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Journal articles on the topic 'Ethical dilemmas'

Author: Grafiati

Published: 4 June 2021

Last updated: 25 May 2024

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1

Suominen, Tarja, Päivi Åstedt-Kurki, and Daiva Lepaitė. "Ethical dilemmas concerning decision-making within health care leadership: a systematic literature review." Medicina 46, no. 9 (September 14, 2010): 595. http://dx.doi.org/10.3390/medicina46090084.

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The objective was to describe the research methods and research focuses on ethical dilemmas concerning decision-making within health care leadership. Material and methods. The search was conducted on Medline and PubMed databases (1998–2008). The systematic review included 21 selected articles. Results. The ethical dilemmas concerning decision-making within health care leadership are related to three levels: institutional (particular organization), political and local interface (local governmental structure), and national (professional expertise and system). The terms that are used as adequate to the term of “ethical dilemma” are the following: “continuous balancing,” “result of resource allocation,” “gap between professional obligations and possibilities,” “ethically controversial situation,” “concern about interactions,” “ethical difficulty,” “outcome of medical choices,” “concern about society access to health care resources,” “ethically difficult/ challenging situation,” “(the consequence of) ethical concern/ethical issue.” In qualitative studies, a semi-structured interview and qualitative content analysis are the most commonly applied methods; in quantitative studies, questionnaire surveys are employed. In the research literature, there is a lack of specification according to professional qualification of health care professionals concerning ethical dilemmas by decision-making within health care management/administration. Conclusions. The research on ethical dilemmas in health care leadership, management, and administration should integrate data about levels at which ethical dilemmas occur and investigate ethical dilemmas as complex phenomena because those are attached to decision-making and specific nuances of health care management/administration. In this article, the presented scientific problem requires extensive scientific discussions and research on ethical dilemmas concerning decision-making within health care leadership at various levels.

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Lopez-Moriarty, Sonia. "Ethical Choices in Aesthetic Medicine and Beyond." Clinical Scholars Review 8, no. 2 (2015): 235–40. http://dx.doi.org/10.1891/1939-2095.8.2.235.

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Practitioners will likely encounter significant ethical dilemmas during their professional careers. As these issues arise, practitioners will be required to analyze ethical issues and evaluate available choices. This case study discusses such an ethical dilemma in the context of aesthetic plastic surgery. The aesthetic provider is confronted with the question of whether or not to provide an ethically questionable procedure. The thought process discussed here can be extended beyond aesthetic medicine to all practitioners facing ethical dilemmas. An analysis of the principles of bioethics was undertaken. The principles of bioethics were then applied to the dilemma faced by the practitioner. Finally, a practical, 4-step system was constructed to be incorporated by the practitioner to guide in making ethically sound decisions.

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Rogers, Andy. "The Ethical Dilemmas in ‘Ethical Dilemmas’." Self & Society 39, no. 4 (June 2012): 46–47. http://dx.doi.org/10.1080/03060497.2012.11084230.

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Brady, Lynne C., and Anne Pittenger. "Ethical Dilemmas: Dysphagia Ethics." Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 6, no. 1 (April 1997): 14–17. http://dx.doi.org/10.1044/sasd6.1.14.

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Hadi Asri, Abdul, Efrizal Syofian, and Vita Fitria Sari. "Pengaruh Tingkat Pendidikan, Indeks Prestasi Kumulatif, Dan Gender Terhadap Dilema Etika." JURNAL EKSPLORASI AKUNTANSI 2, no. 2 (May 20, 2020): 2786–806. http://dx.doi.org/10.24036/jea.v2i2.248.

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This study aims to examine 1) The effect of education level on ethical dilemmas in accounting students at Padang State University, 2) The effect of cumulative achievement index on ethical dilemmas in accounting students at Padang State University, and 3) The influence of gender on ethical dilemmas in accounting students at Padang State University. This research is a type of causative research. This research uses a research instrument in the form of an ethical dilemma scenario with 213 respondents of accounting students. Data analysis techniques using the chi square test. The results of the study found that 1) The level of education was proven to have a significant positive effect on ethical dilemmas with the sig value of questions 1, questions 2, questions 3, and questions 4 in the ethical dilemma scenario of 0.028; 0.026; 0.003; 0.004 which is smaller than 0.05. 2) The cumulative achievement index is proven to have a significant positive effect on ethical dilemmas with a sig in question 1, question 2, question 3, and question 4 of 0.001; 0,001; 0,000; 0,000 <0.05. 3) Gender was not proven to have a significant positive effect on ethical dilemmas with the value of question 1, question 2, question 3, and question 4 in the ethical dilemma scenario of 0.234; 0.288; 0.510; 0.444> 0.05.

