scholarly journals Service Navigators in the Workforce: an ethical framework for practice

2018 ◽  
Vol 13 (2) ◽  
pp. i36 ◽  
Author(s):  
Jennifer Donovan ◽  
Ralph Hampson ◽  
Marie Connolly
Keyword(s):  
Best Practice ◽  
Self Determination ◽  
Ethical Framework ◽  
Power Dynamics ◽  
Relational Autonomy ◽  
Research Knowledge ◽  
Ethical Practices ◽  
Knowledge Framework ◽  
Stage Process ◽  
Action Process

Aim and Context: This paper explores the current growth of service navigators in complex health and human services and details the development of the Service Navigation Relational Autonomy Framework as a guide to assist practitioners and managers implementing this role.  Approach: The framework was developed using a research into action process. The three-stage process included knowledge inquiry: bringing together existing knowledge in practice fields and research; knowledge synthesis:debate and exchange of practitioner insights and messages from research; and knowledge framework: framework creation based on the key elements of evidence-informed best practice. Main findings: The framework centres on four practice domains: reinforcing ethical practices; fostering self-determination; supporting transitions and wellbeing; and mobilising service systems. It incorporates the concept of relational autonomy as a foundation for navigator practice by recognising the nature of relationships and power dynamics in the provision of care, and the central importance of self-determination. Conclusions: A navigation framework is critical for practice guidance and to ensure service navigators and organisations have the capacity to meet the needs of service users and their families. The framework presented in this paper seeks to encourage debate about service navigation, its implementation, and its future in health and human service organisations.

“Good” Evidence: A Critical Lens on Representations of Development and the Developing World

2021 ◽  
Author(s):  
Lisa Jean Ferguson
Keyword(s):  
Developing World ◽  
Good Evidence ◽  
Self Determination ◽  
Ethical Framework ◽  
Canadian Society ◽  
Alternative Representation ◽  
Semiotic Model ◽  
Charity Fundraising ◽  
Visual Racism

The ethics of conventional representations of the developing world in charity fundraising and photojournalism have been increasingly questioned. Van Leeuwen‘s (2000) social semiotic model of analysis of visual racism, applied to a famine image, reveals strategies for symbolically representing otherness that perpetuate a naturalized "Western rescuer/developing world victim" narrative. Respondent interviews demonstrate that such "poverty porn" produces viewer apathy, while an alternative representation depicting self-determination evokes a charitable response. Elliott‘s (2003) ethical framework is used to judge the harm of conventional representations. The results, while tentative, suggest worth in expanding the study in light of implications for represented persons, the viewer, and Canadian society. In the meantime, image producers and distributors must become visually literate to avoid using harmful images.

Self-Determination and Choice

2013 ◽  
Vol 51 (5) ◽  
pp. 399-411 ◽  
Author(s):  
Michael L. Wehmeyer ◽  
Brian H. Abery
Keyword(s):  
Developmental Disabilities ◽  
Research And Development ◽  
Best Practice ◽  
Self Determination ◽  
Intellectual And Developmental Disabilities ◽  
The Past

Abstract Promoting self-determination and choice opportunities for people with intellectual and developmental disabilities has become best practice in the field. This article reviews the research and development activities conducted by the authors over the past several decades and provides a synthesis of the knowledge in the field pertaining to efforts to promote self-determination and choice.

scholarly journals Relational Autonomy and Service Choices in Social Worker–Client Conversations in an Outpatient Clinic for People Using Drugs

2020 ◽  
Author(s):  
Kirsi Juhila ◽  
Johanna Ranta ◽  
Suvi Raitakari ◽  
Sarah Banks
Keyword(s):  
Social Workers ◽  
Social Worker ◽  
Outpatient Clinic ◽  
Point Of View ◽  
Self Determination ◽  
People Who Use Drugs ◽  
Relational Autonomy ◽  
Self Confidence ◽  
Ethical Point ◽  
Interactional Analysis

