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JCPSLP Volume 17, Supplement 1, 2015 – Ethical practice in speech pathology 29
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perceptions of health and well-being and the individual’s
social and physical environment. Narrative ethics focuses
upon the professional community during ethical decision-
making (Benner, 1991). According to a narrative approach,
speech pathologists are part of moral communities whose
members influence others by appealing to mutually
recognised values and use those same values to refine
understanding, extend consensus and eliminate ethical
conflict (Nelson, 2002). The narrative approach emphasises
the need for professionals to share their ethical concerns
and discuss their strategies for managing ethical dilemmas.
An ethical story may include the context of the dilemma, the
history of the clients involved, perspectives of different
stakeholders in the dilemma, and discussion and analysis
of options available and potential outcomes. By sharing
ethical stories, speech pathologists may clarify expectations
for ethical practice in a rapidly changing health care
environment. Finally, considering outcomes of decision-
making from an ethical perspective may reinforce the need
to develop policies and procedures that protect ethical
principles and the rights of clients to receive a service
governed by beneficence, truth, autonomy, fairness and
professional integrity.
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Correspondence to:
Belinda Kenny
Discipline of Speech Pathology, Faculty of Health Sciences
Cumberland Campus C42, University of Sydney
PO Box 170, East St Lidcombe, NSW 1825
phone: +61 2 9351 9337; fax. +61 2 9351 9173
email:
This article was originally published as: Kenny, B. (2008).
Ethics in clinical decision-making. ACQuiring Knowledge in
Speech, Language, and Hearing, 10(1), 4–6.