Ethical Issues - Community Ethics Network

1.
Strategic Planning Processes Objectives
2.
2008 Key Findings and Priorities
3.
2011 Key Findings and Differences
4.
Priorities and Work Plan 2011 - 2014

Outreach Project (2008) surveys and interviews to identify:
 Ethical issues at CEN organizations
 Membership learning needs
 CEN strengths and opportunities for improvement
 Future directions

JCB Strategic Planning Survey (2011) to identify:
 Membership needs
 CEN value to membership
 Growth and changes in membership since 2008 survey
 Future directions

Majority encounter ethical issues at least weekly (70.3%);
3.7% uncertain
‘The top 5 most pressing issues in my work …’
1 Autonomy, consent, capacity; client/family/provider conflicts
2 Moral distress & workload
3 Client advocacy issues
4 Human resources issues
5 Access to care; diversity; safety & abuse
‘Which CEN ethics tools have you/your organization used?’

Code of Ethics (78.3%)

Education and Training Sessions (73.9%)

Ethical Decision-Making Worksheet (69.6%)

Ethics in Action Newsletter (60.9%)

Case Review Collection (26.1%)

Org-Ethics and CapacityBuilding Service (21.7%)

Awareness & Visibility: No value added if members don’t
know about or can’t access tools and resources

Integration: Lost opportunities for sharing and collaboration

Leadership & Development: Look to CEN to develop tools,
particularly in organizational ethics

Education: More training opportunities for members and
front-line staff

Sustainability & Accountability: Need a sustainable financial
and governance structure, and way to measure success
1.
Concentrate on
education
2.
Focus on the front-line
3.
Address sustainability
4.
Inventory and share
ethics resources
5.
Explore impact of
Apology Act
Specialized education
Build community cases
2009 Fall Conference
Train-the-trainer
Create website
Critical Path
Town Hall

Majority encounter ethical issues at least weekly (72.7%);
6.1% uncertain; 3.0% never
In 2008
In 2011
1 Consent, capacity; client/
family/provider conflicts
Client/family/provider
conflicts
2 Moral distress & workload
Privacy & confidentiality
3 Client advocacy
Moral distress & workload
4 Human resources issues
Client advocacy; autonomy,
consent, capacity
Human resources issues
5 Access; diversity; safety
In my role
1 Client/family/provider
conflicts
2 Privacy & confidentiality
3 Moral distress & workload
In my organization
Moral distress & workload
Client/family/provider
conflicts
Access to care
4 Client advocacy; autonomy, Autonomy, consent, capacity
consent, capacity
5 Human resources issues
Client advocacy; resource
allocation; safety, abuse
Ethics learning needs
2008 2011 + / -
I need to learn more about how to identify
ethical issues in my daily work
I need to learn more about using ethical
decision-making (EDM) tools/frameworks
Staff at my organization needs to learn
more about how to identify ethical issues
Staff at my organization needs to learn
more about using EDM tools/frameworks
48% 32% -16%
67%
45% -22%
96% 88% -8%
80%
96% +16%
The CEN…
2008 2011
Advances ethical practice in community
89%
+/-
100% +11%
Supports ethical decision-making within
82%
and across member organizations
Provides an effective forum for
77%
exchanging information among members
97%
+15%
87%
+10%
Enables us to more successfully meet
Accreditation Canada standards
Enables us to improve staff awareness
and understanding of ethics at work
74%
82%
+8%
82%
90%
+8%
‘Which CEN ethics tools have you/your organization used?’

Code of Ethics (93%) +15%

Ethics in Action Newsletter (90%) +29%

Ethical Decision-Making Worksheet (87%) +18%

Case Review Collection (73%) +48%

Org-Ethics and CapacityBuilding Service (43%) +21%
1.
Network engagement & responsiveness: more
immediate, timely, and interactive opportunities, including
communication and enhanced website
2.
Expand capacity-building resources: more detailed and
broader cases, online learning, particularly in org-ethics
3.
Institutional support: mentorship and business case
development
4.
Evaluation & quality improvement: performance
indicators and sharing leading practices
1.
Develop more tools and resources
2.
Revisit Network infrastructure
3.
Build organizational ethics capacity
4.
Continue to provide ethics education
5.
Mentor new members | Develop internal engagement
strategies and evaluation tools
Priority
Action Items
Tools and
Resources


Increase awareness of IDEA Framework
Continue to develop case studies
Infrastructure
Review


Review Steering Committee membership and
Hub & Spokes model
Revise TOR and Letter of Understanding
Organizational
Ethics


Add organizational ethics cases
Explore organizational ethics frameworks
Education and
Training



Continue bi-annual workshops
Train the trainer
Leverage use of website
Mentorship |
engagement |
evaluation



Pilot mentorship program
Update Members list and annual renewal letter
Explore evaluation strategies