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Updated: Sep 13, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
'As You Set Out for Ithaca': VIEW- A Visual Tool for Teaching Ethical Decision Making in Medical Practice.
Dikla Agur Cohen1, Liv Shadmi2, Aya Biderman3
1Department of Family Medicine, The Ruth and Baruch Rappaport Faculty of Medicine, Technion, Israel.
This study introduces the Visual Insight for Ethical Wisdom (VIEW) tool, a novel visual method to help healthcare professionals navigate complex ethical dilemmas by integrating emotional reflection and value prioritization. VIEW enhances ethical decision-making skills and professional identity engagement.
Area of Science:
- Medical Education
- Bioethics
- Health Professions Education
Background:
- Healthcare ethics education often lacks tools for emotional and value integration.
- Traditional principle-based frameworks fall short in preparing physicians for real-world ethical challenges.
- A gap exists in practical methods for physicians to address the emotional and value-laden aspects of ethical dilemmas.
Purpose of the Study:
- To introduce and evaluate a novel visual tool, Visual Insight for Ethical Wisdom (VIEW), designed to enhance ethical decision-making in healthcare.
- To foster reflection on values, emotions, and professional identity among healthcare professionals.
- To bridge the gap between ethical theory and practical application in medical education and clinical practice.
Main Methods:
- Developed an interactive visual framework (VIEW) for mapping ethical dilemmas.
- Implemented VIEW in three workshops with 31 physicians and medical educators.
- Qualitatively analyzed 31 visual maps, observations, and interviews to identify key themes.
Main Results:
- The VIEW tool effectively integrated cognitive and emotional aspects of ethical reasoning.
- Participants reported enhanced emotional awareness and value-based reasoning.
- The tool improved participants' capacity to navigate complex dilemmas and engage with professional identity.
Conclusions:
- The VIEW tool offers a practical method to address limitations in traditional ethical training.
- Visual mapping aids in externalizing thought processes and promoting self-reflection in medical ethics.
- Further research is warranted to explore the broader applicability of the VIEW tool in medical education and practice.
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