Abstract This article focuses on how clients’ self-determination is accomplished in social worker–client conversations when discussing choices of clients’ future services in a low-threshold outpatient clinic in Finland targeted at people who use drugs. Self-determination is approached from the point of view of relational autonomy, meaning that choices are never made completely independently but within certain societal and interactional contexts. The article applies interactional analysis to data from ten social worker–client conversations, which include forty-eight instances of ‘choice talk’. The results demonstrate how social workers work hard to promote clients’ self-determination, and how this is carried out with different emphases within the frame of relational autonomy. Social workers do not perform ethically questionable manipulation practices. Quite the reverse, their contributions in the conversations can be interpreted as endeavours to increase clients’ self-confidence and autonomy competencies. However, a concern from an ethical point of view is that real service options are rather scarce for the clinic’s clients. This considerably reduces the clients’ capacity for self-determination. Furthermore, it also reduces the autonomy of social workers, who have limited opportunities to organise the services their clients desire and that the social workers themselves consider are the best options.

scholarly journals The Abolition of Sex/Gender Registration in the Age of Gender Self-Determination: An Interdisciplinary, Queer, Feminist and Human Rights Analysis

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Pieter Cannoot ◽  
Mattias Decoster
Keyword(s):  
Human Rights ◽  
Gender Identity ◽  
Fundamental Rights ◽  
The Body ◽  
Self Determination ◽  
Power Dynamics ◽  
Gender Assignment ◽  
Cultural System ◽  
The Law ◽  
Proportionality Test

<p><br />It is commonly accepted that gender matters (whether cisgender, transgender/trans*, gender non-binary, genderfluid, gender queer, agender, or other) and many are raising awareness about the fact that gender always seems to matter. That gender matters, and always matters, does not necessarily mean, however, that gender needs to be authenticated or endorsed by the state.</p><p>In fact, based on a feminist and queer reading of human rights, this interdisciplinary article asserts that state-sponsored sex/gender assignment through the practice of sex/gender registration must halt. It argues that mandatory (binary) sex/gender registration disproportionately infringes the emerging right to gender identity autonomy and the right to the legal recognition thereof. Most often, our Western heterosexual cultural system of gender, which posits the existence of two oppositional and complementary gender identities, anchored in so-called natural and binary sex, goes hand in hand with material and discursive forms of violence and entails various forms of unequal power dynamics. Hegemonic in nature, the heterosexual cultural system of gender pervasively regulates many (if not every) aspects of all bodies’ lives and being, including by legal means. The law upholds and certifies that specific gender regime, inter alia, by assigning a sex to individuals at birth (through the registration of a claimed evident, objective, natural element to be found on or in the body by inspection). Policies of mandatory (binary) sex/gender registration therefore constitute the cornerstone of the legalisation of the heterosexual cultural system of gender, which produces not only the conventional feminine and masculine gender identity (i.e. women and men) but also sex (i.e. females and males).</p><p>This article suggests that, as long as the law refuses to go beyond the compulsory male/female (or even male/female/other) framework, it will be complicit in upholding the undesired consequences of the heterosexual cultural system of gender, which affect all persons of whatever gender or physical features. Therefore, undoing remaining forms of global gender injustice, as well as respecting, protecting and fulfilling human rights relating to gender identity, requires the abolishment of sex/gender registration instead of expanding the available gender markers. Indeed, this article finds that current state practices do not pursue a legitimate aim, and even if they do, mandatory sex/gender registration does not pass the proportionality test that is required in the assessment of restrictions of fundamental rights. A human rights analysis of official sex/gender in the age of gender self-determination finds mandatory sex/gender registration to be a disproportionate measure and recommends that states change their current practices. Doing so would be beneficial to cisgender and trans* individuals alike.</p>

scholarly journals At-home ethnography: a method for practitioners

2019 ◽  
Vol 14 (1) ◽  
pp. 10-26 ◽  
Author(s):  
David Andrew Vickers
Keyword(s):  
Best Practice ◽  
Management Practices ◽  
Ethical Practices ◽  
Content Type ◽  
Managerial Practice ◽  
Fine Grained ◽  
Ethnographic Methodology ◽  
Management Students ◽  
At Home

