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.

scholarly journals Moral Music Management: Ethical Decision-Making After Avicii

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Gerardo Chaparro ◽  
George Musgrave
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Moral Intensity ◽  
Popular Media ◽  
Regulatory Change ◽  
Ethical Challenges ◽  
Managerial Decision ◽  
The Social ◽  
Ethical Choices

Abstract Following the tragic suicide of Avicii (Tim Bergling) in 2018, many in the popular media, and reportedly the musician’s own family, were seen to question the ethics of decisions taken by his manager (Williams, 2018; Ralston, 2018). By applying a moral intensity test (Jones, 1991) in the form of a scenario-based questionnaire to six music managers based in London (UK), this article interrogates how and why music managers make the moral and ethical choices they do. The findings suggest that music managers are aware of ethical challenges emanating from their work, but that the relatively informal, loosely regulated nature of the music workplace complicates the negotiation of ethical and moral tensions. However, music managers’ close awareness of the ‘social consensus’ and ‘proximity’ of moral intensity suggests that cultural (as opposed to regulatory) change can help guide and inform managerial decision-making.

scholarly journals Being torn by inevitable moral dilemma: experiences of ICU nurses

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Neda Asadi ◽  
Zahra Royani ◽  
Mahbubeh Maazallahi ◽  
Fatemeh Salmani
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Moral Dilemma ◽  
Healthcare Team ◽  
Ethical Challenges ◽  
Main Category ◽  
Internal Conflicts ◽  
Ethical Decisions ◽  
Ethical Conflicts

Abstract Background Ethical decision-making of nurses could affect patients’ recovery and also decrease medical costs. To make ethical decisions, ICU nurses experience complicated ethical conflicts. Considering the multi-dimensional process of ethical decision-making, the present study was conducted to describe the experiences of ICU nurses regarding ethical decision making. Method The present research is a qualitative study with conventional content analysis approach that was done in 2020. Fourteen ICU nurses were interviewed using a semi-structured in-depth interview method. The interviews were recorded, transcribed verbatim, and analyzed using Granheim and Landman approach. Results Being torn by inevitable moral dilemma was defined as the main category which contained the categories of conflict with professional self, feeling squeezed between self-authority and demands of others, and Surrounded by organizational limitations. Conclusions Results of the present study showed that moral dilemma is a situation in which the nurses are forced to choose between two options based on their equipment and facilities. In these situations, the nurses would hesitate between their internal conflicts and confusion between choosing their own benefits and patients’ benefits. To prevent ethical challenges in decision making, it is necessary to educate healthcare team about ethical dilemmas and empower the personnel for encountering ethical challenges.

scholarly journals Ageing and ethical challenges in physiotherapy: application of the RIPS model in ethical decision-making

2021 ◽  
Vol 53 (sup1) ◽  
pp. S135-S136
Author(s):  
José Luís Sousa ◽  
Sónia Gonçalves-Lopes ◽  
Verónica Abreu
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Challenges

What Do I Do Now? Resolving School-Based Ethical Challenges

2020 ◽  
Vol 5 (1) ◽  
pp. 282-289
Author(s):  
Lissa A. Power-deFur
Keyword(s):  
Professional Development ◽  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
State Policies ◽  
Ethical Challenges ◽  
School Based ◽  
Multistep Model ◽  
The Individual

Purpose The purpose of this article is to present a commonly used ethical decision-making approach and apply it to ethical situations commonly encountered by school-based clinicians. The application of a multistep model enables the individual to explore ethical dilemmas through fully understanding the situation and analysis of resources. These steps, followed by brainstorming, facilitate the speech-language pathologist's ability to arrive at a positive solution. Conclusion School-based speech-language pathologists deal with a variety of ethical dilemmas. Resolution can take many forms, including application of federal and state policies; professional development; and, perhaps most importantly, conversations with colleagues and administrators. The more positive solutions stem from a thorough review of the issue and policies influencing the issue followed by brainstorming a variety of potential approaches.