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Wijayanti, Dwi Marlina, Frisky Jeremy Kasingku, and Risa Rukmana. "Ethical Dilemmas on Accountants." Abstract Proceedings International Scholars Conference 5, no. 1 (August 15, 2019): 177. http://dx.doi.org/10.35974/isc.v5i1.1533.

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Abstract: Internal factors play an important role in decision making, especially under ethical dilemma conditions. Therefore, we examine the internal factors of individuals such as gender, age, and level of education in making decisions under ethical dilemma circumstances. This study uses a survey by Aluchna and Mikolajczyk and Eweje and Brunon to collect data. 86 undergraduate and 19 postgraduate students are the respondents for this study. Nonparametric chi-square tests are conducted to test the hypotheses. As a result, women are more ethical than men. Age does not affect the attitude when faced with ethical dilemmas. Moreover, there is no difference in perception between age and level of education toward ethical dilemmas. This study contributes for practical field. Human resource can consider which person to recruit to fit a job, and early ethical education should be done in order for the individual to reach the highest ethical stage.

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Jørgensen, Lone, and Mette Geil Kollerup. "Ethical dilemmas in nursing documentation." Nursing Ethics 29, no. 2 (December 5, 2021): 485–97. http://dx.doi.org/10.1177/09697330211046654.

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Background: Nursing documentation is an essential aspect of ethical nursing care. Lack of awareness of ethical dilemmas in nursing documentation may increase the risk of patient harm. Considering this, ethical dilemmas within nursing documentation need to be explored. Aim: To explore ethical dilemmas in nurses’ conversations about nursing documentation. Research design, participants and context: The study used a qualitative design. Participants were registered nurses from a Patient Hotel at a Danish University Hospital. Data were collected in three focus groups with a total of 12 participants. Data analysis consisted of qualitative content analysis inspired by Graneheim and Lundman. Ethical consideration: This study was conducted in accordance with the ethical principles of research and regulations in terms of confidentiality, anonymity and provision of informed consent. Findings: Ethical dilemmas were strongly present in nurses’ conversations about nursing documentation. These dilemmas were demonstrated in two themes: (1) a dilemma between respecting patients’ autonomy and not causing harm, which was visible in nurses’ navigation between written documentation and oral tradition, and (2) a dilemma concerning justice and fair distribution of goods, which was visible in nurses’ balancing between documenting deviations and proof of nursing practice. Discussion: Ethical dilemmas in nursing documentation regarding respecting patients’ autonomy and not causing harm accentuated discussions on professional responsibility and patient participation in clinical decisions. Dilemmas in justice and fair distribution of goods emphasised discussions on trust in relationships versus trust in electronic health records. Conclusion: Actual tendencies in the healthcare system may increase ethical dilemmas in nursing documentation. Sharing otherwise invisible and individual experiences of ethical dilemmas in nursing documentation among nurses, nurse leaders and decision-makers will enable addressing these in reflections and discussions as well as in considering adjustments of conditions for nursing documentation.

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Diyanti, Ferry. "Facing Ethical Dilemmas as Professional Accountants in the Future: Do They Aware?" Journal of International Conference Proceedings 5, no. 3 (September 29, 2022): 171–79. http://dx.doi.org/10.32535/jicp.v5i3.1840.

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Accountants often face ethical dilemmas, so appropriate ethical decisions and actions are needed. Accounting students must be able to identify ethical dilemmas. This study aims to get an overview of the ability of accounting students to identify the ethical dilemmas faced. This research uses an exploratory method through an in-depth interview with internship accounting students in government and private institutions. The results showed that students currently participating in the internship program could feel and identify ethical dilemmas in their work. They can identify the procurement of equipment and services used for personal purposes, empty notes, and the fraudulent in preparation of financial statements. However, factors of superior pressure, position in work, work environment and organizational culture force them to remain silent and or carry out the ethical dilemma practices they face. These results show that business ethics learning methods have not been able to encourage interns to make decisions and take ethical actions. Keywords: Accounting Students, Ethical Decisions and Actions, Ethical Dilemmas, Moral Awareness, Internships.

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Kipperman, Barry, Patricia Morris, and Bernard Rollin. "Ethical dilemmas encountered by small animal veterinarians: characterisation, responses, consequences and beliefs regarding euthanasia." Veterinary Record 182, no. 19 (February 14, 2018): 548. http://dx.doi.org/10.1136/vr.104619.

