Ethical dilemmas during cardiac arrest incidents in the patient’s home

2017 ◽  
Vol 26 (2) ◽  
pp. 625-637 ◽  
Author(s):  
Mattias Karlsson ◽  
Niclas Karlsson ◽  
Yvonne Hilli
Keyword(s):  
Decision Making ◽  
Cardiac Arrest ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
Ethical Reasoning ◽  
Ethical Considerations ◽  
Good Communication ◽  
Whole Process ◽  
The Voice

Background: The majority (70%) of cardiac arrests in Sweden are experienced in the patient’s home. In these situations, the ambulance nurses may encounter several ethical dilemmas. Aim: The aim was to investigate Swedish specialist ambulance nurses’ experiences of ethical dilemmas associated with cardiac arrest situations in adult patients’ homes. Methods: Nine interviews were conducted with specialist ambulance nurses at four different ambulance stations in the southeast region of Sweden. Data were analysed using content analysis. Ethical considerations: Ethical principles mandated by the Swedish Research Council were carefully followed during the whole process. Findings: Two main themes with six sub-themes were identified: The scene – creating a sheltered space for caring and Ethical decision-making. The results showed that ethical dilemmas might occur when trying to create a sheltered space to preserve the patients’ integrity and dignity. A dilemma could be whether or not to invite significant others to be present during the medical treatment. Ethical decision-making was dependent on good communication and ethical reasoning among all parties. In certain situations, decisions were made not to commence or to terminate care despite guidelines. The decision was guided by combining the medical/nursing perspectives and ethical competence with respect to the human being’s dignity and a will to do good for the patient. The nurses followed the voice of their heart and had the courage to be truly human. Conclusion: The ambulance nurses were guided by their ethos, including the basic motive to care for the patient, to alleviate suffering, to confirm the patient’s dignity and to serve life and health.

scholarly journals Responsible Leadership in Sport: An Ethical Dilemma

Societies ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 85
Author(s):  
Kathleen Rodenburg ◽  
Louise Hayes ◽  
Lianne Foti ◽  
Ann Pegoraro
Keyword(s):  
Decision Making ◽  
Ethical Dilemma ◽  
Ethical Decision ◽  
Olympic Games ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
Responsible Leadership ◽  
Sports Organizations ◽  
Sport Industry ◽  
A Current

Sports, apart from providing entertainment, can provide an escape from everyday troubles, a community to belong to, and an opportunity to connect to the wider world. As such, sports have contributed to the unification of people, the development of peace and tolerance, and the empowerment of women and young people globally. However, sports’ widespread popularity has also contributed to “big money” opportunities for sports organizations, sporting venues, athletes, and sponsors that have created an environment riddled with ethical dilemmas that make headlines, resulting in protests and violence, and often leave society more divided. A current ethical dilemma faced by agents associated with the Olympic games serves to demonstrate the magnitude and challenges related to resolving ethical dilemmas in the sport industry. A decision-making framework is applied to this current sport’s ethical dilemma, as an example of how better ethical decision making might be achieved.

scholarly journals Distributing ethics: Filtering images of death at three news photo desks

Journalism ◽  
2021 ◽  
pp. 146488492199630
Author(s):  
Jenni Mäenpää
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Self Regulation ◽  
Ethical Reasoning ◽  
Global Market ◽  
Journalism Ethics ◽  
News Magazine ◽  
A Chain ◽  
Visual Coverage

This article explores the practices of selecting news images that depict death at a global picture agency, national picture agency and a news magazine. The study is based on ethnographic observations and interviews ( N = 30) from three Western-based news organisations, each representing a link in the complex international news-image circulation process. Further, the organisations form an example of a chain of filters through which most of the news images produced for the global market have to pass before publication. These filters are scrutinised by the empirical case studies that examine the professionals’ ethical reasoning regarding images of violence and death. This research contributes to an understanding of the differences and similarities between media organisations as filters and sheds light on their role in shaping visual coverage. This study concludes that photojournalism professionals’ ethical decision-making is discursively constructed around three frames: (1) shared ethics, (2) relative ethics and (3) distributed ethics. All the organisations share certain similar conceptions of journalism ethics at the level of ideals. On the level of workplace practices and routines, a mixture of practical preconditions, journalism’s self-regulation, business logic and national legislation lead to differences in the image selection practices. It is argued that the ethical decision-making is distributed between – and sometimes even outsourced to – colleagues working in different parts of the filtering chain. Finally, this study suggests that dead or suffering bodies are often invisible in the images of the studied media organisations.

