Ethical Framework

Question 1

What are the steps of the ethical framework?

Answer 1

1. Describe the intervention
2. Evaluate the intervention using normative criteria
3. Synthesize by arriving at overall evaluation
4. Develop recommendation for program
5. Monitor and re-evaluate ethical implications

Question 2

Describe step 1 of ethical framework.

Answer 2

Describe intervention.

• Characterize
• Describe context
• Identify alternative intervention to minimize risk

Question 3

Describe step 2 of ethical framework.

Answer 3

Evaluate intervention using normative criteria:

• Expected benefits
• —Magnitude and likelihood
• –Strength of evidence
• –Compare to alternatives
• Potential harms and burdens
• —Magnitude and likelihood
• –Strength of evidence
• –Compare to alternatives
• Impact on autonomy
• –Empowerment
• –Informed consent
• Impact on equity
• –Equal access to intervention
• –Fair distribution of benefits and harms

Question 4

Describe step 3 of ethical framework.

Answer 4

Synthesize and evaluate intervention

-Identify conflicts between weight of normative criteria

Question 5

Describe step 4 of ethical framework.

Answer 5

Develop recommendations

• Maximize benefits and reduce harms
• Tiers of recommendations

Question 6

Describe step 5 of the ethical framework.

Answer 6

Monitor and re-evaluate

• Ethical evaluation adequate?
• New issues?
• Were they followed?

Question 7

What are the procedural conditions for a fair decision process?

Answer 7

1. Transparency
2. Consistency
3. Justification
4. Participation
5. Managing conflicts of interest
6. Openness to revision
7. Regulation