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A Framework for Ethical Decision Making.

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Information about A Framework for Ethical Decision Making.
Spiritual-Inspirational

Published on December 30, 2008

Author: aSGuest8448

Source: authorstream.com

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A Framework for Ethical Decision Making : A Framework for Ethical Decision Making Presented by : Presented by Nyla McCarthy, President Catalysts for Change Consulting 1460 Evergreen Ave NE Salem, Or 97301 Email: nyla@teleport.com Website: www.nylamccarthy.net Materials copyrighted. Please contact me for usage. The Framework Overview : The Framework Overview Step One: Describe the problem Step Two: Determine whether there is an ethical issue or an ethical dilemma Step Three: Identify and rank the key values and principles Step Four: Gather your information The Framework, continued : The Framework, continued Step Five: Review any applicable Code of Ethics Step Six: Determine the options Step Seven: Select a course of action The Framework, continued : The Framework, continued Step Eight: Put your plan into action. Step Nine: Evaluate the results Don’t forget! Step Ten: Submit cases to your ethical review team or board regularly for review Step One: Describe the Problem : Step One: Describe the Problem Ethical problems are always embedded in a context. Circumstances impact upon the problem definition (for whom does the problem exist? What is the setting?) Beware of the tendency to look toward the clinical or purely legal perspective for guidance. Step Two: Determine Whether There Is an Ethical Dilemma : Step Two: Determine Whether There Is an Ethical Dilemma “Dilemma”– greek origin di- two limos-horns, “Two horned” Step Two: Determine Whether There Is an Ethical Dilemma : Step Two: Determine Whether There Is an Ethical Dilemma X versus Y ____ versus ____ “good” versus “bad” options “good” versus “good” options “bad” versus “bad” options Step Two: Determine Whether There Is an Ethical Dilemma : Step Two: Determine Whether There Is an Ethical Dilemma Dilemma becomes ethical when the good or bad options seem to have a moral component (eg. confidentiality vs. prevention of harm, self determination vs. worker’s perception of client’s best interests, freedom vs. safety) Step Two: Determine Whether There Is an Ethical Dilemma : Step Two: Determine Whether There Is an Ethical Dilemma Terms of an ethical dilemma must be ethical in nature, not legal. If something is a law, you then have the ethical choice to follow the law or not. Step Two: Determine Whether There Is an Ethical Dilemma : Step Two: Determine Whether There Is an Ethical Dilemma If you find it easy to articulate the perceived best interest as being on one side, you might ask, “who determines what is in the best interest?” You? Courts? Client? Family? Remember, most individuals will probably perceive their own preferences as being in their own best interest. Step Three: Identify and Rank the Key Values and Principles : Step Three: Identify and Rank the Key Values and Principles What reasons can you provide for prioritizing one competing value over another? Understand that a resolution to a dilemma which goes against an individual’s personal set of values has very little chance of success. Step Four: Gather Your Information : Step Four: Gather Your Information Do you have all the known facts? Do you understand the applicable laws or legalities? Do you have all relevant policies available to review? Are you clear about the individual’s views and personal values? * Don’t hesitate to seek out consultation. Step Five: Review Any Applicable Code of Ethics : Step Five: Review Any Applicable Code of Ethics Not legal documents, but professionals are bound to tenets and can be sued for breach Look for the following: -- mission statement -- values base of the organization -- ethical principles to guide practice -- ethical standards Codes can be revised or updated as needed Step Five: Model Code : Step Five: Model Code The Napsa Code of Ethics is an excellent model. Let’s take a look….. Step Six: Determine the Options : Step Six: Determine the Options List all possible actionable options Weigh the cost/benefits of each option Seek out additional points of view Step Seven: Select a Course of Action : Step Seven: Select a Course of Action Discard the least desirable option. Discard any which you can not put into action. Discard any options which violate the values systems of those affected. Recognize that your final choice will be impacted by your personal values. Step Eight: Put Your Plan Into Action : Step Eight: Put Your Plan Into Action Reflect on the outcomes with a sense that you have truly approached this ethical dilemma with the best of intentions and to the best of your ability. Step Nine: Evaluate : Step Nine: Evaluate Evaluate the consequences for each person involved (client, family members, co-workers, agency, etc.) Consider submitting your most difficult cases to an ethics review board or peer consultants for feedback. Step Ten : Step Ten Discuss the case with your ethical review committee or board Don’t have one? Create one. Need help? Give me a call and we can design one which will work for you Activity : Activity Small group case study review Debrief Case Study Small Groups : Case Study Small Groups Select a recorder/reporter Read the case together Follow the framework steps as possible Discuss and define the primary ethical dilemma within each case Discuss the steps as a group Come up with a plan of action Present findings and discuss process The Bird in the Hand : The Bird in the Hand A new take on an old fable… Thank you! : Thank you!

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