scholarly journals Ethics and Total Worker Health®: Constructs for Ethical Decision-Making and Competencies for Professional Practice

2021 ◽  
Vol 18 (19) ◽  
pp. 10030
Author(s):  
Bonnie Rogers ◽  
Anita L. Schill
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Ethical Dilemmas ◽  
Well Being ◽  
Work Hours ◽  
Worker Safety ◽  
Worker Health ◽  
Total Worker Health

Work has become increasingly technologically driven and fast paced, with long work hours, new/emerging hazards, and rising health care costs. Threats to worker safety, health, and well-being including non-traditional work arrangements and practices, precarious work, uncertain hazardous exposures, and work organization issues, such as heavy workloads, design of work, uneven work hours, and difficult interpersonal relationships among workers and managers are apparent. Furthermore, the relationship between personal health risk factors and workplace risks and exposures has drawn increased attention and concern. As employer economic pressures continue to build, it is anticipated that ethical dilemmas for practitioners will become increasingly complex. A review of relevant Total Worker Health (TWH) literature, related ethical constructs and competencies, an examination of codes of ethics for occupational safety and health and health promotion/education disciplines was conducted. A case study for TWH utilizing an ethical decision-making model for the analysis of key ethical issues and solutions was completed. TWH approaches to protecting safety, promoting health, and advancing well-being are increasingly being adopted. These approaches can reveal ethical dilemmas, and ethical constructs are needed to guide decision-making. A core set of proposed ethical competencies for TWH professionals are identified as a transdisciplinary framework to support workplace ethical culture.

Ethics and Evaluative Consultations with Children in Small to Mid-Sized Australian Non-Government Organisations

2017 ◽  
Vol 17 (1) ◽  
pp. 4-11 ◽  
Author(s):  
Leanne Kelly
Keyword(s):  
Decision Making ◽  
Empirical Research ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Program Improvement ◽  
Ethical Guidelines ◽  
Ethical Considerations ◽  
Decision Making Processes ◽  
Children’S Voices

The value of listening to children's voices is well acknowledged. The vast body of literature surrounding this topic discusses children's voices in pedagogy, theory, methodology, and through empirical research. While some of this literature has focused on ethical considerations surrounding evaluative consultations with children in applied practice settings, there is a shortage of literature specifically relevant to small and medium-sized nongovernment organisations (NGOs). These organisations typically conduct consultations on a smaller scale and with fewer resources than their larger counterparts. This paper refers to Australian ethical guidelines using a practice example from a mid-sized NGO to examine ethics in child consultation from a practice-based program improvement perspective. The paper examines whether consultations with children always require formal ethics approval and discusses terminology and considerations surrounding ethical decision making processes.

Rehabilitation Counseling Ethics

2007 ◽  
Vol 38 (4) ◽  
pp. 19-26 ◽  
Author(s):  
Christine A. Reid ◽  
Connie J. McReynolds
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Ethical Dilemmas ◽  
Rehabilitation Counseling ◽  
Ethical Standards ◽  
Review Of Literature ◽  
Counseling Relationship ◽  
Decision Making Processes

One of the hallmarks of a profession is attention to ethical standards; therefore, the purpose of this article is to increase awareness of current ethical issues related to Rehabilitation Counselingpractice, and to identify toolsfor addressing those issues in an ethically sound manner. Examples of ethical dilemmas involving disability in a counseling relationship are presented, and a review of literature related to ethics in this area is provided. An approach to addressing potentially hidden counselor bias and its effect on ethical decision-making processes is discussed.

