JCPSLP Vol 17 Supplement 1 2015_lores

Gilligan, C. (1982). In a different voice: Psychological theory and women’s development . London: Harvard University Press. Handelsman, J. (2006, 17 Jan.). Recognising when strings are attached. The ASHA Leader , 11 (1), 18. Hinderer, D. E., & Hinderer, S. R. (Eds.) (2001). Ethics: What, why, and why now? In A multidisciplinary approach to health care ethics (pp. 3–21). Mountain View, CA: Mayfield. Nelson, H. L. (2002). Context: backward, sideways, and forward. In R. Charon & M. Montello (Eds.), Stories matter: The role of narrative in medical ethics (pp. 39–48). New York: Routledge. Pannbacker, M. (1998). Whistleblowing in speech- language pathology. American Journal of Speech-Language Pathology , 7 (4), 18-24. Purtilo, R. B. (2000). A time to harvest, a time to sow: Ethics for a shifting landscape. Physical Therapy , 80 (11), 112–1120. Speech Pathology Australia. (2000). Code of ethics . Mel­ bourne: Speech Pathology Association of Australia Limited. Speech Pathology Australia. (2002). Ethics education package . Melbourne: Speech Pathology Association of Australia Limited. Thorne, L. (1998). The role of virtue in auditors’ ethical decision making: An integration of cognitive-developmental and virtue-ethics perspectives. Research on Accounting Ethics , 4 , 291–308.

perceptions of health and well-being and the individual’s social and physical environment. Narrative ethics focuses upon the professional community during ethical decision- making (Benner, 1991). According to a narrative approach, speech pathologists are part of moral communities whose members influence others by appealing to mutually recognised values and use those same values to refine understanding, extend consensus and eliminate ethical conflict (Nelson, 2002). The narrative approach emphasises the need for professionals to share their ethical concerns and discuss their strategies for managing ethical dilemmas. An ethical story may include the context of the dilemma, the history of the clients involved, perspectives of different stakeholders in the dilemma, and discussion and analysis of options available and potential outcomes. By sharing ethical stories, speech pathologists may clarify expectations for ethical practice in a rapidly changing health care environment. Finally, considering outcomes of decision- making from an ethical perspective may reinforce the need to develop policies and procedures that protect ethical principles and the rights of clients to receive a service governed by beneficence, truth, autonomy, fairness and professional integrity. References Armstrong, B., Ketz, J.E., & Owsen, D. (2003). Ethics education in accounting: moving toward ethical motivation and ethical behaviour. Journal of Accounting Education , 21 , 1–16. Benner, P. (1991). The role of experience, narrative and community in skilled ethical comportment. Advanced Nursing Science , 14 , 1–21. Finlay, L. (1997). Good patients and bad patients: how occupational therapists view their patients. British Journal of Occupational Therapy , 60 (10), 440–446. Freegard, H. (Ed.) (2006). Making ethical decisions (pp. 66–92). Melbourne: Thomson. Garrett, T. M., Baillie, H. W., & Garrett, R. M. (Eds.) (2001). Ethics, professional ethics, and health care ethics. Health care ethics. Principles and problems (4th ed.) (pp. 1–28). Upper Saddle River, New Jersey: Prentice Hall.

Correspondence to: Belinda Kenny Discipline of Speech Pathology, Faculty of Health Sciences Cumberland Campus C42, University of Sydney PO Box 170, East St Lidcombe, NSW 1825 phone: +61 2 9351 9337; fax. +61 2 9351 9173 email: B.Kenny@usyd.edu.au

This article was originally published as: Kenny, B. (2008). Ethics in clinical decision-making. ACQuiring Knowledge in Speech, Language, and Hearing , 10 (1), 4–6.

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JCPSLP Volume 17, Supplement 1, 2015 – Ethical practice in speech pathology

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