Consider this scenario. His CV was impressive, with competencies and skills that aligned well with the company. © Today's Digital Media, LLC d/b/a Today's RDH, Dental Ethics: A Decision-making Framework Helps Define Solutions. Some seem minor, such as telling the office manager that you found out a coworker actually had other plans on the day she called in sick. In these uncertain times, it’s more important than ever to know your rights. Just like our core values, we should aim always to uphold the mission statement agreed upon by the dental team. While dental hygienists make decisions every day, ethical decision making can be more complex. What did you learn so many years ago in school? The fundamental principles of ethics— nonmaleficence, beneficence, autonomy, justice—are commonly used to assist in the decision making process. Understanding ethics and ethical decision-making can help guide dental hygienists in making the best decisions. Or perhaps you withhold new tools from a coworker to make yourself look superior. Consequences are discovered only when there is a breach of trust and a crisis occurs. If the dilemma has us questioning treatment, we should look back on our education while resolving the ethical dilemma. All looked perfect, until a fault line was discovered that led to an earthquake. When tough decisions need to be made on behalf of our patients, we need the tools to do it. Speaker Biography. This question, along with decision-making models, can help steer you in the right direction. More and more dental professionals are seeing increased oral decay. Jaebear1. Aside from the fraudulent implications of the last two examples, there is also discipline from professional associations as a result of unethical actions. Some patients, however, see it as an unnecessary procedure. crobles7192. The board of directors had a dilemma. Guarding a culture of honesty, forthrightness, and transparency is important. By Jennifer S. Sherry, RDH, MSEd, and Emily E. Arbeiter, RDH, BSDH Dental hygiene students are faced with ethical decisions every day. They fired him. Knowing the decision-making process and being familiar with the steps can help us come up with a solution in a timely manner. Solve ethical dilemmas using a decision-making process. An ethical decision-making model is a tool that can be used by a dental hygienist or any other health care provider to help think through an ethical dilemma and arrive at an ethical decision. To accommodate these patients and facilitate treatment, the practice employs several interpreters and dental assistants from these various communities. Karen Davis, BSDH, RDH, says perhaps our message should be that visiting the dental hygienist may help prevent severe COVID-19 infections. Determine core values and principles used to solve an ethical dilemma. The mission of the College of Dental Hygienists of Ontario is to regulate the practice of dental hygiene in the interest of … One metric that might help you decide if you’re doing the right thing is to speak with the affected party. Anne Nugent Guignon, MPH, RDH, CSP, says sinkholes and muddy flooding are two environmental phenomena that are perfect parallels to the damage that can occur in the oral cavity. Gather facts about the problem and the individuals. Be vocal with your team members on what is important to you for treating patients properly. The most important step to the decision-making should be acting on that decision, and the action should be followed through. What do you do? Some ethical dilemmas that we face are not always this easily resolved, or even must be resolved quickly. •to provide a statement of the ethical behavior the public can expect from us. Are you inadvertently zapping your patients’ spoons? The first CDHO Code of Ethics was developed in 1996. Whether or not you are just starting with a new office or have been with one for many years, it is important to set aside time as an office to come up with a mission statement. Time to focus on long-term eye health. Having a good dental team with the same or similar core values can help to make those decisions easier. DIF: Comprehension REF: p. 57 OBJ: 2 TOP: 7.0 Professional Responsibility | 7.1 Ethical Principles, including informed consent 14. As an international speaker and writer, Dorothy trains others to broaden their skill-set to include creativity, collaborative innovation, and forward thinking. Here’s why. A number of models are presented in ethics literature, all of which are somewhat similar in design and content.2 The goal of each is to provide a framework for making the best decision in a particular situation. You should always reflect on your dilemmas and solutions with your fellow team members since this can help with future dilemmas and alternatives for resolution. 