A just culture is regarded as vital for learning from errors and fostering patient safety. Key to a after incidents focus on rather than blaming. Existing research mostly theoretical in nature.This study aims explore requirements challenges within healthcare organizations.We examined initiatives foster the development of five organizations Netherlands. Data were collected through interviews with stakeholders observations project group meetings organizations.According professionals, open...

Moral competence is important for soldiers who have to deal with complex moral dilemmas in practice. However, openly dealing and showing not always easy within the culture of a military organization. In this article, based on analysis experiences during train trainer course ethics, we will describe tensions between personal values one hand challenges related other hand. We explain these by elaborating various aspects organization, such as being soldier, group bonding, uniformity, hierarchy,...

In any organization, a restorative just culture and learning from incidents are key to improving organizational safety. The focus of is not on determining right or wrong, but repairing (restoring) an occurrence, by bringing both culprits the people affected occurrence together collectively answer question what do next. However, competitive hierarchical can make such openness difficult. Little be found in literature complexities fostering predominantly retributive setting. This article...

The social inclusion of military women is negatively affected by dominant masculine norms. Often, organizations try to promote through top-down policies. However, little known about solutions personnel themselves propose, and what needed implement those. Drawing on an action research project in the Netherlands Armed Forces, we identify four systemic collaborative requirements initiatives aimed at improving inclusion: (a) awareness recognition women’s (negative) experiences, (b) a safe...

Ethics training has become a common phenomenon in the of military professionals at all levels. However, perceived outcomes this remain open. In article, we analyze experiences course participants who were interviewed 6–12 months after they had participated train-the-trainer ethics developed by Faculty Military Sciences Netherlands Defence Academy. Through qualitative inductive analysis, it is shown how evaluate training, perceive development their moral competence, and see impact on own practice.

A just culture is considered a promising way to improve patient safety and working conditions in the healthcare sector, as such also of relevance regulators who are tasked with monitoring overseeing quality care. The objective current study explore experiences organisations regarding role inspectorate enabling culture. Qualitative using interviews focus groups that were transcribed verbatim, observations which written reports made. Transcripts observation thematically analysed. Three mental...

The field of personal health monitoring (PHM) develops rapidly in different contexts, including the armed forces. Understanding ethical dimension this type is key to a morally responsible development, implementation and usage PHM within Research on ethics has primarily been carried out civilian settings, while forces remains understudied. Yet, military personnel by design takes place setting than civilians, because their tasks context which they operate. This case study therefore focusses...

How can ethical decision-making in organizations be further reinforced? This article explores the relevance of Michel Foucault's ideas on art-of-living for ethics education organizations. First, we present a theoretical analysis work Foucault as well two philosophers who greatly influenced his work, Friedrich Nietzsche and Pierre Hadot. Next, illustrate how applied education. In order to examine some benefits challenges applying practice education, discuss an example concept has been used...

Abstract Background Sexual boundary violations (SBV) in healthcare are harmful and exploitative sexual transgressions the professional–client relationship. Persons with mental health issues or intellectual disabilities, especially those living residential settings, vulnerable to SBV because they often receive long-term intimate care. Promoting good preventing these care contexts is a moral practical challenge for organizations. Methods We carried out qualitative interview study 16 Dutch...

Background: This article presents a set of quality characteristics clinical ethics support (CES) in the Netherlands.Methods: The were developed with large group stakeholders working CES, participating Dutch Network for Clinical Ethics Support (NEON).Results: concern following domains: (1) goals (2) methods (3) competences CES practitioners, and (4) implementation CES. Conclusions: We discuss suggestions how to use characteristics, some aspects that stand out about these reflect on method...

Abstract Studying and discussing boundary violations between people is important for potentially averting future harm. Organizations typically respond to in retributive ways, by punishing the perpetrator. Interestingly, prior research has largely ignored impact of sexual dynamics on teams. This problematic as teams provide an obvious setting not only detect discuss troubling behavior peers, but also learning how prevent Therefore, this study we explore team-level experiences regarding...

There is considerable support for the idea that an atmosphere of safety can foster learning in groups, especially during ethics training courses. However, question how dynamics works courses still understudied. This article aims to investigate by examining a critical incident military train-the trainer course which was threatened. We examine this means four-factor analysis model from field Theme-Centered Interaction (TCI). show paradox occur, involving tension between honesty and openness...

Various forms of Clinical Ethics Support (CES) have been developed in health care organizations. Over the past years, increasing attention has paid to question how foster quality ethics support. In Netherlands, a CES assessment project based on responsive evaluation design implemented. practitioners themselves reflected upon support within each other's This study presents qualitative this Responsive Quality Assessment (RQA) project.CES practitioners' experiences with and perspectives RQA...

Over the last decade, moral injury in armed forces has captured attention of mental health care providers, policy makers and general public. Military organizations endeavor to prevent reduce among their personnel minimize tremendous costs incurred on military readiness, government budgets well-being soldiers. This is reflected training programs that promise deliver readiness mitigate risks problems. Our concern by focusing "resilience" as positive language, complexities situations, including...

The prevalence of Clinical ethics support (CES) services is increasing. Yet, questions about what quality CES entails and how to foster the remain. This paper describes development a national network (NEON), which aimed conceptualize in Netherlands simultaneously. Our methodology was inspired by responsive evaluation approach shares some our key theoretical presuppositions CES. A engages stakeholders developing standards certain practice, instead evaluating practice predefined standards. In...

Fit and healthy military personnel are the basis for a strong organization good health care is essential to ensure service people's deployability. This applies equally female-specific (FSH). Quality can help not only recruit but also retain more women in military. However, as there lack of empirical studies focusing on women's experiences with FSH, this study explores female personnel's FSH Netherlands Armed Forces (NAF), including conditions such menstruation, pregnancy, menopause order...

Dealing with soldier enhancement can be challenging for military physicians. As research on the ethics of is mostly theoretical, this study aims to gain insights into actual moral issues physicians encounter, or expect encounter. To that end, we carried out a qualitative involving six focus groups Dutch (n = 28) in operational roles. The participants voiced their concerns about concerning enhancement. Based group discussions, and using inductive thematic analysis, ascertained three major...

In any organization, a restorative just culture and learning from incidents are key to improving organizational safety. The focus of is not on determining right or wrong, but repairing (restoring) an occurrence, by bringing both culprits the people affected occurrence together collectively answer question what do next. However, competitive hierarchical can make such openness difficult. Little be found in literature complexities fostering predominantly retributive setting. This article...