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Small animal veterinarians’ opinions were investigated regarding the frequency and nature of ethical dilemmas encountered, beliefs regarding euthanasia and balancing client and animal interests, prevalence and value of ethics training and proposals to mitigate the stressful effects of ethical dilemmas. The majority (52 per cent) of 484 respondents in the USA indicated via an online survey experiencing an ethical dilemma regarding the interests of clients and those of their patients at least weekly. Scenarios involving client financial concerns were commonly reported causes of ethical conflicts. While only 20 per cent of respondents indicated that other practitioners prioritise patient interests, 50 per cent of respondents characterised their own behaviour as prioritising patients. Most respondents (52 per cent) reported that ethical dilemmas are the leading cause, or are one of many equal causes, of work-related stress. Less experienced practitioners, general practitioners and associate veterinarians were more likely to encounter situations they defined as ethical dilemmas, and female respondents were more likely to find ethical dilemmas stressful. Most small animal veterinarians experience ethical dilemmas regularly, which contribute to moral stress. Results suggested that most small animal practitioners believe that greater awareness of moral stress and providing training in ethical theories and tools for coping with ethical dilemmas can ameliorate moral stress.

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Robertson, Michael, Christopher Ryan, and Garry Walter. "Overview of Psychiatric Ethics III: Principles-Based Ethics." Australasian Psychiatry 15, no. 4 (August 2007): 281–86. http://dx.doi.org/10.1080/10398560701390231.

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Objective: The aim of this paper is to consider the application of principle-based medical ethics to psychiatry. Conclusions: Principles-based medical ethics is a useful tool for resolving ethical dilemmas in psychiatryin that clinical aspects of ethical dilemmas can be better articulated then in other methods. The ethical dilemmas unique to psychiatry, such as those related to impairment of autonomy, present a challenge to the method. After considering a case example, we conclude that psychiatrists can best utilise a principles based approach to ethical dilemmas when they combine this with a level of critical reflection in the light of other ethical theories, such as virtue ethics, as well as close consideration of the clinical and social context of the ethical dilemma.

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Arasaradnam, RP. "Ethical Dilemmas?" Clinical Medicine 1, no. 6 (November 1, 2001): 515.3–515. http://dx.doi.org/10.7861/clinmedicine.1-6-515b.

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12

Gallagher, Ann. "Ethical dilemmas." Nursing Standard 29, no. 29 (March 18, 2015): 28. http://dx.doi.org/10.7748/ns.29.29.28.s29.

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Gallagher, Ann. "Ethical dilemmas." Nursing Standard 29, no. 34 (April 22, 2015): 30. http://dx.doi.org/10.7748/ns.29.34.30.s34.

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14

Ormerod, R. J. "Ethical Dilemmas." Journal of the Operational Research Society 50, no. 5 (May 1999): 546. http://dx.doi.org/10.2307/3010004.

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15

Cassell, Joun. "Ethical Dilemmas." Anthropology News 27, no. 4 (April 1986): 16. http://dx.doi.org/10.1111/an.1986.27.4.16.1.

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16

Siegler, Mark, Jessica H. Muller, and M. Margaret Clark. "Ethical Dilemmas." Anthropology News 27, no. 9 (December 1986): 14–15. http://dx.doi.org/10.1111/an.1986.27.9.14.

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17

Leskinen, Heikki. "Ethical Dilemmas." Adult Learning 5, no. 2 (November 1993): 6. http://dx.doi.org/10.1177/104515959300500203.

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18

Miya, Pamela A. "ETHICAL DILEMMAS." AJN, American Journal of Nursing 94, no. 3 (March 1994): 56. http://dx.doi.org/10.1097/00000446-199403000-00038.

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19

BOOTH, FRANK W. "Ethical dilemmas." Nature 340, no. 6236 (August 1989): 672. http://dx.doi.org/10.1038/340672a0.

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20

Dvonch, Victoria. "Ethical Dilemmas." Clinical Orthopaedics and Related Research 378 (September 2000): 124–28. http://dx.doi.org/10.1097/00003086-200009000-00020.

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21

Mitchell, Christine. "Ethical Dilemmas." Critical Care Nursing Clinics of North America 2, no. 3 (September 1990): 427–30. http://dx.doi.org/10.1016/s0899-5885(18)30801-3.

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Ormerod, R. J. "Ethical Dilemmas." Journal of the Operational Research Society 50, no. 5 (May 1999): 546–48. http://dx.doi.org/10.1057/palgrave.jors.2600725.

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23

Lyon, Neal. "Ethical dilemmas." New Scientist 213, no. 2856 (March 2012): 30–31. http://dx.doi.org/10.1016/s0262-4079(12)60692-7.

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24

Rogers, Andy. "Ethical Dilemmas." Self & Society 40, no. 1 (September 2012): 57–59. http://dx.doi.org/10.1080/03060497.2012.11084249.

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Rogers, Andy. "Ethical Dilemmas." Self & Society 40, no. 2 (December 2013): 59–62. http://dx.doi.org/10.1080/03060497.2013.11084266.