Does Class Matter? The Effect of Social Class on Journalists' Ethical Decision Making

2009 ◽  
Vol 86 (3) ◽  
pp. 654-672 ◽  
Author(s):  
Teresa Correa
Keyword(s):  
Decision Making ◽  
Social Class ◽  
Social Identity ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Reasoning ◽  
News Stories ◽  
Psychological Mechanisms ◽  
The Poor ◽  
Ethical Thinking

This study investigated experimentally whether social class of people who appear in news stories influences Chilean journalists' ethical reasoning. Based on schema, social identity, and moral development theories, it found that journalists applied lower levels of ethical reasoning when faced with an ethical dilemma associated with the poor, an effect moderated by participants' involvement in the story. Psychological mechanisms—such as involvement, mental elaboration about stories' subjects, and identification with them—influenced participants' ethical thinking.

scholarly journals Ethical dilemmas with little time for reflection: A discussion of the ethics of out-of-hospital refusals

2021 ◽  
Vol 18 ◽  
Author(s):  
Bryson Galozo ◽  
Blair MacDonald
Keyword(s):  
Decision Making ◽  
Ethical Dilemma ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
Hospital Environment ◽  
Ethical Principles ◽  
Autonomous Decision ◽  
Medical Paternalism

In this article, we consider an approach for ethical decision-making for refusals in the out-of-hospital environment. Autonomy and beneficence are discussed as the two ethical principles central to guiding paramedic decision-making in this context. We describe some situations where the two principles may come into conflict and where the working paramedic may be faced with an ethical dilemma. These cases may involve temptations of medical paternalism, which we argue ought to be avoided if possible. A discussion on navigating between autonomy and beneficence will be presented in order to help paramedics sort through dilemmas when these principles conflict. We argue that when these principles are in conflict, autonomy should primarily be respected – however, we will examine situations where the principle of autonomy cannot be applied and the paramedic should either attempt to rectify the patient’s capacity for autonomous decision-making, or, if not possible, proceed with the principle of beneficence.

scholarly journals The Film Philadelphia As A Case Study Of Ethical Dilemmas In The Workplace

2011 ◽  
Vol 4 (7) ◽  
pp. 41
Author(s):  
Carlos B. Gonzalez ◽  
Agustin F. Zarzosa
Keyword(s):  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
Ethical Reasoning ◽  
Hiv And Aids ◽  
Clear Understanding ◽  
Ethical Decisions ◽  
Professional Careers ◽  
Shed Light

In this paper we present the film Philadelphia as an exemplary text for teaching business ethics. For this purpose, we show students three scenes from the film and guide them as they engage in ethical reasoning. Through the exercise, students should: understand the nature of ethical dilemmas; understand a model for ethical decision-making and apply it to shed light on selected situations presented in the film; and lastly, understand ethical dimensions of discrimination. After engaging with the exercise, students should also develop a clear understanding of the difficulty of reaching ethical decisions in their professional careers. In addition, the exercise serves as an opportunity to discuss issues of HIV and AIDS in contemporary organizations.

Two Short Case Studies in Staff Auditor and Student Ethical Decision Making

2017 ◽  
Vol 33 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Christine Cheng ◽  
Renee Flasher
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
Code Of Conduct ◽  
Thinking Skills ◽  
Critical Thinking Skills ◽  
Learning Objectives ◽  
Giving Voice To Values ◽  
Accounting Courses

ABSTRACT Two cases help students identify the influence that self-interest can have on ethical decision making and encourage them to practice “giving voice to values.” The learning objectives are to: (1) increase student awareness of the role of ethical fading in unethical decision making; (2) develop critical-thinking skills for ethical decision making; and (3) practice applying moral imagination to resolve ethical dilemmas. Specifically, we designed these case scenarios to develop skills in recognizing and resolving ethical dilemmas. Post-case survey responses indicate that beyond meeting the learning objectives, students personally relate to the protagonists. The cases are appropriate for graduate or undergraduate accounting courses, including capstone accounting courses, in which ethics, auditing, forensic accounting, and/or the professional code of conduct are discussed. Implementation guidance and Teaching Notes are provided to aid instructors seeking to motivate in-class discussions of the current and future ethical decisions students may face.

Ethical Decision-Making for Yoga Teachers and Yoga Therapists

2008 ◽  
Vol 18 (1) ◽  
pp. 31-37
Author(s):  
Stephen Parker
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
Real Life ◽  
Real Case ◽  
Yoga Therapy ◽  
Ethical Decisions ◽  
Life Decision

Any therapeutic profession, including Yoga therapy, must establish a systematic way to make ethical decisions. This article proposes a model of ethical decision-making drawn from psychotherapy, a field that—like Yoga therapy— recognizes relationship as a healing instrument. The model proposed is based on an easily remembered mnemonic that is both practical and easily internalized for real-life decision-making. A real case study using this method is presented and discussed, and hypothetical ethical dilemmas in Yoga therapy are offered for further consideration.

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