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
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