Kenny Belinda, Lincoln Michelle, Balandin Susan
School of Communication Disorders, University of Sydney, East St, PO Box 170, Lidcombe, 1825, NSW, Australia.
J Med Ethics. 2007 Sep;33(9):508-13. doi: 10.1136/jme.2006.017715.
Ten new graduate speech pathologists recounted their experiences in managing workplace ethical dilemmas in semi-structured interviews. Their stories were analysed for elements that described the nature and management of the ethical dilemmas. Ethical reasoning themes were generated to reflect the participants' approaches to managing these dilemmas. Finally, a conceptual model, the Dynamic Model of Ethical Reasoning, was developed. This model incorporates the elements of awareness, independent problem solving, supported problem solving, and decision and outcome evaluation. Features of the model demonstrate the complexity of ethical reasoning and the challenges that new graduates encounter when managing ethical dilemmas. The results have implications for preparing new graduates to manage ethical dilemmas in the workplace.
十位新毕业的言语病理学家在半结构化访谈中讲述了他们处理工作场所道德困境的经历。分析了他们的故事中描述道德困境的性质和处理方式的要素。生成了道德推理主题，以反映参与者处理这些困境的方法。最后，开发了一个概念模型——道德推理动态模型。该模型包含了意识、独立解决问题、支持性解决问题以及决策和结果评估等要素。该模型的特点展示了道德推理的复杂性以及新毕业生在处理道德困境时遇到的挑战。研究结果对帮助新毕业生应对工作场所的道德困境具有启示意义。