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Rogers, Andy. "Ethical Dilemmas." Self & Society 40, no. 3 (March 2013): 62–64. http://dx.doi.org/10.1080/03060497.2013.11084289.

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Rogers, Andy. "Ethical Dilemmas." Self & Society 40, no. 4 (June 2013): 65. http://dx.doi.org/10.1080/03060497.2013.11084307.

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Rogers, Andy. "Ethical Dilemmas." Self & Society 41, no. 1 (September 2013): 73–75. http://dx.doi.org/10.1080/03060497.2013.11084328.

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Rogers, Andy. "Ethical Dilemmas." Self & Society 41, no. 2 (December 2014): 62–64. http://dx.doi.org/10.1080/03060497.2014.11084349.

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Rogers, Andy. "Ethical Dilemmas." Self & Society 41, no. 4 (June 2014): 79–82. http://dx.doi.org/10.1080/03060497.2014.11084395.

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31

Smith, Norma Guest. "Ethical Dilemmas." AAOHN Journal 37, no. 2 (February 1989): 88. http://dx.doi.org/10.1177/216507998903700209.

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32

Ondeck, Deborah Anne. "Ethical Dilemmas." Home Health Care Management & Practice 9, no. 6 (October 1997): 79–80. http://dx.doi.org/10.1177/108482239700900614.

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BODINSKY, GRETCHEN N. "Ethical Dilemmas." Gastroenterology Nursing 13, no. 4 (1991): 206–8. http://dx.doi.org/10.1097/00001610-199101340-00005.

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KIM, Yongsoon, Jeewon PARK, Moonsook YOO, Myungsun HYUN, and Giyon KIM. "Nurses’ Moral Judgments on Ethical Dilemmas." Korean Journal of Medical Ethics 2, no. 1 (November 1999): 159–76. http://dx.doi.org/10.35301/ksme.1999.2.1.159.

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It is important for nurses to be knowledgeable about ethical theories, ethical principles, and professional obligations, when they should make a judgement in ethical dilemmas. The main purpose of this study is to investigate nurses’ ethical decisions and moral judgements and to analyze the factors related to ethical decisions. The data was collected during the period of October 14 through October 22, 1998. Sample consists of 63 nurses working in the ICU who met research criteria. The instrument used in this study was the Judgements About Nursing Decisions(JAND) developed in 1981 and modified in 1998 by Ketefian. Data analysis was done using SPSS WIN. The results were as follows: 1. As for the ethical decisions, it was reported that they regarded pragmatism rather than deontology as an important ethical theory, considered the views of the patients and families and their own philosophy in ethical dilemma, and consulted with peer nurses and head nurse about an ethical dilemma. 2. As for the moral judgements, the scores in ideal moral judgements was higher than those in realistic moral judgements. 3. There were no significant differences in ethical decisions according to P % scores. 4. The factors that were related to ethical decision were age, employment year, religion, father’s education year, and ethical principle. It is suggested that it is important to develop the programs that can help nurses to judge ethically and to provide with students the education from which students can experience the ethical dilemma.

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Naumov, Pavel, and Rui-Jie Yew. "Ethical Dilemmas in Strategic Games." Proceedings of the AAAI Conference on Artificial Intelligence 35, no. 13 (May 18, 2021): 11613–21. http://dx.doi.org/10.1609/aaai.v35i13.17381.

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An agent, or a coalition of agents, faces an ethical dilemma between several statements if she is forced to make a conscious choice between which of these statements will be true. This paper proposes to capture ethical dilemmas as a modality in strategic game settings with and without limit on sacrifice and for perfect and imperfect information games. The authors show that the dilemma modality cannot be defined through the earlier proposed blameworthiness modality. The main technical result is a sound and complete axiomatization of the properties of this modality with sacrifice in games with perfect information.

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Figar, Nadica, and Biljana Đorđević. "Managing an Ethical Dilemma." Economic Themes 54, no. 3 (September 1, 2016): 345–62. http://dx.doi.org/10.1515/ethemes-2016-0017.

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Abstract An ethical dilemma is a situation of making a choice between two or more alternatives. An agent is in unpleasant and difficult situation because he/she often needs to make a choice between ethical and unethical alternatives, and when it comes to the ethical alternatives, he/she should choose the best one. Selection reflects to a large number of principals, so this situation causes conflicts between different levels of ethical dilemmas, but also the conflicts within the same level. These conflicts can be solved by applying the hierarchy and priority rules which are incorporated in the procedure and, in particular,in the strategy for solving the ethical dilemmas. Through many case studies this paper points out the importance of an ethical dilemma in making business decisions, the so-called business ethical dilemma. It is the result of the incompatibilities between altruism, egoism and the common good. Neglecting the need for establishing the compatibility not only creates an ethical dilemma, but it becomes deeper, which is firstly manifested through the loss of reputation of the company, then through decreasing the financial results, and, in the worst case, in closing the company. Therefore, an ethical dilemma must be continuously managed.

