Both of these examples reflect a breach of NATA’s shared PVs of integrity and respect. ![]() Athletic trainers can’t be motivated by the ensuring a balanced budget at the expense of reducing health care services where they are most needed. Athletic trainers can’t be motivated by the outcome of a game at the risk of the safety of the injured player. In your role as an athletic trainer, personal values should not take precedence over NATA’s shared PVs and self-interest should not be the deciding factor motivating the decision. Generally speaking, moral motivation addresses competing choices and discerns which one is best aligns with the shared PVs of the profession. Moral motivation is the difference between knowing the right thing to do and making it a priority. Rest's model continues to unfold as the third component, moral motivation, comes into play. When considering the ideal solution after consideration of multiple options, athletic trainers may infuse the shared PVs of competence as they decide on the ultimate path of care with their patient that complies with the standards set forth for the profession. As such, shared PVs are very effective in initiating ethical action in emerging situations. In contrast, the values orientation, such as NATA’s shared PVs, is intuitive and easy to recall. Being able to understand and integrate formal and informal guidelines for professional practice will promote sound moral judgement in the consideration of justifiable outcomes.Īthletic trainers are bound by a compliance orientation, laws, ethical codes, state regulation and practice guidelines to reason about choices to resolve dilemmas, a time-intensive, methodical form of ethical reasoning. Moral judgment requires knowledge of discipline specific information, standards of practice, shared PVs, ethical principles and theory to identify the guidelines that support a decision. Rest’s second component is moral judgment. As NATA’s shared PVs are engaged in the moral sensitivity component of this model, athletic trainers can be confident that they are meeting the social contract as a health care provider. Although the other shared PVs can also be applied here, this example focuses on just a few. As such, you can appreciate multiple points of view and show sensitivity to the feelings and reactions of others.Īs athletic trainers, we engage the values of care and compassion and respect, for example, when we recognize that there are multiple options for the plan of care, rather than advocating for only their own perception of the best plan. Furthermore, it also requires us to be mindful other others’ values, whether you are interacting with a patient, colleague, administrator, etc. Ethical sensitivity involves an awareness of one’s own personal values. Rest’s four-step model provides the foundation for moral reasoning and includes the following steps: 1) identification of the ethical dilemma (ethical sensitivity) 2) application of moral judgment 3) engagement of moral motivation and 4) acting with moral intent.Įthical sensitivity is the ability to see things from the perspective of others rather than focusing on one's own views. Rest’s models provide a strong foundation for moving toward ethical practice in athletic training as we integrate the shared PVs (CIRCA) into this important step.Įthical actions are not an outcome of a single decision-making process, but rather a combination of cognitive structures and psychological processes. These processes offer guidelines that allow for the application of a range of decision-making principles and theories that can assist in resolving ethical conflicts. Rest’s original model (1986) and the Rest and Narvaez collaborative model (1994) identified four processes that determine moral behavior by health professionals. It is not enough to just identify the issue and apply judgement – we must be motivated and committed to take action. This means that we look to act with moral intent as the ultimate outcome yet progress through the former steps in order to do so. James Rest, a cognitive-developmental researcher, provides us with a backward design model used widely in ethical decision-making. Moral reasoning is a complex process requiring reflection on several elements of consideration. ![]() Given professional values (PVs) are moral in nature, not only do they guide our professional behaviors, but also our ethical decisions. By Kimberly Peer, EdD, ATC, FNATA, Gretchen Schlabach, PhD, ATC, Marisa Colston, PhD, ATC, Carrie Baker, PhD, ATC, and Midge Peterson, MS, LAT, ATC, NATA Professional Responsibility in Athletic Training Workgroup
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