Empirical investigation regarding ethical decision making: a stakeholder cross-impact analysis (SCIA)

Purpose The purpose of this research was to study senior and middle-level executive perspectives on ethical decision-making exploring stakeholder cross-impact analysis (SCIA). Given the complexities of business today, stakeholder identification, prioritisation and complexities of reciprocal stakeholder influences have become very important. Various philosophical approaches raised questions than responses to these problems. There was a clear need to find ways through which the worldview of agents could be assimilated and understood. Design/methodology/approach This study used the original hypothetical short case and brought in middle and senior executive reflections of Indian fast-moving consumer goods (FMCG) managers. Reflections of ten senior and 178 middle-level Indian FMCG managers were presented, exploring ethical dilemmas using short hypothetical case. These reflections have been analysed using the SCIA framework. The paired t-test was performed to compare the reflections of senior and middle-level executives. Findings The study results indicated that differences emerged regarding stakeholder identification, prioritisation and reciprocal stakeholder influences between Indian middle and senior FMCG executives. Hence, this study paved a reflective space for SCIA. The findings were in line with the tenets of agents’ dilemmas depicted in agency theory. Research limitations/implications This study made contribution to theory by integrating the perspective of ethical dilemma confronted by organisational decision-making units (DMUs) with respect to stakeholder influence and prioritisation. Specifically, theoretical contribution was made towards SCIA. Practical implications This study would help middle and senior executives to better understand the needs and complexities of stakeholder identification, prioritisation and complexities of reciprocal stakeholder influences. Originality/value To the best of the authors’ knowledge, this was one of the first studies from an emerging market context country like India that applied SCIA in the FMCG sector. Organisational DMUs while facing ethical dilemma undertook stakeholder influence vis-a-vis stakeholder prioritisation.

No Humans Here

Many research communities routinely conduct activities that fall outside the bounds of traditional human subjects research, yet still frequently rely on the determinations of institutional review boards (IRBs) or similar regulatory bodies to scope ethical decision-making. Presented as a U.S. university-based fictional memo describing a post-hoc IRB review of a research study about social media and public health, this design fiction draws inspiration from current debates and uncertainties in the HCI and social computing communities around issues such as the use of public data, privacy, open science, and unintended consequences, in order to highlight the limitations of regulatory bodies as arbiters of ethics and the importance of forward-thinking ethical considerations from researchers and research communities.

Tele-Ethics in Communication Disorders: Asking the Right Questions, Finding the Right Answers

Purpose: A hypothetical case is used to illustrate legal and ethical issues involving the decision to replace the traditional in-person service delivery model with telepractice in schools beyond the context of the initial COVID-19 health emergency. In this clinical focus article, the reader follows Maria, the lead speech-language pathologist (SLP) in the district, as she determines the feasibility of continuing telepractice in her district now that students and clinicians are returning to schools. First, she considers the support needed to implement this service delivery model within the school setting given the anticipated changes to the rules and regulations governing lawful and ethical provision of telepractice after the health emergency ends. Next, she decides if telepractice is warranted in the district by considering the rationales behind the requests. Faced with balancing school, student, and clinician needs, Maria uses an ethical decision-making model to determine if requests for telepractice, tied to health safety concerns and potentially influenced by implicit bias, reflect legal, ethical, and/or moral issues driven by fear or unconscious discriminatory motives. Conclusions: The health emergency gave SLPs working in schools the unique opportunity to experience the benefits and utility of telepractice. Following the return to schools, continuation of telepractice services will require support and training of SLPs. Many factors must be considered including equivalency of services, technology, and protection of privacy as they relate to the changes to the laws and regulations governing telepractice after the health emergency allowances end. Of primary importance is the selection of telepractice to address student needs, not to avoid specific schools because of their characteristics or location. An ethical decision-making model can be used as a framework to guide service delivery model decisions that balance the needs of the student, the clinician, and the district.

Ethical Standards for a Post-COVID-19 World

The cataclysmic events of 2020 created an urgent need for mental health counseling to help individuals, families, and communities deal with grief, loss, and trauma. The sheer magnitude of the challenges has highlighted the necessity for collective interventions, as the need for help far surpasses what can be met through traditional individual or family counseling. Clinical mental health counselors must be prepared to respond to the new challenges in creative, culturally responsive, and ethical ways. The authors discuss the limitations of the prevailing codes of ethics, which are grounded in principle ethics, and propose that virtue ethics and relational ethics perspectives can be incorporated into ethical reasoning to make the process more responsive to collective interventions. A case scenario is presented and analyzed to illustrate this broader and more inclusive approach to ethical decision-making in a situation that calls for a collective intervention.

How Ethics in Public Health Administration Leadership Leverages Connectedness in the age of COVID 19

Ethics is critical in emergency response to public health and patient care in ways that create a variety of challenging dilemmas and decisions. Understanding ethical codes around medical care, especially during the emergence of COVID 19, has made leadership's role in perpetuating ethical organizational cultures in healthcare vital. Ethical leadership and ethical organizational cultures transform and unite social systems around everyday purposes of ethical decision-making, leveraging organizational connectedness. Leadership value systems mitigate subjectivity constituting ethical themes of moral character and virtues to advance organizational trust. Leadership value systems reduce subjectivity, forming ethical issues of moral character and virtues to promote organizational confidence and moral organizational decision-making. This paper employs the use of content analysis from the literature to take disjointed approaches and combine them into a cohesive understanding of leadership dynamics on organizational ethics in healthcare.