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Anggraeni, Kemala Putri, and Maria Johana Ari Widayanti. "Ethical Dilemmas as Seen Through the Major Characters Reflected in "The Danish Girl" Movie Screenplay Written by Lucinda Coxon." Rainbow: Journal of Literature, Linguistics and Cultural Studies 8, no. 2 (November 30, 2019): 75–84. http://dx.doi.org/10.15294/rainbow.v8i2.34826.

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An ethical dilemma is an interesting topic to discuss since it always occurs to us in our daily lives whether we realise it or not. The study is aimed to explain the ethical dilemmas of the major characters in The Danish Girl movie screenplay by Lucinda Coxon. This study used psychoanalytic theory of the tripartite model theory by Sigmund Freud and employed qualitative method. The result was the ethical dilemmas of the major characters occurred before they made a decision in their actions. This study revealed that the ethical dilemma happened to them because they needed to think about the impact of their actions on other people or themselves. It could prevent them from doing or saying inappropriate things which could hurt someone's feelings or harm themselves. Another result in this study was that the ethical dilemmas that happened to the major characters mostly represent ego more than the other two parts of psyche. They could control what they wanted to say or do since they thought about the possible things that could happen to each choice before they made the decision. Keywords: Characters, Ethical Dilemma, Movie Screenplay, Psychoanalytic Theory, The Danish Girl

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38

Ferencz-Kaddari, Michall, Annie Shifman, and Meni Koslowsky. "Modeling Psychologists’ Ethical Intention." Psychological Reports 118, no. 3 (May 19, 2016): 691–709. http://dx.doi.org/10.1177/0033294116647691.

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At the core of all therapeutic and medical practice lies ethics. By applying an expanded Ajzen’s Theory of Planned Behavior formulation, the present investigation tested a model for explaining psychologists’ intention to behave ethically. In the pretest, dual relationships and money conflicts were seen as the most prevalent dilemmas. A total of 395 clinical psychologists filled out questionnaires containing either a dual relationship dilemma describing a scenario where a psychologist was asked to treat a son of a colleague or a money-focused dilemma where he or she was asked to treat a patient unable to pay for the service. Results obtained from applying the expanded Ajzen’s model to each dilemma, generally, supported the study hypotheses. In particular, attitudes were seen as the most important predictor in both dilemmas followed by a morality component, defined here as the commitment of the psychologist to the patient included here as an additional predictor in the model. The expanded model provided a better understanding of ethical intention. Practical implications were also discussed.

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39

Klemenc-Ketiš, Zalika, and Janko Kersnik. "Prevalence of ethical dilemmas in Slovenian family practice." Acta Medico-Biotechnica 2, no. 01 (June 26, 2022): 45–54. http://dx.doi.org/10.18690/actabiomed.12.

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Purpose: To determine the perceived prevalence of ethical dilemmas in family practice. Methods: Self-administered questionnaire sent to a random sample of 259 Slovenian family physicians. The main outcome measure was the percentage of doctors reporting the frequency of ethical dilemmas on a 5-point scale.Results: Ethical dilemmas were common (mean score ± standard deviation, 36.2±12.5, out of a maximum of 100). The most common dilemmas involved decision-making regarding use of limited resources (23.9%), patient attempts to abuse the health care service (20.4%) and interfacing with the rest of the health care system (20.4%). Dealing with patients suspected of being physically abused, sexually abused, or involved in other violent acts was the least common ethical dilemma (<0.1%), followed by issues involving breaking bad news (<0.1%) and special situations regarding adolescents (0.7%). Older physicians and those with more experience reported ethical dilemmas less commonly (32.3±11.9 vs. 40.1±11.9, P < 0.001; 32.4±11.8 vs. 39.5±12.2, P = 0.001, respectively). Specialists in family medicine and family medicine residents reported ethical dilemmas more commonly than general practitioners without specialist training (37.0±12.6 vs. 30.7±10.8, P = 0.05 and 39.5±12.5 vs. 30.7±10.8, P = 0.04, respectively).Conclusions: Ethical issues are common in Slovenian family practice and are most often reported by residents in specialist training. This supports the need to continue and even improve specialist training in recognizing and comprehending ethical dilemmas.

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Bobek, Donna D., and Robin R. Radtke. "An Experiential Investigation of Tax Professionals' Ethical Environments." Journal of the American Taxation Association 29, no. 2 (September 1, 2007): 63–84. http://dx.doi.org/10.2308/jata.2007.29.2.63.