1 Identify the ethical dilemma or problem One of those educational tools was a decision-making worksheet. Defining the problem and thinking through the situation from all sides is key to making the right decision. What do you hope to accomplish with the decision, and whom can it hurt? or visit engagingteams.com. They could no longer trust the CEO, and this was exacerbated by his lack of remorse and his flippant dismissal of the infraction. There are many decision-making models that professionals can refer to when faced with ethical choices. Understand th e Arizona Dental Practice Act as it relates both to dental hygiene and dentistry. Are high standards adhered to? The pandemic has made dry mouth products more important. Whitening: Helping patients prioritize and set realistic expectations, "It’s too late for me, but it’s not too late for your patients.". We have core values that we promised to uphold for our patients. The PetitePearl prophy angle by Kerr might be just the thing that will help dental hygienists gain the control they want during polishing. Radiating ethical behavior throughout any organization, whether a corporation or private dental office, is indicative of the culture within the organization. Define ethical dilemma. Dianne Glasscoe Watterson, MBA, RDH, fields a question from an RDH dealing with frustration with periodontal patient no-shows and reluctance to schedule maintenance appointments. Describe the professional aspects and traits of a dental hygienist. Image by Luken Surge from Pixabay To the board of directors, he looked like the perfect candidate. The rising risk of PPE-associated oral disease among health-care workers. Taking the time to speak about ethics and what they mean to all team members ensures that everyone is on the same page and can help prevent calamities. The mandate was to drive revenue up and keep shareholders happy. dilemmas Students need opportunities to develop the analytical skills needed to assess ethical dilemmas. In 1990 Gaston and colleagues conducted a survey of ethical issues in dental hygiene. How you or your office handles them may be different. But it can be a way of listing the problem and possible solutions down on paper, helping us come up with a solution to our problem. A good question to ask when faced with a struggle is, “Who do I want to become?” This question, along with decision-making models, can help steer you in the right direction. An office can prepare for such situations with several approaches. Moods lifted, the corporation gained a forward momentum that it had not experienced in years, and the board of directors was affirmed in their decision to hire this business genius. In fact, they happen all the time. APPLYING THE MODEL. When faced with difficult clinical situations, using a systematic approach can make the decision making process simple and quickly in reaching an ethical decision or recommendation . As professions evolve so must their guiding principles. The current approach to the Code of Ethics is one that encourages problem-solving and critical thinking. Statistics reveal that the ultimate bonus of ethical training is not only an elevated team culture, but also elevated care to your patients. TRUE. VIDEO: How does Oraqix help ease patient anxiety and improve recare? The College of Dental Hygienists of Ontario Code of Ethics and an ethical decision-making model will be introduced to assist with self-evaluation, reflection and accountability. Many aspects of the COVID-19 pandemic—anxiety, isolation, self-medication—have the potential to impact healthy salivation. Peroxide Use in Dentistry: Is it Safe for Oral Health Care? Ethics is the study of moral values and moral reasoning. An interprofessional approach ensures early diagnosis and better overall care. Be vocal with your team members on what is important to you for treating patients properly. Which of the following is the first step in the ethical decision-making model presented in the text? A new CEO needed to be hired to steer the company in a new direction. Time passed, new initiatives were put in place, and the company began to right itself. The value of a dental hygiene appointment. Identify the problem and individuals involved. Diabetes and dentistry are closely linked. He did not have the education that he proclaimed. To begin coming up with a solution, we should identify the problem, followed by gathering the facts about the problem. This one is all about balance, and this approach tries to produce the greatest good with the least amount of harm to those involved. Having their support in following through with the tough dilemmas can make treating our patients easier. She enjoys reading, spending time with her family, camping and, four-wheeling on the Oregon Coast. Personal ethics often overlap with professional ethics. During an ethical dilemma, we can find ourselves in a tough situation on whether to treat a patient. In a recent survey of dental hygiene education programs, all respondents indicated that their programs included teaching patient education in the curriculum.3 To fulfill the profession's code of ethics, dental hygienists must have a thorough knowledge of health models … Ethics in dentistry can be a very tricky and tough road to go down. Ethical Decision Making in Dental Hygiene. One small infraction can lead to larger infractions, and a culture can spiral into an abyss of mistrust, as well as questionable and even illegal behavior. The competencies address patient care, professional service, life- long learning, and scientific inquiry. Stacie currently lives in Klamath Falls, Oregon with her husband, Josh, step-son, Tyler, and her 2-year-old French bulldog, Loki. List the steps involved in ethical decision making. What was the board of directors to do? Connect with her at dgarlough@innovationadvancement.ca. Which of the 6 steps in the 6 step decision making model must state the ethical question? Some of the choices are private dilemmas and some are professional. a. Stay true to your values, and you will be a better provider for it. ethical decision making model. •to establish a standard for professional judgment and conduct. 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