Purpose The purpose of this paper is to employ a reflection on at-home ethnographic (AHE) practice to unpack the backstage messiness of an account to demonstrate how management students can craft fine-grained accounts of their practice and develop further our understanding of management practices in situ. Design/methodology/approach The paper reflects upon an example of AHE from an 18-month period at a chemical plant. Through exposure and exploration, the paper outlines how this method was used, the emotion involved and the challenges to conduct “good” research. Findings The paper does not seek to define “best practice”; it highlights the epistemic and ethical practices used in an account to demonstrate how AHE could enhance management literature through a series of practice accounts. More insider accounts would demonstrate understandings that go beyond distant accounts that purport to show managerial work as rational and scientific. In addition, such accounts would inform teaching of the complexities and messiness of managerial practice. Originality/value Ethnographic accounts (products) are often neat and tidy rather than messy, irrational and complex. Reflection on ethnographer (person) and ethnographic methodology (process) is limited. However, ethnographic practices are mostly unreported. By reflecting on ethnographic epistemic and ethical practices, the paper demonstrates how a largely untapped area has much to offer both management students and in making a fundamental contribution to understanding and teaching managerial practice.

The Artistry of Judgement: A Model for Occupational Therapy Practice

2005 ◽  
Vol 68 (9) ◽  
pp. 409-417 ◽  
Author(s):  
Margo Paterson ◽  
Joy Higgs ◽  
Susan Wilcox
Keyword(s):  
Qualitative Research ◽  
Occupational Therapy ◽  
Professional Practice ◽  
Best Practice ◽  
Valuable Insight ◽  
Research Knowledge ◽  
Individual Interviews ◽  
The United Kingdom ◽  
One Year ◽  
Insight Into

This paper reports on a model developed through qualitative research to examine the intriguing topic of the artistry of judgement in occupational therapy. The construct of professional practice judgement artistry or PPJA was developed (Paterson and Higgs 2001) to explore the cognitive, metacognitive and humanistic aspects of judgement in professional practice. Fifty-three occupational therapy educators and practitioners from four Commonwealth countries (Australia, Canada, New Zealand and the United Kingdom) participated in focus groups and individual interviews over a one-year period in 2001–2. This research identified a number of dimensions and elements that constitute judgement artistry. The model offers a valuable insight into understanding expertise in professional practice in an era when practitioners are struggling with a demand for increased scientific research knowledge to provide evidence for best practice. This research paper recognises the value of the art of occupational therapy and supports a client-centred approach to practice.

scholarly journals Introducing the Canadian Thoracic Society Framework for Guideline Dissemination and Implementation, with Concurrent Evaluation

2013 ◽  
Vol 20 (4) ◽  
pp. 263-264 ◽  
Author(s):  
Samir Gupta ◽  
Christopher Licskai ◽  
Anne Van Dam ◽  
Louis-Philippe Boulet
Keyword(s):  
Guideline Implementation ◽  
Discussion Board ◽  
Production Cycle ◽  
Dissemination And Implementation ◽  
Research Knowledge ◽  
Knowledge To Action ◽  
Action Team ◽  
Guideline Dissemination ◽  
Collaboration And Communication ◽  
Action Process

The Canadian Thoracic Society (CTS) is leveraging its strengths in guideline production to enable respiratory guideline implementation in Canada. The authors describe the new CTS Framework for Guideline Dissemination and Implementation, with Concurrent Evaluation, which has three spheres of action: guideline production, implementation infrastructure and knowledge translation (KT) methodological support. The Canadian Institutes of Health Research ‘Knowledge-to-Action’ process was adopted as the model of choice for conceptualizing KT interventions. Within the framework, new evidence for formatting guideline recommendations to enhance the intrinsic implementability of future guidelines were applied. Clinical assemblies will consider implementability early in the guideline production cycle when selecting clinical questions, and new practice guidelines will include a section dedicated to KT. The framework describes the development of a web-based repository and communication forum to inventory existing KT resources and to facilitate collaboration and communication among implementation stakeholders through an online discussion board. A national forum for presentation and peer-review of proposed KT projects is described. The framework outlines expert methodological support for KT planning, development and evaluation including a practical guide for implementers and a novel ‘Clinical Assembly – KT Action Team’, and in-kind logistical support and assistance in securing peer-reviewed funding.