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This paper investigates the ethical environment in which tax professionals operate by eliciting practicing tax professionals' personal experiences with ethical dilemmas in tax engagements. Since organizational culture can play a role in creating an environment where ethical decision making is encouraged (Arnold et al. 1999, 2000; Booth and Schulz 2004), we expected that tax professionals' self-identified ethical dilemmas would be related to their assessments of the ethical environments of their firms. Based on 146 responses from practicing tax professionals, most participants rated their ethical environment as very strong. Additionally, the 84 participants who did not describe a self-identified ethical dilemma rated the ethical environment of their firms significantly stronger than the 62 who reported a dilemma. Implications of this study include an emphasis on in-house ethics training and explicitly including rewards and sanctions regarding ethical behavior in performance evaluation systems.

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Kim, S. Y. H. "Commentary: The Dilemma of Hidden Ethical Dilemmas." Academic Psychiatry 28, no. 3 (September 1, 2004): 168–69. http://dx.doi.org/10.1176/appi.ap.28.3.168.

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42

Arar, Khalid, and Anna Saiti. "Ethical leadership, ethical dilemmas and decision making among school administrators." Equity in Education & Society 1, no. 1 (January 25, 2022): 126–41. http://dx.doi.org/10.1177/27526461211070828.

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Ethical dilemmas are an inevitable element in decision making. For school organizations, the emergence of an ethical dilemma in decision making is almost a daily occurrence. The purpose of this research is to reveal the impact of ethical leadership on leaders’ decision making by comparing two samples of school administrators in the Israeli education system using the Ethical Leadership Questionnaire. The research questions were about the factors that influence ethical decision making. They were used to investigate whether or not personal characteristics have any influential role on ethical decision making and whether there are any differences between the two cultures that affect ethical decision making and the dimensions of ethical leadership. The results of this study revealed that ethical leadership and the moral behavior of school members have only positive effects on the evaluation and interpretation of social values, the better treatment of moral dilemmas and the enhancement of ethical decision making. Moreover, in both cases, high positive correlations were found with the variables ethic critique, sensitivity and culture, and the ethic of care. The dimensions of ethical leadership, and hence the ways ethical dilemmas are handled, present similarities between the two cultures.

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Hopia, Hanna, Ilsa Lottes, and Mariël Kanne. "Ethical concerns and dilemmas of Finnish and Dutch health professionals." Nursing Ethics 23, no. 6 (August 3, 2016): 659–73. http://dx.doi.org/10.1177/0969733015579311.

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Background: Healthcare professionals encounter ethical dilemmas and concerns in their practice. More research is needed to understand these ethical problems and to know how to educate professionals to respond to them. Research objective: To describe ethical dilemmas and concerns at work from the perspectives of Finnish and Dutch healthcare professionals studying at the master’s level. Research design: Exploratory, qualitative study that used the text of student online discussions of ethical dilemmas at work as data. Method: Participants’ online discussions were analyzed using inductive content analysis. Participants: The sample consisted of 49 students at master’s level enrolled in professional ethics courses at universities in Finland and the Netherlands. Ethical considerations: Permission for conducting the study was granted from both universities of applied sciences. All students provided their informed consent for the use of their assignments as research data. Findings: Participants described 51 problematic work situations. Among these, 16 were found to be ethical dilemmas, and the remaining were work issues with an ethical concern and did not meet criteria of a dilemma. The most common problems resulted from concerns about quality care, safety of healthcare professionals, patients’ rights, and working with too few staff and inadequate resources. Discussion: The results indicated that participants were concerned about providing quality of care and raised numerous questions about how to provide it in challenging situations. The results show that it was difficult for students to differentiate ethical dilemmas from other ethical work concerns. Conclusion: Online discussions among healthcare providers give them an opportunity to relate ethical principles to real ethical dilemmas and problems in their work as well as to critically analyze ethical issues. We found that discussions with descriptions of ethical dilemmas and concerns by health professionals provide important information and recommendations not only for education and practice but also for health policy.

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Noviriani, Eliza. "STUDI FENOMENOLOGI ATAS DILEMA ETIS AUDITOR INTERNAL PEMERINTAH." EKUITAS (Jurnal Ekonomi dan Keuangan) 19, no. 2 (February 2, 2017): 217. http://dx.doi.org/10.24034/j25485024.y2015.v19.i2.1765.

