Using a comprehensive best practices approach to strengthen ethical health-related practice

Ethical conduct plays a vital role in ensuring that issues such as health inequities are addressed. The Interactive Domain Model (IDM), a comprehensive best practices approach, provides a guiding framework to integrate ethics into health-related practice. Its five tenets emphasize the importance of developing multiple best practices to ensure sensitivity to local circumstances; taking into account the complex and interactive nature of the world; ensuring consistency between practice and key elements such as values, theories, evidence, and understanding the environment; engaging in ongoing critical reflection; and following a continuous improvement practice cycle with active participation from priority populations. Ethical implications for each tenet and ways to meet the challenges related to acting ethically are discussed.