Ethics support services like Moral Case Deliberation (MCD) intend to support healthcare professionals in ethically difficult situations. To assess outcomes of MCD, the Euro-MCD Instrument has been developed. Field studies to test this instrument are needed and have been conducted, examining important outcomes before MCD participation and experienced outcomes. The current study aimed to (1) describe how participants’ perceive the importance of MCD outcomes after MCD; (2) compare these perceptions with those before MCD participation; and (3) test the factor structure of these outcomes. Swedish, Norwegian and Dutch healthcare professionals rated the importance of outcomes in the Euro-MCD Instrument after four and eight MCDs. Ratings were compared with those before MCD participation using paired and independent samples t-tests. The factor structure was tested using exploratory factor analyses. After 4 and 8 MCDs, 443 respectively 247 respondents completed the instrument. More than 69% rated all MCD outcomes as ‘quite’ or ‘very’ important, especially outcomes from Enhanced Collaboration, Improved Moral Reflexivity and Improved Moral Attitude. Significant differences for 16 outcomes regarding ratings before and after MCD participation were not considered meaningful. Factor analyses suggested three categories, which seemingly resemble the domains Improved Moral Reflexivity, Enhanced Collaboration and a combination of Improved Moral Attitude and Enhanced Emotional Support. After participation in MCDs, respondents confirmed the importance of outcomes in the Euro-MCD Instrument. The question on perceived importance and the categorization of outcomes need reconsideration. The revised instrument will be presented elsewhere, based on all field studies and theoretical reflections.

道德案例审议 (MCD) 等道德支持服务旨在支持医疗保健专业人员在道德困难的情况下。为了评估 MCD 的结果，已经开发了 Euro-MCD 工具。需要并且已经进行了现场研究来测试该工具，在 MCD 参与之前检查重要结果和经验结果。目前的研究旨在 (1) 描述参与者如何看待 MCD 后 MCD 结果的重要性；(2) 将这些看法与参加 MCD 之前的看法进行比较；(3) 检验这些结果的因素结构。瑞典、挪威和荷兰的医疗保健专业人员在四个和八个 MCD 之后评估了 Euro-MCD 工具中结果的重要性。使用配对和独立样本 t 检验将评级与参与 MCD 之前的评级进行比较。使用探索性因子分析测试因子结构。在 4 次和 8 次 MCD 之后，分别有 443 和 247 名受访者完成了该工具。超过 69% 的人将所有 MCD 成果评为“相当”或“非常”重要，尤其是增强协作、改进道德反思和改进道德态度的成果。参与 MCD 之前和之后的 16 项结果的显着差异被认为没有意义。因素分析提出了三个类别，它们似乎类似于改进的道德反思、增强的协作以及改进的道德态度和增强的情感支持的组合。参与 MCD 后，受访者确认了 Euro-MCD 工具中结果的重要性。关于感知重要性和结果分类的问题需要重新考虑。