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held by a person, subjective, “morally relative” until it is known how & to whom they are “good” |
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widely held beliefs about right & wrong in a community; shared values |
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can be viewed as an agreement between one’s personal values & the moral’s of one’s community |
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standards of behavior or judgments that provide guidance to members of the profession about how to act when they have to make a variety of business-related decisions |
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What are the 3 R's of ethics? |
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Respect, responsibility, and results |
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attitude conveyed to others, organizational resources, & the whole professional environment |
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the “means” by which results are achieved should be as important, if not more important, than the ultimate goals |
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feel besieged, feel as if can not respond to healthcare changes, feel as if have no control over manufacturers or suppliers, do not think can be an independent practitioner |
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When presented with ethical conflict the weak might embrace actions that lead to perceived ___, regardless of impact on others (patients, profession, self) |
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Ethics of Power: -perception of ___ & ability to ___ interests responsibly -able to ___ to opportunities & do not have to ___ ethics to survive -power allows one to better negotiate terms of ___ relationships |
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strength; promote; respond; compromise; professional |
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The Challenge of Ethics: -All practitioners have to make ___ -Scope of practice ___; practitioners push ___ -Decision-making is not always ___ and ___ -Challenge: sorting through the ___ areas |
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decisions; evolves; boundaries; black & white; gray |
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What are 3 key resources for ethical decision making? |
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What change did they make to ASHA code of ethics in 2016? |
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Diminished decision-making ability |
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COMMON THEMES AMONG ALL ETHICAL CODES: -Competency: maintain ___ levels -Use available ___: to ensure quality services, refer when needed -Use ____ practices -Do not discriminate the ___ provision -Provide services in the best interests of ___ -___ duties to others -Can make statements re: prognosis; but NO ___ -Avoid ___ or ___ -Comply with ___ standards -Comply with ___ requirements |
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highest; resources; best; service; patients; Delegate; guarantees; injury; harm; ethical; legal |
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an individual whose professional practice is adversely affected by addiction, substance abuse, or health-related and/or mental health-related conditions |
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any condition that renders a person unable to form the specific intent necessary to determine a reasonable course of action |
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Diminished decision-making ability |
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any act, expression, omission, or concealment – the intent of which is to deceive others to their disadvantage |
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opposition between private interests & professional responsibilities of a person in a position of trust, power, and/or authority |
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members and/or certificate holders, including applicants for certification |
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formal disciplinary action of public record, excluding actions due to insufficient continuing education, checks returned for insufficient funds, or late payment of fees not resulting in unlicensed practice |
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breaching a duty owed to another, which occurs because of a failure to conform to a requirement, & failure has caused harm to another, which lead to damages to this person(s); failure to exercise the care toward others that a reasonable or prudent person would take, or taking actions that such a reasonable person would not |
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Fiduciary relationship (Doctor-Patient Relationship): -Means ___ -Audiologist & patient have ___ status -Audiologists provide ___ to help patients ___ how to proceed -Patients must be fully ___ |
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trust; unequal; information; decide; informed |
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What are the 4 principles of the Belmont Report? |
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1. Respect for persons 2. Beneficence 3. Justice 4. Non-maleficence |
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Treat each person as an autonomous individual; Engage advocates for individuals who cannot function autonomously |
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Acting for the good of others; respect patient's decisions & protect them from harm Implication: learn about patients needs |
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Relates to the fairness of resource distribution |
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Do no harm; do not provide treatments that harm or are known to be ineffective |
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RELATIONSHIPS WITH INDUSTRY-Gifts: -___ accepting gifts of any value -Reasonable & ___ meals/travel assoc. with product education/training are ok |
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RELATIONSHIPS WITH INDUSTRY-Commercial Interests: -Avoid ___ interests in companies that supply or make products you use professionally -____ information when guideline cannot be followed -Exception: AAA member can own shares in a company that are part of a managed ___ |
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ownership; Disclose; portfolio |
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RELATIONSHIPS WITH INDUSTRY-Industry Sponsored Education: -Do not attend events with ___ for doing business with a specific company. -Do not accept anything beyond reasonable ___ expenses, ___, & ___. Encouraged to pay our own ___ expenses -Provide ___ ___ of relationship between themselves & industry sponsor. General description of relationship & nature of remuneration -Do not knowingly present information that is not ___ & ___ -Disclose to patients in ___ if AAA member receives remuneration or travel expenses for presenting at a company-sponsored event in the previous 12 months |
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rewards; travel; meal; lodging; education; full disclosure; accurate; complete; writing |
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RELATIONSHIPS WITH INDUSTRY-Consulting: -Unethical to serve as a paid consultant when the services are not ___ in a contract and/or if the compensation is not based on ___ market value -If audiologist uses or recommends a product made by a company while serving as a paid consultant or advisory board for that company within the past 12 months, the audiologist should ________________________. |
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specified; fair; disclose the consulting relationship in writing to patients |
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Review the scenarios on slides |
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trusted counselor or guide, positive influence, teaches, helps, gives advice |
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“gate-keepers” for audiology as they are responsible to training & evaluating future audiologists; have to balance needs of patients with needs of students; experienced providers who provide student-focused clinical & professional support to help students learn |
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influences ethical values of supervisees; managing & overseeing the clinic |
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review literature about ethics in audiology |
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Systematic review of ethics knowledge |
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SYSTEMATIC REVIEW OF ETHICS KNOWLEDGE: -Conclusion: knowledge of ethics grew from 1980-2010; but ___ were identified -Research Needed: unique ethical dilemmas encountered by audiologists in ___ roles, factors affecting ___, & ___ dimensions of ethical practice |
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gaps; all; judgment; cultural |
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