scholarly journals Ethics in Mediation: Centralising Relationships of Trust

2018 ◽  
Vol 35 (1) ◽  
Author(s):  
Susan Douglas
Keyword(s):  
Self Determination ◽  
Ethical Framework ◽  
Accreditation System ◽  
Ethical Practice ◽  
Legal Context ◽  
Relationship Of ◽  
The Relationship ◽  
Mediation Practice

Revision of the National Mediator Accreditation System, effective from 1 July 2015, removes the requirement for mediators to demonstrate understanding of neutrality as an ethical competency. The principle of impartiality has been retained and the principle of self-determination has been newly included as an ethical competency. The self-determination of participants, recognised in the original version of the NMAS, has been more clearly articulated as the aim of mediation practice. Abandonment of the principle of neutrality signals a need to reconsider the role of the mediator, which was once identified with control of the process of mediation, though neutral as to its content and outcome. Abandonment of neutrality calls for an alternative frame of reference for ethical practice in mediation. In this paper, the relationship of trust between mediator and parties is proposed as a suitable and defensible alternative ethical framework. It is argued that this relationship can be constructed according to principles associated with fiduciary and therapeutic relationships, in recognition of the distinctive socio-legal context of practice. Abandonment of neutrality also raises issues as to the mediator’s role in achieving fairness for participants. It is argued that relationships of trust provide a convincing framework within which to consider issues of substantive fairness in mediation.

Feminist Bioethics

2021 ◽  
Author(s):  
Jackie Leach Scully
Keyword(s):  
Social Context ◽  
Moral Philosophy ◽  
Ethical Theory ◽  
Ethics Of Care ◽  
Power Dynamics ◽  
Relational Autonomy ◽  
Future Directions ◽  
Distinguishing Features ◽  
Feminist Work ◽  
Feminist Bioethics

This chapter offers an account of the central issues and themes in feminist philosophical engagements with bioethics. After outlining the history and goals of feminist bioethics, I discuss how feminist ontology and epistemology have generated the distinguishing features of feminist bioethical approaches, including both the substantive topics addressed and the particular ethical areas highlighted. Among these areas are: attention to power dynamics and social context; the use of empirical information to inform ethical theory; a focus on relationality, care, and embodiment; and an acknowledgement of minority viewpoints that are often excluded from mainstream bioethics. In taking these distinctive approaches, feminist bioethics has also made major theoretical contributions to moral philosophy: here I discuss (i) the ethics of care and (ii) relational autonomy. Finally, I consider the extent to which feminist work has changed or entered the mainstream, and look to current and future directions in feminist bioethics.

Collective Self-Determination without Isolation

2021 ◽  
pp. 163-202
Author(s):  
Lucia M. Rafanelli
Keyword(s):  
Self Determination ◽  
Power Dynamics ◽  
Collective Self ◽  
Threats To Self

This chapter addresses the self-determination objection to reform intervention (that it is impermissible because it undermines recipients’ collective self-determination) and argues that a commitment to self-determination doesn’t require (as is often assumed) shoring up the boundaries between different societies. Rather, it requires investing in those political projects—including certain reform interventions—that serve to mitigate both local and international threats to self-determination. The chapter considers three ways in which reform intervention might undermine recipients’ self-determination: by dominating them, by subjecting them to neocolonial power dynamics, or by making their institutions more responsive to interveners’ interests at the expense of recipients’ interests. It identifies which kinds of reform intervention risk undermining recipients’ self-determination in these ways and which don’t. This analysis reveals that reform intervention need not undermine recipients’ self-determination and may sometimes bolster it.

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