author":"M Stolper","year":"2012","unstructured":"Stolper, M., Metselaar, S., Molewijk, B., & Widdershoven, G. (2012). Moral case deliberation in an academic hospital in the Netherlands. Tensions between theory and practice. Journal International de Bio\u00e9thique, 23(3\u20134), 53\u201366.","journal-title":"Journal International de Bio\u00e9thique"},{"issue":"1","key":"9613_CR64","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1007\/s10730-014-9251-7","volume":"27","author":"M Stolper","year":"2015","unstructured":"Stolper, M., Molewijk, B., & Widdershoven, G. (2015). Training health care professionals to become facilitator of moral case deliberation. Hec Forum, 27(1), 47\u201359. https:\/\/doi.org\/10.1007\/s10730-014-9251-7","journal-title":"Hec Forum"},{"issue":"1","key":"9613_CR65","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1186\/s12910-016-0125-1","volume":"17","author":"M Stolper","year":"2016","unstructured":"Stolper, M., Molewijk, B., & Widdershoven, G. (2016). Bioethics education in clinical settings: Theory and practice of the dilemma method of moral case deliberation. BMC Medical Ethics, 17(1), 45. https:\/\/doi.org\/10.1186\/s12910-016-0125-1","journal-title":"BMC Medical Ethics"},{"issue":"2","key":"9613_CR66","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1177\/0969733017700235","volume":"25","author":"M Svantesson","year":"2018","unstructured":"Svantesson, M., Sil\u00e9n, M., & James, I. (2018). It\u2019s not all about moral reasoning: Understanding the content of Moral Case Deliberation. Nursing Ethics, 25(2), 212\u2013229. https:\/\/doi.org\/10.1177\/0969733017700235","journal-title":"Nursing Ethics"},{"issue":"4","key":"9613_CR67","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1016\/0002-9343(92)90261-9","volume":"92","author":"JA Tulsky","year":"1992","unstructured":"Tulsky, J. A., & Lo, B. (1992). Ethics consultation: Time to focus on patients. The American Journal of Medicine,92(4), 343\u2013345. https:\/\/doi.org\/10.1016\/0002-9343(92)90261-9","journal-title":"The American Journal of Medicine"},{"issue":"2","key":"9613_CR68","doi-asserted-by":"publisher","first-page":"325","DOI":"10.5750\/ejpch.v7i2.1673","volume":"7","author":"ML Vang","year":"2019","unstructured":"Vang, M. L., Andersen, A. H., Hendricks, O., Handberg, G., Illes, Z. L., & Roessler, K. K. (2019). Patient-centeredness in the 21st century. European Journal for Person Centered Healthcare, 7(2), 325\u2013333. https:\/\/doi.org\/10.5750\/ejpch.v7i2.1673","journal-title":"European Journal for Person Centered Healthcare"},{"issue":"7","key":"9613_CR69","doi-asserted-by":"publisher","first-page":"436","DOI":"10.1177\/0885066614538389","volume":"30","author":"LP Voigt","year":"2014","unstructured":"Voigt, L. P., Rajendram, P., Shuman, A. G., Kamat, S., McCabe, M. S., Kostelecky, N., Pastores, S. M., & Halpern, N. A. (2014). Characteristics and outcomes of ethics consultations in an oncologic intensive care unit. Journal of Intensive Care Medicine,30(7), 436\u2013442. https:\/\/doi.org\/10.1177\/0885066614538389","journal-title":"Journal of Intensive Care Medicine"},{"issue":"7","key":"9613_CR70","doi-asserted-by":"publisher","first-page":"2619","DOI":"10.1007\/s10508-020-01762-3","volume":"49","author":"LJJJ Vrouenraets","year":"2020","unstructured":"Vrouenraets, L. J. J. J., Hartman, L. A., Hein, I. M., de Vries, A. L. C., de Vries, M. C., & Molewijk, B. A. C. (2020). Dealing with moral challenges in treatment of transgender children and adolescents: Evaluating the role of moral case deliberation. Archives of Sexual Behavior,49(7), 2619\u20132634. https:\/\/doi.org\/10.1007\/s10508-020-01762-3","journal-title":"Archives of Sexual Behavior"},{"issue":"2","key":"9613_CR71","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1007\/s10730-012-9193-x","volume":"25","author":"FR Ward","year":"2013","unstructured":"Ward, F. R. (2013). Evaluating parents\u2019 perspectives of pediatric ethics consultation. HEC Forum, 25(2), 183\u2013189. https:\/\/doi.org\/10.1007\/s10730-012-9193-x","journal-title":"Hec Forum"},{"issue":"3","key":"9613_CR72","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1007\/s10730-011-9157-6","volume":"23","author":"FC Weidema","year":"2011","unstructured":"Weidema, F. C., Abma, T. A., Widdershoven, G. A. M., & Molewijk, A. C. (2011). Client participation in moral case deliberation: A precarious relational balance. HEC Forum,23(3), 207\u2013224. https:\/\/doi.org\/10.1007\/s10730-011-9157-6","journal-title":"HEC Forum"},{"issue":"6","key":"9613_CR73","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1177\/0969733012473773","volume":"20","author":"FC Weidema","year":"2013","unstructured":"Weidema, F. C., Molewijk, B. A., Kamsteeg, F., & Widdershoven, G. A. (2013). Aims and harvest of moral case deliberation. Nursing Ethics, 20(6), 617\u2013631. https:\/\/doi.org\/10.1177\/0969733012473773","journal-title":"Nursing Ethics"},{"issue":"4","key":"9613_CR74","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1111\/j.1467-8519.2009.01712.x","volume":"23","author":"G Widdershoven","year":"2009","unstructured":"Widdershoven, G., Abma, T., & Molewijk, B. (2009). Empirical ethics as dialogical practice. Bioethics, 23(4), 236\u2013248. https:\/\/doi.org\/10.1111\/j.1467-8519.2009.01712.x","journal-title":"Bioethics"},{"key":"9613_CR75","unstructured":"Wilkinson, D. (2020). Must clinical ethics committees involve patients or families in their meetings? Practical Ethics. Retrieved January 15, 2026, from https:\/\/blog.uehiro.ox.ac.uk\/2020\/08\/must-clinical-ethics-committees-involve-patients-or-families-in-their-meetings\/"},{"issue":"5","key":"9613_CR76","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1136\/jme.2007.021634","volume":"34","author":"L Williamson","year":"2008","unstructured":"Williamson, L. (2008). The quality of bioethics debate: Implications for clinical ethics committees. Journal of Medical Ethics, 34(5), 357\u2013360. https:\/\/doi.org\/10.1136\/jme.2007.021634","journal-title":"Journal of Medical Ethics"},{"issue":"4","key":"9613_CR77","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1080\/23294515.2015.1127295","volume":"7","author":"LD Wocial","year":"2016","unstructured":"Wocial, L. D., Molnar, E., & Ott, M. A. (2016). Values, quality, and evaluation in ethics consultation. AJOB Empirical Bioethics, 7(4), 227\u2013234. https:\/\/doi.org\/10.1080\/23294515.2015.1127295","journal-title":"AJOB Empirical Bioethics"}],"container-title":["HEC Forum"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10730-026-09613-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10730-026-09613-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10730-026-09613-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:30:50Z","timestamp":1789569050000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10730-026-09613-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":77,"alternative-id":["9613"],"URL":"https:\/\/doi.org\/10.1007\/s10730-026-09613-9","relation":{},"ISSN":["0956-2737","1572-8498"],"issn-type":[{"value":"0956-2737","type":"print"},{"value":"1572-8498","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"assertion":[{"value":"22 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing Interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}