200 Summary Content of moral dilemmas experienced by prison staff In Chapter 2 we present an overview of the themes of the self-experiencedmoral dilemmas of prison staff from all professional disciplines, to gain insight into what types of morally challenging situations prison staff encounter. The dilemmas were expressed during teambased MCD sessions, where participants were invited, by both the facilitator and the conversation method, to present their morally challenging experience(s) from practice. We noticed how all professional disciplines of prison staff encounter a wide range of moral dilemmas. These dilemmas emerge in and between all organizational levels. Our thematic content analyses of 154 moral dilemmas showed the following themes: security risks, working with prisoners, integrity, good employment practices, compliance with top-down vision, deviating from protocol, addressing work climate, mutual coordination, and professional conduct. Each theme contains sub-themes that show the experienced dilemmas in more detail. Challenges regarding ‘security’ inside the prison and ‘cooperation between colleagues’ were frequently mentioned. Many dilemmas were related to ‘conforming and deviating’ from protocol or superiors’ decisions. Some themes showed an over- or underrepresentation of a specific function group of staff. For example, the case managers of the re-integration services had many dilemmas about task prioritization and coordination with colleagues. While, within all professional disciplines, we noticed that not many dilemmas were about reintegration issues of the prisoners. The moral dilemma formulations were often based on frustrations (i.e., negative normative judgments) toward colleagues or the organization. Sometimes staff expressed that they were convinced they knew the right action(s) to take, but they felt restricted to act accordingly; therefore, experiencing a lack of ‘freedom of action’. The broad range of themes and moral dilemmas experienced by prison staff suggests that ethics support can indeed be helpful to facilitate prison staff in dealing with the moral challenges they daily encounter. Evaluation of MCD by prison staff In Chapter 3 we present results from the MCD evaluation forms of participants and facilitators of 131 MCD sessions, to find out how prison staff experienced MCD. We evaluated both the single MCD sessions and the series of MCD sessions. We used three different evaluation questionnaires. A questionnaire for MCD participants (Appendix 3) and for MCD facilitators (Appendix 4) which they answered immediately after an MCD session, and an evaluation questionnaire for solely for MCD participants (Appendix 5) they answered after the series of MCD. These questionnaires consisted of closed and open-ended items. In our analyses, specific attention was given to the conversation method (i.e., dilemma method), the dialogue among participants, the role
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