Supporting Ethical Decision Making – A Tool for Ethical Reflection on Care Technologies

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 84-85
Author(s):  
Katrin Grüber ◽  
◽  
Elena Loevskaya ◽  
◽  
Keyword(s):  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
Digital Technologies ◽  
Ethical Reflection ◽  
Ethical Considerations ◽  
Care Facilities ◽  
Home Context ◽  
Low Threshold ◽  
Care Innovation

"The tool FreTiP (Fragen zur ethischen Reflexion von digitalen Technologien in der Pflegepraxis – questions on ethical reflection of digital technologies in nursing practice) was developed in 2020 by the Institute Mensch, Ethik und Wissenschaft (IMEW) as part of ELSI research in the PPZ-Berlin project. Our aim was to develop an instrument that stimulates and supports ethical reflection processes in the application of digital care innovation technologies in practice. Ethical considerations are part of everyday (nursing) life, are closely interwoven with other aspects and are therefore difficult to recognise as such. The starting thesis of our work was that actors in care act on the basis of value concepts that they are more or less aware of. An ethics that is consciously integrated into everyday care takes into account all aspects that are relevant for an action or decision. In this respect, it is important to look at ethics in context and not to understand “ethics” as something isolated, coming from outside. Based on this, the development of the instrument should not consist of “breaking down” ethical concepts and theories to practice, but of ethically locating, structuring and making applicable the experiences, questions and needs of the actors working in nursing practice. Thus, FreTiP is not only to be considered practice-oriented, but also to a certain extent practice-based. The instrument was designed to be suitable for everyday care in clinics, care facilities and in the home context. FreTiP was developed as a low-threshold instrument that can be used flexibly and that takes into account the perspective of patients as well as carers. The development of the instrument was preceded by a triangulated study that included a literature review, interviews and (non-)participatory observations. In the paper, experiences with the ethical reflection tool FreTiP will be presented. "

scholarly journals Navigating conflict between research ethics and online platform terms and conditions: a reflective account

2021 ◽  
pp. 174701612110455
Author(s):  
Shi Min Chua
Keyword(s):  
Ethical Decision ◽  
Ethical Decision Making ◽  
Careful Consideration ◽  
Online Discussions ◽  
Ethical Considerations ◽  
Private Company ◽  
Online Platform ◽  
Learning Platform ◽  
Internet Users ◽  
Online Spaces

Internet users’ comments in online spaces have attracted researchers’ attention in recent years. Although this data is typically publicly available, its use requires careful consideration so as to not cause harm to the users, while complying with the terms and conditions (Ts & Cs) of the online spaces. However, the Ts & Cs and researchers’ ethical considerations may sometimes be in conflict. I faced such a conflict when I conducted discourse analysis of online discussions that were sourced from a public online learning platform owned by a private company. In this article, I reflect on how I navigated the Ts & Cs and copyright law, taking users’ likely expectations into consideration when deciding whether to seek informed consent and anonymize content. I employed an ‘attribution with anonymization’ method to acknowledge users for their comments while safeguarding their confidentiality. Given the variety of online spaces and research methods, ethical decision-making must be a contextualized process that requires researchers to consider the nature of the online platform and the potential experience of the users, rather than simply following guidelines or Ts & Cs.

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.

Historic Leadership

2016 ◽  
Vol 32 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Ellen F. Johnsen ◽  
Katherine J. Pohlman
Keyword(s):  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
School Setting ◽  
School Nurse ◽  
Medication Administration ◽  
Early Career ◽  
School Nursing ◽  
Professional Collaboration ◽  
Career Experiences

School nursing practice establishes itself in the midst of both education and nursing philosophies, ethics, standards, laws, and regulations. Treading these two worlds is difficult at times and requires that a school nurse possess a strong foundational knowledge base, seek professional collaboration, and navigate conflicting professional demands in order to promote student and public safety. This article is Part 1 of a four-part series that recounts the inspiring story of a school nurse, Ellen Johnsen, who did just that back in the 1980s in Broken Arrow, Oklahoma. Part 1 describes the upbringing and early career experiences that molded Ellen into a courageous and tenacious child advocate who rose to the challenge when she found herself in a school setting where tradition and policy were at odds with the nurse practice act and professional standards regarding medication administration. The purpose of this series is to enhance understanding of the legal parameters governing school nurse practice, provide examples of ethical decision making, and review the challenges associated with serving as a leader.

