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Chapter 1

NURSING 2MM3 Chapter 1: IDEA- Ethical Decision-Making Framework Notes


Department
Nursing
Course Code
NURSING 2MM3
Professor
Tracey Jewiss
Chapter
1

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IDEA: ETHICAL DECISION-MAKING FRAMEWORK
- Ethics is about making good choices and the reasoning behind it
o What should we do, why, and how?
- Healthcare organizations face difficult decision when trying to provide care under
strict financial constraints
- Clinical ethical decisions: involve/impact individuals/staff and impact individual
values
- Organizational ethical decisions: involve/impact groups of patients/clients/residents
or staff members/units/systems/organization as a whole, and impacts values of the
organization
o Ethical decisions can be clinical, organizational, or both
- IDEA has four steps and incorporates conditions identified as important in the
accountability for reasonableness
o Four steps are:
1) Identify the facts
§ Ethical issues arise because of ¯ information or evidence, along
with disagreements about the facts
§ May help resolve some conflicts and set stage for effective
process in other steps
§ Ask: What is the ethical issue that has been identified?
2) Determine the relevant ethical principles
§ Clarify ethical issue by having open discussion about the dominant
values and principles of the relevant parties
§ What principles/criteria do stakeholders consider most relevant to
this issue?
§ Which principles/criteria do the stakeholders agree are the most
important?
§ Are there any additional factors that should be considered?
3) Explore the options
§ Encourages brainstorming and reflection on alternative courses of
action
§ Try to identify at the strengths and limitations of at least 3 options
which are consistent with laws and policies, and are also
consistent with mission, vision, and values of organization
4) Act
§ The decisions and process used to arrive at the decision is
documented and communicated to relevant parties
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