Suarez Victoria D, Marya Videsha, Weiss Mary Jane, Cox David
Endicott College, Beverly, MA USA.
Village Autism Center, Marietta, GA USA.
Behav Anal Pract. 2022 Nov 29;16(3):657-671. doi: 10.1007/s40617-022-00753-1. eCollection 2023 Sep.
Human service practitioners from varying fields make ethical decisions daily. At some point during their careers, many behavior analysts may face ethical decisions outside the range of their previous education, training, and professional experiences. To help practitioners make better decisions, researchers have published ethical decision-making models; however, it is unknown the extent to which published models recommend similar behaviors. Thus, we systematically reviewed and analyzed ethical decision-making models from published peer-reviewed articles in behavior analysis and related allied health professions. We identified 55 ethical decision-making models across 60 peer-reviewed articles, seven primary professions (e.g., medicine, psychology), and 22 subfields (e.g., dentistry, family medicine). Through consensus-based analysis, we identified nine behaviors commonly recommended across the set of reviewed ethical decision-making models with almost all ( = 52) models arranging the recommended behaviors sequentially and less than half ( = 23) including a problem-solving approach. All nine ethical decision-making steps clustered around the ethical decision-making steps in the published by the Behavior Analyst Certification Board (2020) suggesting broad professional consensus for the behaviors likely involved in ethical decision making.
来自不同领域的人类服务从业者每天都要做出道德决策。在其职业生涯的某个阶段，许多行为分析师可能会面临超出其先前教育、培训和专业经验范围的道德决策。为了帮助从业者做出更好的决策，研究人员发表了道德决策模型；然而，尚不清楚已发表的模型在多大程度上推荐类似的行为。因此，我们系统地回顾和分析了行为分析及相关联合健康专业领域已发表的同行评审文章中的道德决策模型。我们在60篇同行评审文章、七个主要专业（如医学、心理学）和22个细分领域（如牙科、家庭医学）中确定了55个道德决策模型。通过基于共识的分析，我们在一组经过评审的道德决策模型中确定了九种通常被推荐的行为，几乎所有（n = 52）模型都按顺序排列了推荐的行为，不到一半（n = 23）的模型包括解决问题的方法。所有九个道德决策步骤都围绕行为分析师认证委员会（2020年）发布的道德决策步骤展开，这表明对于道德决策可能涉及的行为存在广泛的专业共识。
