a Centre for Faculty Development, St. Michael's Hospital, Centre for Ambulatory Care Education, Department of Speech-Language Pathology , University of Toronto , Toronto , Canada.
b Department of Speech-Language Pathology, University of Toronto, and Department of Psychology , Neuroscience, and Behaviour, McMaster University, Starkey Hearing Technologies , Eden Prairie , Minnesota.
Int J Audiol. 2019 Sep;58(9):576-586. doi: 10.1080/14992027.2019.1602737. Epub 2019 May 14.
Supporting audiologists to work ethically with industry requires theory-building research. This study sought to answer: How do audiologists view their relationship with industry in terms of ethical implications? What do audiologists do when faced with ethical tensions? How do social and systemic structures influence these views and actions? A constructivist grounded theory study was conducted using semi-structured interviews of clinicians, students and faculty. A purposive sample of 19 Canadian and American audiologists was recruited with representation across clinical, academic, educational and industry work settings. Theoretical sampling of grey literature occurred alongside audiologist sampling. Interpretations were informed by the concepts of ethical tensions as ethical uncertainty, dilemmas and distress. Findings identified the audiology-industry relationship as symbiotic but not wholly positive. A range of responses included denying ethical tensions to avoiding any industry interactions altogether. Several of our participants who had experienced ethical distress quit their jobs to resolve the distress. Systemic influences included the economy, professional autonomy and the hidden curriculum. In direct response to our findings, the authors suggest a move to include virtues-based practice, an explicit curriculum for learning ethical industry relations, theoretically-aligned ethics education approaches and systemic and structural change.
支持听力学家在与行业合作时遵守职业道德需要进行理论构建研究。本研究旨在回答以下问题：听力学家如何看待他们与行业的关系及其道德影响？当面临道德困境时，听力学家会怎么做？社会和系统结构如何影响这些观点和行为？本研究采用建构主义扎根理论方法，对临床医生、学生和教师进行了半结构化访谈。通过目的性抽样，在加拿大和美国招募了 19 名听力学家，他们在临床、学术、教育和行业工作环境中都有代表性。在听力学家抽样的同时，还对灰色文献进行了理论抽样。解释受到道德困境的概念的影响，包括道德不确定性、困境和困扰。研究结果表明，听力学与产业的关系是共生的，但并非完全积极。一系列反应包括否认道德困境，甚至完全避免与任何行业互动。我们的一些参与者经历了道德困境后辞职以解决困境。系统影响包括经济、专业自主权和隐性课程。针对我们的研究结果，作者建议采取基于美德的实践、学习伦理行业关系的明确课程、理论一致的伦理教育方法以及系统和结构变革。
