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J Med Ethics 2007;33:508-513 doi:10.1136/jme.2006.017715
  • Clinical ethics

A dynamic model of ethical reasoning in speech pathology

  1. Belinda Kenny,
  2. Michelle Lincoln,
  3. Susan Balandin
  1. School of Communication Disorders, Faculty of Health Sciences, University of Sydney, East St, PO Box 170, Lidcombe, 1825, NSW, Australia
  1. Correspondence to:
 Dr Belinda Kenny
 Discipline of Speech Pathology, University of Sydney, East St, PO Box 170 Lidcombe, 1825 NSW, Australia; b.kenny{at}usyd.edu.au
  • Received 14 June 2006
  • Accepted 11 September 2006
  • Revised 7 September 2006

Abstract

Ten new graduate speech pathologists recounted their experiences in managing workplace ethical dilemmas in semi-structured interviews. Their stories were analysed for elements that described the nature and management of the ethical dilemmas. Ethical reasoning themes were generated to reflect the participants’ approaches to managing these dilemmas. Finally, a conceptual model, the Dynamic Model of Ethical Reasoning, was developed. This model incorporates the elements of awareness, independent problem solving, supported problem solving, and decision and outcome evaluation. Features of the model demonstrate the complexity of ethical reasoning and the challenges that new graduates encounter when managing ethical dilemmas. The results have implications for preparing new graduates to manage ethical dilemmas in the workplace.

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