| Experienced speech-language pathologists' responses to ethical dilemmas: an integrated approach to ethical reasoning. | |
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MedLine Citation:
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PMID: 20008471 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To investigate the approaches of experienced speech-language pathologists (SLPs) to ethical reasoning and the processes they use to resolve ethical dilemmas. METHOD: Ten experienced SLPs participated in in-depth interviews. A narrative approach was used to guide participants' descriptions of how they resolved ethical dilemmas. Individual narrative transcriptions were analyzed by using the participant's words to develop an ethical story that described and interpreted their responses to dilemmas. Key concepts from individual stories were then coded into group themes to reflect participants' reasoning processes. RESULTS: Five major themes reflected participants' approaches to ethical reasoning: (a) focusing on the well-being of the client, (b) fulfilling professional roles and responsibilities, (c) attending to professional relationships, (d) managing resources, and (e) integrating personal and professional values. SLPs demonstrated a range of ethical reasoning processes: applying bioethical principles, casuistry, and narrative reasoning when managing ethical dilemmas in the workplace. CONCLUSIONS: The results indicate that experienced SLPs adopted an integrated approach to ethical reasoning. They supported clients' rights to make health care choices. Bioethical principles, casuistry, and narrative reasoning provided useful frameworks for facilitating health professionals' application of codes of ethics to complex professional practice issues. |
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Authors:
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Belinda Kenny; Michelle Lincoln; Susan Balandin |
Publication Detail:
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Type: Journal Article Date: 2009-12-14 |
Journal Detail:
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Title: American journal of speech-language pathology / American Speech-Language-Hearing Association Volume: 19 ISSN: 1558-9110 ISO Abbreviation: Am J Speech Lang Pathol Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-18 Completed Date: 2010-09-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9114726 Medline TA: Am J Speech Lang Pathol Country: United States |
Other Details:
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Languages: eng Pagination: 121-34 Citation Subset: IM |
Affiliation:
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University of Sydney-Speech Pathology, Faculty of Health Sciences, Cumberland Campus, Lidcombe, New South Wales 1825, Australia. b.kenny@usyd.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Ethics* Female Humans Middle Aged Problem Solving* Professional Competence* Speech-Language Pathology / manpower* Teaching* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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