Worksheet: Ethical Decision Making Model

Step 1

Is this an ethical dilemma? Describe the ethical issue in this case. Pick two ethical values in the CNO Ethics Standard which are in conflict or relate the most to the case. Also identify the two ethical principles (from Lakeridge handout) that relate to this case study. Describe how each value or principles applies to the case study. Ensure that you have selected 4 different values / principles.

ORDER Worksheet: Ethical Decision Making Model

Step 2

Step 2a: Gather all relevant information. Identify known and unknown facts and evidence. Consider medical indications, client capacity and preferences, quality of life and client safety, social, legal and economic factors.

Step 2b: Consider policies, guidelines, professional standards, code of ethics and relevant legislation which relate to this case study (support with evidence of research).

Step 3

Step 3a: Identify and Evaluate Stakeholders Responsibilities & Perspectives

Complete the chart below by considering the following for each identified stakeholder:

· What are their responsibilities (roles, duties or obligations) in this situation?

· Which of their values, beliefs, goals or assumptions will affect this decision?

	Responsibilities (Roles/Duties/Obligations)	Values (Beliefs/Goals/Assumptions)
Stakeholder:
Stakeholder:
Stakeholder:

Step 3b: Identify where conflicts exist by reflecting on the following questions:

· Do the responsibilities of one stakeholder conflict with others’ responsibilities or perspectives?

· Do the values, beliefs or goals of one stakeholder conflict with other’s responsibilities or perspectives?

· Do any stakeholders’ perspectives hold greater weight/priority? Why?

Step 4

Examine and determine your own values on the issues presented in the case, and how that might impact your ethical perspective?

Step 5

Write out the issue/problem – clear, simple statement. Ensure that you identify the problem in terms of ethical values/principles

Step 6

Brainstorm all possible options or courses of action. For each identify the Pros/Benefits and the Negatives/Consequences. Consider the stakeholders when considering all of the options.

Option	Benefits	Consequences

Step 7

Make or recommend a decision and provide the justification/rationale. Based on the full analysis of the options, determine which option best addresses the situation.

Worksheet: Ethical Decision Making Model