Nurses' tension-based ethical decision making in rural acute care settings

2020 ◽  
Vol 27 (4) ◽  
pp. 1032-1043
Author(s):  
Manal M Alzghoul ◽  
Kristen Jones-Bonofiglio
Keyword(s):  
Decision Making ◽  
Registered Nurses ◽  
Acute Care ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Acute Care Hospitals ◽  
Ethical Challenges ◽  
Northern Ontario ◽  
Ethical Conflicts ◽  
Acute Care Settings

Background Nurses in acute care are frequently involved in ethical decision making and experience a higher prevalence of ethical conflicts and dilemmas. Nurses in underresourced rural acute care settings also are likely to face unique ethical challenges. However, rarely have the particular contexts of these experiences in rural acute care settings been researched. A culture of silence and fear in small towns has made exploring these issues difficult. Objectives To explore registered nurses’ experiences of ethical issues and ethical decision making in rural acute care hospitals in northern Ontario, Canada. Research design Guided by an interpretive descriptive approach, data were collected by two nurse researchers using in-depth, individual, and semistructured telephone interviews. Data were managed with NVivo v.11 and analyzed using inductive, comparative, thematic analyses. Participants and research context The participants were eight registered nurses working in two acute care hospitals in northern Ontario. Ethical considerations Ethical protocols were followed in accordance with ethics approval from the researchers’ university and the hospitals. Findings Results identified four themes that culminated in the development of a quadruple helix ethical decision-making framework of power, trust, care, and fear. Discussion and conclusion The participants described complex ethical conflicts and dilemmas in acute care settings that were influenced by the context of working and living in small rural communities in northern Ontario. Nurses described navigating ethics in practice using a tension-based approach to ethical decision making, needing to carry these issues silently and often having no resolution to ethical challenges. These findings have important implications for nursing education, research, and practice. Nurses need safe spaces, formal ethics support, and improved access to resources. Additional ethics education and training specific to the unique contexts of rural settings are needed.

A Proverbial Approach to Public Administration

Public Voices ◽  
2017 ◽  
Vol 7 (2) ◽  
pp. 28
Author(s):  
Stephen M. King
Keyword(s):  
Decision Making ◽  
Public Administration ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Wisdom Literature ◽  
Christian Tradition ◽  
Public Administrators ◽  
Ethical Challenges ◽  
Moral Foundation ◽  
Religious Texts

The ethical challenges of public administrators are great. In order to address thesechallenges the administrator requires more than legal boundaries to fall back onto. A moral foundation is also required. The moral foundation thesis is not new to the study of public administration, however, this paper proposes that one overlooked and underrepresented area for establishing a moral foundation is found in the Judeo-Christian tradition, and especially its central book of wisdom, Proverbs. This paper examines select and common public administrative principles that flow from the book of Proverbs, thus showing that ethical decision-making by public administrators is influenced by wisdom literature found in religious texts.

Building your self: a sensemaking approach to expatriates’ adjustment to ethical challenges

2014 ◽  
Vol 2 (1) ◽  
pp. 53-84 ◽  
Author(s):  
Nuno Guimarães-Costa ◽  
Miguel Pina e Cunha ◽  
Arménio Rego
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Relevant Information ◽  
Sub Saharan Africa ◽  
Ethical Challenge ◽  
The European Union ◽  
Ethical Challenges ◽  
Content Type ◽  
Sensemaking Process

Purpose – The purpose of this paper is to understand the behaviours described by expatriates (“what expatriates say they do”) when they are pressed for adjustment and, at the same time, they feel ethically challenged. Design/methodology/approach – The authors interviewed 52 expatriates from the European Union working in Sub-Saharan Africa who were immersed in what was considered by them to be an ethically challenging context or situation while they were in the process of adjusting to their international assignment. The authors conducted a reflexive qualitative analysis between the data and existing literature. Findings – The authors found that the feeling of moral discomfort that causes the perception of an ethical challenge is triggered by an event that contrasts with the expatriates’ notion of morals. After feeling ethically challenged, expatriates engage in a sensemaking process that is hinged in an “intended future identity”. Research limitations/implications – The authors contribute to the literature by stressing the ethical dimension of adjustment. The authors complement the normative approaches to ethical decision making in international contexts. The research identifies a set of events that are considered as ethical challenges by business expatriates. Practical implications – The research opens the possibility to anticipate and manage potential conflicts, thus minimizing the probability of expatriation failure. Early knowledge about an expatriate's intended future identity can provide relevant information concerning the probable type of adjustment problems s/he will face. Originality/value – The research combines two hitherto separate streams of literature – expatriate adjustment and ethical decision making in international contexts – to open the possibility of ethical adjustment. This is supported by a sensemaking process that is also grounded in future intentions, and not only in past experiences and present signals.

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