Korean Nursing Students' Experience of Ethical Problems and Use of Ethical Decision-Making Models

2001 ◽  
Vol 31 (5) ◽  
pp. 846 ◽  
Author(s):  
Sung Suk Han ◽  
Hyeoun Ae Park ◽  
Sung Hee Ahn ◽  
Miriam E Cameron ◽  
Hyo Sook Oh ◽  
...  
2003 ◽  
Vol 19 (6) ◽  
pp. 330-337 ◽  
Author(s):  
Linda L. Solum ◽  
Marjorie A. Schaffer

This study explored school nurses’ experience of ethical conflict in school nursing through interviews with six school nurses. The study examined how school nurses resolved ethical problems and the rationale used to resolve them. Emergent themes of ethical problems were professional relationship conflicts, delegation to and supervision of health assistants, child protection reporting, maintaining confidentiality, Do Not Resuscitate policy, and pressure to work outside of nursing practice standards. School nurses did not use ethical decision-making models in resolving conflict but demonstrated the use of professional standards, ethical principles, and personal values as rationale to resolve ethical problems. Results of this study suggested that school nurses would benefit from additional knowledge about ethical decision-making models. School nurses would also profit from hearing each other’s voices through dialogue about ethical problems and decision making.


2001 ◽  
Vol 8 (5) ◽  
pp. 432-447 ◽  
Author(s):  
Miriam E Cameron ◽  
Marjorie Schaffer ◽  
Hyeoun-Ae Park

Using a conceptual framework and method combining ethical enquiry and phenomenology, we asked 73 senior baccalaureate nursing students to answer two questions: (1) What is nursing students’ experience of an ethical problem involving nursing practice? and (2) What is nursing students’ experience of using an ethical decision-making model? Each student described one ethical problem, from which emerged five content categories, the largest being that involving health professionals (44%). The basic nature of the ethical problems consisted of the nursing students’ experience of conflict, resolution and rationale; 85% of the students stated that using an ethical decision-making model was helpful. Although additional research is needed, these findings have important implications for nursing ethics education and practice.


2003 ◽  
Vol 10 (6) ◽  
pp. 638-653 ◽  
Author(s):  
Hyeoun-Ae Park ◽  
Miriam E Cameron ◽  
Sung-Suk Han ◽  
Sung-Hee Ahn ◽  
Hyo-Sook Oh ◽  
...  

This Korean study replicated a previously published American study. The conceptual framework and method combined ethical enquiry and phenomenology. The research questions were: (1) What is nursing students’ experience of ethical problems involving nursing practice? and, (2) What is nursing students’ experience of using an ethical decision-making model? The participants were 97 senior baccalaureate nursing students, each of whom described one ethical problem and chose to use one of five ethical decision-making models. From 97 ethical problems, five content categories emerged, the largest being health professionals (69%). The basic nature of the ethical problems was the students’ experience of conflict, resolution and rationale. Using an ethical decision-making model helped 94% of the students. A comparison of the Korean and American results yields important implications for nursing ethics education, practice and research.


2000 ◽  
Vol 10 (4) ◽  
pp. 773-803 ◽  
Author(s):  
Aviva Geva

Abstract:The traditional model of ethical decision making in business suggests applying an initial set of principles to a concrete problem and if they conflict the decision maker may attempt to balance them intuitively. The centrality of the ethical conflict in the accepted notion of “ethical problem” has diverted the attention of moral decision modelers from other ethical problems that real-world managers must face—e.g., compliance problems, moral laxity, and systemic problems resulting from the structures and practices of the business organization. The present article proposes a new model for ethical decision making in business—the Phase-model—designed to meet the full spectrum of business-related ethical problems. Drawing on the dominant moral theories in business literature, the model offers additional strategies for tackling ethical issues beyond the traditional cognitive operations of deductive application of principles to specific cases and the balancing of ethical considerations. Its response to the problems of moral pluralism in the context of decision making lies in its structural features. The model distinguishes between three phases of the decision-making process, each having a different task and a different theoretical basis. After an introductory stage in which the ethical problem is defined, the first phase focuses on a principle-based evaluation of a course of action; the second phase provides a virtue-based perspective of the situation and strategies for handling unsettled conflicts and compliance problems; and the third phase adapts the decision to empirical accepted norms. An illustrative case demonstrates the applicability of the model to business real life.


Pflege ◽  
2001 ◽  
Vol 14 (5) ◽  
pp. 309-315 ◽  
Author(s):  
Alexandra Just

Bei der näheren Betrachtung von Publikationen zu ethischen Entscheidungsmodellen fällt auf, dass es in der Pflege sowie in der Medizin eine Vielzahl an monodisziplinären Modellen gibt und stets neue entwickelt werden. Fraglich ist, ob sich aus der Anwendung der Modelle divergierende Möglichkeiten und Konsequenzen für das Handeln der Entscheidungsbeteiligten ergeben. Aufgrund dieser Frage beschäftigt sich der Artikel mit zwei ausgewählten Modellen zur ethischen Entscheidungsfindung. Das von Illhardt (1998) entwickelte Modell resultiert aus einem medizinischen Blickwinkel, wohingegen Tschudin (1996) ihre Vorgehensweise aus einem pflegebezogenen Berufsverständnis heraus entwickelte. Die Anwendung der Modelle an einem fiktiven Fallbeispiel lässt deren Gemeinsamkeiten und Unterschiede sichtbar werden und beleuchtet die damit zusammenhängenden Auswirkungen auf den Entscheidungsfindungsprozess. Rückblickend auf das Fallbeispiel ist die alleinige Entwicklung eigener ethischer Entscheidungsmodelle in der Pflege fragwürdig, wenn Entscheidungsbeteiligte vorgeben, ihr Ziel sei die Etablierung eines gemeinsamen interdisziplinären Vorgehens.


2018 ◽  
Vol 8 (2) ◽  
pp. 337
Author(s):  
Thamarat Jangsiriwattana ◽  
Sanober Salman ◽  
Boonthipa Jiantreeangkool

The ethics issue has been receiving massive attention of today’s managers due to the publicized scandals and cases of fraud, bankruptcy and others. For managerial convenience numerous ethical decision making models were proposed by researchers, but six models are widely accepted by ethics based practitioners (Ferrell, Fraedrich & Ferrell, 2008). Each model has unique characteristics, which enhances understanding about ethical dilemma. This paper reviewed the relevant literature and utilized seven models: (Kelly & Elm, 2003; Jones, 1991; Ferrell, Gresham & Fraedrich, 1989; Hunt & Vitell, 1986; Trevino, 1986; Ferrell & Gresham, 1985; Kohlberg, 1969) and then cultivated ethical decision-making model for Thai context. In addition, the authors also reviewed the literature on Thai culture and focused on Buddhist philosophy, beliefs, values and norms of Thai people. Finally, the Seven ethical decision making models and Buddhist philosophy were integrated together to propose a model for ethical decision making for Thai organization.


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