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Appendix A Database for Documentary Analysis of Parti Jean-Marc Larouche and Tim Flaherty INTRODUCTION Before conducting any empirical research through observation of a clinical team engaged in ethical deliberation, we decided to do a documentary analysis from which we could set a typology of the implicit ethics of three categories of professionals. The groups or categories of professionals considered are physicians,nurses and social workers—theprincipal professional players in the field of pediatric chronic care. It is our understanding that what lies behind values and decisions are most often implicit ethics rather than statements of explicit ethics. The goal of the documentary analysis was to clarify these typologies. Our database is the result of the documentary search and the source of the materials. OBJECTIVE Our initialobjective in forminga database was to provide a resource base for the project's documentary analysis. This resource base was to consist of a representative corpus of literature for each of the professions considered, from which we could draw out the indicators of values, attitudes , schemes of acting and decision making, whichform thedimension of our portraits of the ideal types. A second objectiveconsists in havinga database in electronic format available for further research in ongoing work in the dialogue in ethics for those both withinthe Saint Paul University Centre for Techno-Ethics and researchers from outside the University. 221 ETHICAL DELIBERATION IN MULTIPROFESSIONAL HEALTH CARE TEAMS METHODOLOGY A representative corpus of literature for each of the three professional groups—nurses, physicians and social workers—was compiled from medical databases and catalogues by searches using keywords such as "nurse," "physician" or "social worker" and "pediatrics, chronic illness ." From this list we consulted those sources available to us in the Ottawa and Montreal areas, and chose on this basis over 100 articles and texts for each of the professionsthat discuss their involvement in the field of pediatric chronic illness. These texts also included some broader and more general works on the professions and their practice. The selected texts were first read and notations made of the issues most often addressed and of the indicatorsof systems of valuing apparent in the writingsof the particular profession. A second reading noted indicators of an attitude or an approach toward each of the four specific ethical issues (autonomy, location of care, economics and decisionmaking), which helped form our analytical grid. The notations made in both readings are included in the ProCite database, the bibliographical database software we chose for this project. In addition, any abstracts were included and keywords indicating profession, ethical issue, specific disease or illness, institutional orientation or other related issues were added to make the database searchable for our needs. RESULTS We have three databases, Nurse (with 145 entries), Medicine (with 114 entries) and Social Worker (with 107 entries). The Nurse database is larger as it contains general works and methodological texts. Each entry in a database contains all bibliographical information on the texts read. In addition, notes on the content of the text, as well as quotations ofvarying length, have been included by the research team. These provided the information for the synthesis report, the sources cited in the report and additional corroborative information. There is a separate file containinga listing of the keywords to assist in database searches. The databases are in ProCite, a bibliographical database system that is searchable on multiple levels of fields individually or severally. It is located at the Saint Paul University Centre for TechnoEthics . 222 ...

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