title: Managers' views on and experiences with moral case deliberation in nursing teams.
abstract: OBJECTIVE
  Providing management insights regarding moral case deliberation (MCD) from the experiential perspective of nursing managers.
  
  
  BACKGROUND
  MCD concerns systematic group-wise reflection on ethical issues. Attention to implementing MCD in health care is increasing, and managers' experiences regarding facilitating MCD's implementation have not yet been studied.
  
  
  METHODS
  As part of an empirical qualitative study on implementing MCD in mental health care, a responsive evaluation design was used. Using former research findings (iterative procedures), a managers' focus group was organised.
  
  
  RESULTS
  Managers appreciated MCD, fostering nurses' empowerment and critical reflection - according to managers, professional core competences. Managers found MCD a challenging intervention, resulting in dilemmas due to MCD's confidential and egalitarian nature. Managers value MCD's process-related outcomes, yet these are difficult to control/regulate.
  
  
  CONCLUSIONS
  MCD urges managers to reflect on their role and (hierarchical) position both within MCD and in the nursing team.
  
  
  CONCLUSIONS
  MCD is in line with transformative and participatory management, fostering dialogical interaction between management and nursing team.
authors.affiliation: VUmc, Department of Medical Humanities, Amsterdam/GGNet Engelbert Kreijnck Centre, Warnsveld, The Netherlands.
authors.forename: Froukje C
authors.initials: FC
authors.lastname: Weidema
authors.affiliation: VUmc, Department of Medical Humanities, Amsterdam, The Netherlands.
authors.forename: A C Bert
authors.initials: AC
authors.lastname: Molewijk
authors.affiliation: GGNet Engelbert Kreijnck Centre, Warnsveld, The Netherlands.
authors.forename: Frans
authors.initials: F
authors.lastname: Kamsteeg
authors.affiliation: VUmc, Department of Medical Humanities, Amsterdam, The Netherlands.
authors.forename: Guy A M
authors.initials: GA
authors.lastname: Widdershoven
mesh_terms: D002983:Clinical Competence; D017144:Focus Groups; D006801:Humans; D009014:Morals; D009718:Nurse Administrators / Q000523:psychology*; D009746:Nursing, Team / Q000941:ethics* / Q000458:organization & administration*; D011209:Power, Psychological; D036301:Qualitative Research
keywords: dialogue; implementation; moral case deliberation; participatory management; responsive evaluation