BMC Medical Ethics 13 (1):18- (2012)
|Abstract||Background: Professional health care practice should be based on ethical decisions and actions. Whenthere are competing ethical standards or principles, one must choose between two or morecompeting options. This study explores ethical dilemmas experienced by International BoardCertified Lactation Consultants. Methods: The investigator interviewed seven International Board Certified Lactation Consultants andanalyzed the interviews using qualitative research methods. Results: "Staying Mother-Centred" emerged as the overall theme. It encompassed six categories thatemerged as steps in managing ethical dilemmas: 1) recognizing the dilemma; 2) identifyingcontext; 3) determining choices; 4) strategies used; 5) results and choices the mother made;and 6) follow-up. The category, "Strategies used", was further analyzed and six sub-themesemerged: building trust; diffusing situations; empowering mothers; finding balance;providing information; and setting priorities. Conclusions: This study provides a framework for understanding how International Board CertifiedLactation Consultants manage ethical dilemmas. Although the details of their storieschanged, the essence of the experience remained quite constant with the participants makingchoices and acting to support the mothers. The framework could be the used for furtherresearch or to develop tools to support IBCLCs as they manage ethical dilemmas and tostrengthen the profession with a firm ethics foundation|
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