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This study aims to gain an understanding the reality of ethical dilemmas faced by government auditors in Inspektorat Provinsi Kalimantan Barat and how it handled. The majority of previous studies conditioning ethical dilemmas in the design scenario. Threrefore, this study was motivated to investigate a more ethical dilemmas based field with interpretive paradigm. With phenomenological as research method, this research concludes that (1) internal auditors in a dilemma when get intervention from “obrik”, (2) auditors feeling bad to report his friends, (3) auditors faces the public perception, (4) auditors felt disappointed when “Laporan Hasil Pemeriksaan” is not signed, (5) limited of auditor, audit time and infrastructure are constraints of audit. Ethical dilemmas faced by auditors in a wide variety of situations is overcome by realizing the unity of consciousness. On the basis of spiritual consciousness, sosial consciousness, law consciousness and consciousness of the profession that is internalized within himself the ethical behavior of auditors can be realized.

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Yépez Herrera, Emerson Roberto, Katherine Nataly Cabascango Delgado, and Angie Isabel Pillajo Morillo. "DILEMAS ÉTICOS EN LA TOMA DE DECISIONES EN LAS ORGANIZACIONES EDUCATIVAS: PARADIGMAS GERENCIALES." Revista Cognosis. ISSN 2588-0578 4, no. 2 (June 24, 2019): 147. http://dx.doi.org/10.33936/cognosis.v4i2.1734.

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RESUMEN La ética enfocada propiamente en las organizaciones denota el punto fundamental para tomar decisiones. Se desprende un paradigma del cual nacen implicaciones directas e indirectas cuya repercusión es permanente. El objetivo del presente artículo recae en determinar la incidencia de los dilemas éticos en la toma de decisiones gerenciales. Para ello se realizó una búsqueda bibliográfica de acuerdo a criterios de inclusión y exclusión establecidos en las bases de datos de Redalyc y SciELO. Se extrajeron 816 artículos relacionados con el tema, seleccionados 18 para la revisión y aplicación. De los cuales se pudo concluir que la toma de decisiones en las organizaciones es de vital importancia y se encuentra profundamente relacionada a las características éticas con las que cuenta el Director/a organizacional. Los dilemas éticos infieren en la toma de decisiones debido al dilema moral que estos representan. Siendo así que, los dilemas mencionados forman parte de una contradicción entre la praxis y formación deontológica del representante de la organización, por lo tanto, es indispensable considerar las acciones y los efectos que implican directamente al desenvolvimiento de la empresa. Los gerentes de las organizaciones son encargados de tomar las decisiones, por ende sobre ellos recae la responsabilidad de cualquier actividad que se realice. Finalmente la toma de decisiones éticas tiene una relación intrínseca con la reputación e imagen ante el mercado. PALABRAS CLAVE: ética; organización educativa; decisiones; gerencia. ETHICAL DILEMMAS IN DECISION-MAKING IN EDUCATIONAL ORGANIZATIONS: MANAGEMENT PARADIGMS ABSTRACT Ethics focused properly on organizations denotes the fundamental point to make decisions. A paradigm emerges from which arise direct and indirect implications whose impact is permanent. The objective of this article is to determine the incidence of ethical dilemmas in management decision making. For this, a bibliographic search was carried out according to inclusion and exclusion criteria in the databases of Redalyc and SciELO. We extracted 816 articles related to the topic, selected 18 for review and application. The way in which the decision of the organizations can be made is of vital importance and is found in the ethical characteristics with which the Organizational Director counts. The ethical dilemmas infer in the decision making due to the moral dilemma they represent. Thus, the dilemmas become part of a contradiction between the practice and deontological training of the representative of the organization, therefore, it is essential for the actions and the effects that directly imply in the development of the company. The managers of the organizations are responsible for making decisions, for example, on the responsibility of any activity that becomes a reality. Finally, ethical decision making has an intrinsic relationship with reputation and image before the market. KEYWORDS: ethical; organization; decision; management.

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Quickfall, Aimee. "Reflecting on Ethical Processes and Dilemmas in Doctoral Research." Education Sciences 12, no. 11 (October 26, 2022): 751. http://dx.doi.org/10.3390/educsci12110751.

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This paper discusses ethical dilemmas from an early-career researcher perspective, drawing upon doctoral research experiences—my own. The doctoral study involved life-history interviews with five primary-school-teacher mothers. During the study, ethical dilemmas arose that were not considered by me or in the official university ethical processes. This left me feeling vulnerable in the data-collection period and overwhelmed with concerns for the well-being of participants and for myself as researcher. This paper draws on my journal entries and reflections; detailed reflections of the pre-, during and post-fieldwork stages were collected (totalling over 600 entries). The paper utilizes critical incidents analysis to explore two ethical dilemmas from the data collection phase. Findings include personal reflections on experiences of university processes and the mismatch between the metaphor of ethics as a ‘hurdle’ on a smooth track to completion, and the real-life incidents and dilemmas that followed ethical approval. Recommendations are made for a consideration of doctoral ethical dilemma support and the limitations of formal ethics processes in UK universities.

