Thesis

199 Summary ENGLISH SUMMARY The Dutch Custodial Institutions Agency (DCIA) started facilitating Moral Case Deliberation (MCD) for prison staff. MCD is a specific type of ethics support to help professionals in dealing with morally challenging situations from their practice. The instrument of MCD, and more specifically the at DCIA used dilemma method (see Appendix 2), offers a structured and dialogical approach in which professionals reflect upon and exchange views about a personally experienced moral dilemma. The group of professionals is guided by a trained MCD facilitator, who has no advisory role regarding the content. A facilitator helps to recognize moral dimensions of cases, fosters moral reasoning, and facilitates the dialogue among the participants. The joint reflections during MCD help professionals to find out what ‘good practice’ means in a specific situation. In recent years, knowledge of the evaluation and impact of MCD within health care contexts has increased, and the implementation of MCD broadened from health care to other contexts. In our research, we examined the value of MCD for prison staff and their moral craftsmanship at the DCIA. For the first time, nationally and internationally, MCD is structurally implemented and researched in the prison context. Thanks to the investments of DCIA in a training program for staff – called ‘craftsmanship’ – we were able to research MCD with prison staff. Among other elements, the programwas focused on the further development of the moral reflection and moral craftsmanship of Dutch prison staff. For our research, a total of 3 prison locations started using MCD in a regulated setting. We followed 16 teams that received a series of 10 MCD sessions per team within a oneand-a-half-year period. At these intervention locations, we combined the regulated MCD conditions with a responsive evaluation approach. Via our embedded mixed-method research, we analyzed the experiences of prison staff and of the involved 18 MCD facilitators. This provided insight into the moral dilemmas of prison staff, their evaluation of MCD, the impact of MCD on the moral craftsmanship of prison staff, the experienced outcomes of MCD, and the related moral learning process of prison staff. For our impactstudy, 3 prison locations additionally functioned as control group for our measurements; their staff did not participate in MCD sessions, or any other similar reflection instrument.

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