A framework for ethical decision making

00:07:09
https://www.youtube.com/watch?v=_CSbNINRXVo

摘要

TLDRIn this presentation, a framework for ethical decision-making in pharmacy practice is outlined. It stresses the importance of gathering all pertinent facts, identifying ethical principles at play, understanding legal requirements, and recognizing human values such as trust and empathy. Key steps include choosing from options based on implications, applying the 'red face test' for sensitivity, and justifying decisions with established principles of bioethics: beneficence, non-maleficence, autonomy, and justice. Reflection on past decisions is encouraged to continuously improve ethical practices.

心得

  • 🧐 Identify all relevant facts before making a decision.
  • 📜 Understand and apply ethical principles in practice.
  • ⚖️ Acknowledge legal constraints in decision making.
  • 🤝 Consider human values like trust and empathy.
  • 📝 Justify decisions using bioethical principles.
  • ⏱️ Make decisions quickly but thoughtfully.
  • ❓ Use the red face test to assess implications.
  • 🤔 Reflect on past decisions for improvement.
  • 🚀 Use a structured approach to navigate ethical dilemmas.
  • 💡 Remember the four principles: beneficence, non-maleficence, autonomy, and justice.

时间轴

  • 00:00:00 - 00:07:09

    The video discusses the importance of ethical decision-making in pharmacy practice. It presents a practical framework for approaching ethical dilemmas, starting with identifying all relevant facts, including the involved parties and the medical history of patients. Following this, it is crucial to recognize the ethical principles at play, along with any legal considerations. Human values, such as trust and empathy, significantly influence healthcare interactions. The speaker emphasizes the importance of quickly identifying options and their implications, using tests like the 'red face test' to gauge potential embarrassment or professional concern. Justifying ethical decisions is highlighted as a critical process, ensuring accountability. The speaker suggests using the four principles of bioethics—beneficence, non-maleficence, respect for patient autonomy, and justice—as a guide. The video concludes with a recap of the decision-making framework, encouraging practitioners to consider facts, involved parties, ethical principles, potential legal issues, human values, and the implications of their choices, all while ensuring principled justification for their decisions.

思维导图

视频问答

  • What is the first step in ethical decision making?

    Identify all the facts related to the situation, including the people involved and their medical history.

  • What are the four principles of bioethics mentioned?

    The four principles are beneficence, non-maleficence, respect for patient autonomy, and justice.

  • Why is human values consideration important in healthcare?

    Human values like trust and empathy play a crucial role in patient interactions and decision-making.

  • What is the 'red face test'?

    A method to evaluate if a decision could cause embarrassment to oneself or others.

  • How should decisions be justified?

    Decisions should be justified using ethical principles, legal requirements, and moral philosophy.

