The discovery of deliberation. From ambiguity to appreciation through the learning process of doing Moral Case Deliberation in Dutch elderly care

► Moral Case Deliberation (MCD) reflects a trend toward collective, deliberative ethical reflection in everyday practice. ► MCD is currently introduced in an increasing number of Dutch health care organizations, including elderly care. ► MCD projects in 2 elderly care organizations (2006-2012) brought about a learning process with a crucial role for doing MCD. ► Health care practitioners become motivated for MCD when they develop competencies and experience benefits.