A qualitative study of the use of the four quadrant approach to assist ethical decision-making during deployment

2014 ◽  
Vol 160 (2) ◽  
pp. 196-202 ◽  
Author(s):  
Elizabeth M M Bernthal ◽  
R J Russell ◽  
H J A Draper
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Four Quadrant

Military health outreach on Exercise ASKARI SERPENT: a discussion of clinical and ethical challenges

2018 ◽  
Vol 165 (5) ◽  
pp. 346-350 ◽  
Author(s):  
Luke John Turner ◽  
D Wilkins ◽  
J I J A Woodhouse
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Challenges ◽  
Military Health ◽  
Post Hoc Analysis ◽  
Rural Kenya ◽  
Four Quadrant ◽  
Post Hoc ◽  
Universal Nature

Exercise ASKARI SERPENT (Ex AS) is an annual British Army medical exercise that sees the deployment of a medical regiment to rural Kenya. The exercise involves the delivery of health outreach clinics and health education to the civilian population alongside Kenyan governmental and non-governmental organisations. This article includes a post hoc analysis of the ethical and clinical challenges that clinicians faced during Ex AS, applying a four-quadrant approach to ethical decision-making. This article intends to stimulate further debate and discussion on how to best prepare clinicians for clinical challenges and ethical decision-making on future exercises and operations. We conclude that our experiences on Ex AS can provide an insight on how to develop predeployment training for clinicians. Furthermore, the universal nature of the challenges faced on Ex AS can be applied to training for future contingency operations.

A qualitative study investigating the ethical decision making process: A proposed model

2016 ◽  
Vol 27 (5) ◽  
pp. 788-801 ◽  
Author(s):  
Scott G. Heyler ◽  
Achilles A. Armenakis ◽  
Alan G. Walker ◽  
Donovan Y. Collier
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Decision Making Process ◽  
Proposed Model

scholarly journals Culture and Organizational Climate: Nurses’ Insights Into Their Relationship With Physicians

2009 ◽  
Vol 16 (6) ◽  
pp. 719-733 ◽  
Author(s):  
David Cruise Malloy ◽  
Thomas Hadjistavropoulos ◽  
Elizabeth Fahey McCarthy ◽  
Robin J Evans ◽  
Dwight H Zakus ◽  
...  
Keyword(s):  
Decision Making ◽  
Qualitative Study ◽  
Organizational Climate ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Organizational Hierarchy ◽  
Professional Discipline ◽  
Ethical Decisions ◽  
Safety And Stability ◽  
The Way

Within any organization (e.g. a hospital or clinic) the perception of the way things operate may vary dramatically as a function of one’s location in the organizational hierarchy as well as one’s professional discipline. Interorganizational variability depends on organizational coherence, safety, and stability. In this four-nation (Canada, Ireland, Australia, and Korea) qualitative study of 42 nurses, we explored their perception of how ethical decisions are made, the nurses’ hospital role, and the extent to which their voices were heard. These nurses suggested that their voices were silenced (often voluntarily) or were not expressed in terms of ethical decision making. Finally, they perceived that their approach to ethical decision making differed from physicians.

The psychologist’s role in ethical decision making: Adolescent bariatric surgery.

2015 ◽  
Vol 3 (4) ◽  
pp. 359-364 ◽  
Author(s):  
Karin L. Price ◽  
Margaret E. Lee ◽  
Gia A. Washington ◽  
Mary L. Brandt
Keyword(s):  
Bariatric Surgery ◽  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Adolescent Bariatric Surgery
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