An integrated ethical decision-making model for nurses

Nursing Ethics 19 (1):139-159 (2012)

Abstract
The study reviewed 20 currently-available structured ethical decision-making models and developed an integrated model consisting of six steps with useful questions and tools that help better performance each step: (1) the identification of an ethical problem; (2) the collection of additional information to identify the problem and develop solutions; (3) the development of alternatives for analysis and comparison; (4) the selection of the best alternatives and justification; (5) the development of diverse, practical ways to implement ethical decisions and actions; and (6) the evaluation of effects and development of strategies to prevent a similar occurrence. From a pilot-test of the model, nursing students reported positive experiences, including being satisfied with having access to a comprehensive review process of the ethical aspects of decision making and becoming more confident in their decisions. There is a need for the model to be further tested and refined in both the educational and practical environments.
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DOI 10.1177/0969733011413491
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Ethical Competence.Kathleen Lechasseur, Chantal Caux, Stéphanie Dollé & Alain Legault - forthcoming - Nursing Ethics:096973301666777.

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