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Values and ethics in practice-based decision making
Background:
Values are evident in health ethics literature; however, it is seldom clear how they are visible in practice.
Purpose:
The aim of this study was to illuminate how values inform occupational therapists' decision making in practice.
Method:
Fifteen New Zealand community occupational therapists completed this embedded experimental mixed-methods study. A pre-deliberation questionnaire was completed prior to deliberation of a case study using web-based values transparency software, the Values Exchange, followed by a post-deliberation questionnaire. Categorical data were analyzed using non-parametric statistics. Written responses to open questions were thematically analyzed.
Findings:
Most participants disagreed with the proposed action for the case. Degrees of divergence, concern for dignity and risk, and values-based reasoning were found, revealing how ethical deliberation was values based. IMPLICATIONSs. Recognition and transparency of the values inherent in practice-based decision making is possible and desirable in promoting sound ethical reasoning.
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