The prevalence of Clinical ethics support (CES) services is increasing. Yet, questions about what quality of CES entails and how to foster the quality of CES remain. This paper describes the development of a national network (NEON), which aimed to conceptualize and foster the quality of CES in the Netherlands simultaneously. Our methodology was inspired by a responsive evaluation approach which shares some of our key theoretical presuppositions of CES. A responsive evaluation methodology engages stakeholders in developing quality standards of a certain practice, instead of evaluating a practice by predefined standards. In this paper, we describe the relationship between our theoretical viewpoint on CES and a responsive evaluation methodology. Then we describe the development of the network (NEON) and focus on three activities that exemplify our approach. In the discussion, we reflect on the similarities and differences between our approach and other international initiatives focusing on the quality of CES.

中文翻译：

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通过荷兰国家 CES 网络 (NEON) 概念化和提高 CES 的质量

临床伦理支持 (CES) 服务的普及率正在增加。然而，关于 CES 的质量需要什么以及如何提高 CES 质量的问题仍然存在。本文描述了国家网络 (NEON) 的发展，旨在同时概念化和促进荷兰 CES 的质量。我们的方法受到响应式评估方法的启发，该方法共享我们对 CES 的一些关键理论预设。响应式评估方法让利益相关者参与制定特定实践的质量标准，而不是按照预先定义的标准评估实践。在本文中，我们描述了我们对 CES 的理论观点与响应式评估方法之间的关系。然后，我们描述了网络 (NEON) 的发展，并重点介绍了体现我们方法的三个活动。在讨论中，我们反思了我们的方法与其他关注 CES 质量的国际倡议之间的异同。