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Trasmundi, Sarah Bro, Thomas Wiben Jensen, Henriette Bruun, Katharina Kjølbye Wrist, and Sune Vork Steffensen. "The emergence and management of embodied dilemmas in psychotherapeutic interaction: a qualitative study." Qualitative Health Communication 2, no. 1 (January 30, 2023): 41–57. http://dx.doi.org/10.7146/qhc.v2i1.132866.

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In this article we take an embodied and interactional perspective on how ethical dilemmas are being managed in situated interaction. Accordingly, we aim at linking ethical principles to real-life clinical practices in order to show how ethical dilemmas are less about abstract decision-making, and more about reasoning constrained by inter-bodily dynamics, affect and adaptive behaviour in situated interaction. We present two real-life cases of ethical dilemma management in a psychotherapeutic setting. We use the innovative method, Cognitive Event Analysis, to investigate the interaction in which the dilemmas emerge. The analytical findings, we claim, pave the way for a more embodied code of ethics, which, in turn, has consequences for the theoretical assumptions that inform the models and guidelines for action in practice.

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Walker, Derek, and Beverley Lloyd-Walker. "Client-side project management capabilities: dealing with ethical dilemmas." International Journal of Managing Projects in Business 7, no. 4 (August 26, 2014): 566–89. http://dx.doi.org/10.1108/ijmpb-08-2013-0036.

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Purpose – The purpose of this paper is to present results and analysis from a case study on ethical dilemmas faced by client-side project management employees of a large Australian University. Design/methodology/approach – A single case study approach was adopted using the property services division's experience of potential ethical dilemmas that staff were exposed to as a focus for the unit of analysis. Data were triangulated by interviewing the Deputy Director of the division, a programme manager, a project manager and a client (stakeholder) with experience of dealing with the division. Each person was interviewed and the interview transcribed and analysed using grounded theory to make sense of the data. Findings – Four potential ethical dilemmas were identified: fraud/bribery/corruption; favouritism and special treatment; occupational health and safety and duty of care; and professionalism and respect for others. Leadership, governance structure and (organisational and national) culture supported initiative and independent thinking through cause-and-effect loops and consequences and this meditated and influenced how these dilemmas were dealt with. Research limitations/implications – This was just one case study in one cultural and governance setting. Greater insights and confidence in conclusions could be gained with replication of this kind of study. This study was part of a broader study of ethics in project management (PM) that consisted of eight other cases studies by others in the wider research team, also a quantitative study has been undertaken with results to be presented in other papers/reports. The main implication is that governance and workplace culture are two key influences that moderate and mediate an individuals inherent response to an ethical dilemma. Practical implications – Clients (project owners or POs) and their representatives (PORs) hold a pivotal role in ensuring that PM work takes place within an environment characterised by high ethical standards yet the authors know that all PM parties, including client-side PORs, are faced with ethical dilemmas. What do the authors mean by an “ethical dilemma” and how may POs ensure that their PORs behave ethically? This paper provides practical guidance and demonstrates how ethical dilemmas can be analysed and appropriate action taken. Social implications – Ethics in PM has profound implications for value generation through projects. Project managers need sound guidance and processes that align with society's norms and standards to be able to deliver project value so that commercial or sectarian interests do not dominate project delivery at the expense of society in general. Originality/value – This paper provides a rare example of a case study of project teams facing ethical dilemmas. The PM literature has few cases such as this to draw upon to inform PM theory and practice.

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Suikkanen, Jussi. "Consequentializing Moral Dilemmas." Journal of Moral Philosophy 17, no. 3 (June 5, 2020): 261–89. http://dx.doi.org/10.1163/17455243-01703001.

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The aim of the consequentializing project is to show that, for every plausible ethical theory, there is a version of consequentialism that is extensionally equivalent to it. One challenge this project faces is that there are common-sense ethical theories that posit moral dilemmas. There has been some speculation about how the consequentializers should react to these theories, but so far there has not been a systematic treatment of the topic. In this article, I show that there are at least five ways in which we can construct versions of consequentialism that are extensionally equivalent to the ethical theories that contain moral dilemmas. I argue that all these consequentializing strategies face a dilemma: either they must posit moral dilemmas in unintuitive cases or they must rely on unsupported assumptions about value, permissions, requirements, or options. I also consider this result’s consequences for the consequentializing project.

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Krajca-Radcliffe, Joan, and Nancy M. Cummings. "Sideline Ethical Dilemmas." Journal of Bone and Joint Surgery 96, no. 15 (August 2014): e132. http://dx.doi.org/10.2106/jbjs.n.00151.

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