Ethical Decision-Making Made Easier: The Use of Decision Trees in Case Management

1999 ◽  
Vol 1 (3) ◽  
pp. 163-169 ◽  
Author(s):  
Heidi Storl ◽  
Brenda DuBois ◽  
Julie Seline
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethics Committee ◽  
Case Managers ◽  
Ethical Considerations ◽  
The Face ◽  
Effective Decision ◽  
Central Apparatus ◽  
Effective Decision Making

Case managers have never before faced the multitude of difficult ethical dilemmas that now confront them daily. Legal, medical, social, and ethical considerations often fly in the face of previously reliable intuitions. The importance and urgency of facing these dilemmas head-on has resulted in clear calls for action. What are the appropriate legal, ethical, and professional parameters for effective decision making? Are normatively sensitive, but also practically sensible protocols possible? In an effort to address these concerns, Alternatives for the Older Adult, Inc., Rock Island, Illinois established an ethics committee to look into possible means of resolving or dissolving commonly occurring dilemmas. As a result of year-long deliberations, the committee formulated a decision-making strategy whose central apparatus is the decision tree—a flowchart of reasonable decisions and their consequent implications. In this article, we explore the development of this approach as well as the theory that underlies it.

Exploring The Heart Ofethical Nursing Practice: implications for ethics education

2004 ◽  
Vol 11 (3) ◽  
pp. 240-253 ◽  
Author(s):  
Gweneth Doane ◽  
Bernadette Pauly ◽  
Helen Brown ◽  
Gladys McPherson
Keyword(s):  
Decision Making ◽  
Ethics Education ◽  
Ethical Decision ◽  
Nursing Practice ◽  
Ethical Decision Making ◽  
Student Nurses ◽  
Role Expectations ◽  
Direct Care ◽  
Ethical Practice ◽  
Educational Processes

The limitations of rational models of ethical decision making and the importance of nurses’ human involvement as moral agents is increasingly being emphasized in the nursing literature. However, little is known about how nurses involve themselves in ethical decision making and action or about educational processes that support such practice. A recent study that examined the meaning and enactment of ethical nursing practice for three groups of nurses (nurses in direct care positions, student nurses, and nurses in advanced practice positions) highlighted that humanly involved ethical nursing practice is also simultaneously a personal process and a socially mediated one. Of particular significance was the way in which differing role expectations and contexts shaped the nurses’ ethical practice. The study findings pointed to types of educative experiences that may help nurses to develop the knowledge and ability to live in and navigate their way through the complex, ambiguous and shifting terrain of ethical nursing practice.

scholarly journals Multicultural ethics in rehabilitation services

2021 ◽  
pp. 1-10
Author(s):  
Tammy Jorgensen Smith
Keyword(s):  
Ethical Decision ◽  
Ethical Decision Making ◽  
Multicultural Competency ◽  
Diagnostic Tools ◽  
Rehabilitation Services ◽  
Diverse Population ◽  
Ethical Considerations ◽  
Major Objective ◽  
Rehabilitation Professionals ◽  
Multiculturally Diverse

BACKGROUND: Rehabilitation professionals are required to be competent in serving multiculturally diverse individuals in a manner that promotes empowerment and full engagement. Multicultural competency is critical for accurate clinical assessment and diagnosis and for effectively serving a diverse population of clients. OBJECTIVE: The major objective of this paper is to promote multicultural competency and sensitivity by increasing knowledge and awareness of ethical considerations for multicultural populations in rehabilitation settings. CONCLUSION: Diagnostic tools and ethical decision-making models that integrate multicultural considerations are discussed, and recommendations for building multicultural competency are provided.

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