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  • 00:00:01
    hello ethical decision making and
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    Pharmacy practice is a major aspect of
  • 00:00:06
    of our daily lives
  • 00:00:09
    to facilitate ethical decision making I
  • 00:00:12
    present to you today a framework that
  • 00:00:15
    you might find useful
  • 00:00:17
    and that we will be using in the series
  • 00:00:21
    that FIP is presenting on ethical
  • 00:00:24
    scenarios in Pharmacy practice
  • 00:00:32
    to follow an ethical decision making I
  • 00:00:34
    suggested as follows
  • 00:00:36
    first of all we identify all the facts
  • 00:00:40
    and by that I mean not just you know
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    someone coming in to ask for something
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    and that's it but who are the people
  • 00:00:47
    involved who might this
  • 00:00:50
    um also involve behind the scenes what
  • 00:00:52
    are the facts uh in terms of history of
  • 00:00:55
    medical history of
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    um any other
  • 00:00:59
    aspects that might
  • 00:01:01
    shed light on how to go about making a
  • 00:01:05
    decision in very quickly sometimes but
  • 00:01:07
    history taking is a major importance
  • 00:01:11
    then we'd identify the ethical
  • 00:01:13
    principles this is important because
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    also we need to know what's involved is
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    it just um an issue or is it something
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    an issue involving you know this
  • 00:01:23
    principle and that one and which one is
  • 00:01:26
    going to over outweigh the other
  • 00:01:31
    whether there are legal constraints is
  • 00:01:33
    an important issue to identify as well
  • 00:01:36
    and very quickly you would know this
  • 00:01:37
    because all practitioners would know
  • 00:01:40
    their legal
  • 00:01:41
    requirements of practice
  • 00:01:44
    and human values some people would say
  • 00:01:46
    why would I need to take that into
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    consideration well I would say because
  • 00:01:50
    it's so important that we recognize the
  • 00:01:54
    fact that human values plays a great
  • 00:01:55
    role in healthcare take for example
  • 00:01:57
    Trust
  • 00:01:59
    if people don't trust us how would they
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    approach us
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    empathy sympathy
  • 00:02:07
    we then identify the options and
  • 00:02:10
    sometimes we only have a split second to
  • 00:02:11
    do this but we identify those options
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    and we
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    attach or recognize for each option and
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    implication
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    something that's going to happen as a
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    result of this decision
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    if I say option one has an implication
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    going that way and option two has
  • 00:02:30
    another implication going that way
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    sometimes the red face test is the one
  • 00:02:35
    that is the is the clinching of the deal
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    so to speak because it tests whether
  • 00:02:41
    it's going to embarrass us or is it
  • 00:02:43
    going to embarrass someone is it going
  • 00:02:45
    to be of concern to someone or to the
  • 00:02:48
    profession
  • 00:02:49
    um that would probably guide us as to
  • 00:02:52
    where to go
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    we have to make that decision fairly
  • 00:02:56
    quickly
  • 00:02:57
    professionals don't have time to sit
  • 00:02:59
    there scratching their head for too long
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    right but we also have to know how to
  • 00:03:05
    justify that decision justification of
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    ethical decision making is about the
  • 00:03:10
    most important step in the whole process
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    and that is because we are accountable
  • 00:03:16
    and if someone calls us or questions us
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    on why we made that decision we need to
  • 00:03:22
    have a good justification and that
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    justification isn't well I felt it was
  • 00:03:27
    right no there are principles we can
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    quote there are principles or practice
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    we can talk about and because we're
  • 00:03:35
    human and we make errors no one is going
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    to go through life without making some
  • 00:03:39
    kind of mistake we revisit and reflect
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    on how it could have been done better
  • 00:03:45
    how we could have made a better decision
  • 00:03:47
    could it have been better or was that
  • 00:03:49
    the best that was possible we reflect we
  • 00:03:52
    revisit sometimes we make protocols
  • 00:03:55
    based on revisiting and reflecting
  • 00:03:59
    you might ask how we justify those
  • 00:04:03
    decisions so I'm going to go a little
  • 00:04:05
    bit into how what do we draw on
  • 00:04:09
    the main thing I would suggest would be
  • 00:04:11
    to know your four principles of
  • 00:04:13
    bioethics those four pillars are so
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    important and they cover most of the
  • 00:04:18
    scope of our ethical dilemmas in
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    practice
  • 00:04:21
    so try and remember those I'll remind
  • 00:04:23
    you of them in a minute you might have a
  • 00:04:25
    code of ethics handy or you know it by
  • 00:04:28
    heart you know that would be great but
  • 00:04:31
    remember that principles that will help
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    you from that code and if all else fails
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    you could always go back to General
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    moral philosophy what's right what's
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    wrong
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    um
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    and Theory sometimes it's something like
  • 00:04:45
    you know the greater good for the
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    greater number or social justice
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    um that helps it's not very specific but
  • 00:04:52
    it still helps to justify a decision if
  • 00:04:55
    you don't remember the for example the
  • 00:04:57
    principles of bioethics in healthcare
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    and here are the principles
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    that I'm talking about and their scope
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    is amazingly
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    um Broad and covering most issues so if
  • 00:05:13
    you remember
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    beneficence first principle being to do
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    good
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    to do things in the best interest of the
  • 00:05:21
    patient
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    and to do no harm non-maleficence
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    some people regard this ancient
  • 00:05:29
    Principle as one of the most important
  • 00:05:31
    pillars of practice
  • 00:05:34
    and respect for patient autonomy is
  • 00:05:37
    often regarded as first among equals in
  • 00:05:39
    this day and age when we need to respect
  • 00:05:42
    people's individuality and their right
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    to choose
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    and of course there is Justice and this
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    is based on the theory of social justice
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    and equity and um
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    rights to access just as everyone is has
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    the right to access medication and good
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    health
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    so in summary
  • 00:06:07
    if you could possibly just remember this
  • 00:06:10
    table it will help you quickly run
  • 00:06:13
    through quite efficiently through the
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    ethical decision making what are the
  • 00:06:17
    facts Who's involved what's involved
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    what ethical principles
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    um are incurred what legal issues if any
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    apply
  • 00:06:28
    what human values will move us to make
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    one decision or another especially if
  • 00:06:33
    it's something to do with the patient's
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    value
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    and what options do we have what
  • 00:06:39
    implications they each have of those
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    options
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    and whether or not they pass the red
  • 00:06:45
    face test
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    you make that choice
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    and you make sure that you have a
  • 00:06:51
    principled justification
  • 00:06:54
    to defend that decision
  • 00:06:57
    thank you for listening
标签
  • ethical decision making
  • pharmacy practice
  • bioethics
  • human values
  • legal constraints
  • options
  • justification
  • beneficence
  • non-maleficence
  • justice
  • patient autonomy