Perceptions of important outcomes of moral case deliberations: a qualitative study among healthcare professionals in childhood cancer care

Abstract Background In childhood cancer care, healthcare professionals must deal with several difficult moral situations in clinical practice. Previous studies show that morally challenges are related to decisions on treatment limitations, infringing the child's integrity and growing autonomy, interprofessional conflicts. Research also shows have expressed a need for ethics support help them situations. Moral case deliberations (MCDs) one example of support. The aim this study was describe MCD-related outcomes care considered important, before MCDs were implemented, order facilitate implementation Sweden. Methods This is based qualitative data. Healthcare professionals, mostly representing registered nurses, nursing assistants physicians, working at centres Sweden, invited respond translated content validated European MCD Outcomes Instrument, participating regular MCDs. Answers main open-ended question, included questionnaire, analysed according systematic text condensation. Results Data collected from 161 responses professionals. professionals’ perceptions which they found important handling challenges. Three different themes analysis data presented as follows: Interprofessional well-being team interactions level; Professional comfort when dealing personal Improved quality child family level. Conclusions it could enhance teams, an individual level improve care. results can be used current future training MCD-facilitators. When knowing context specific MCD-outcomes, sessions adapted. Managers would benefit about their target group because then create relevant conditions