RIPS

Question 1

Realm

Answer 1

Environmental context (who is involved)

Question 2

Individual Process

Answer 2

Moral: Sensitivity, Judgment, Motivation, Courage

Question 3

Situation

Answer 3

Ethical: Distress, Dilemma, Temptation, Silence

Question 4

What level is the problem at?

Answer 4

Realm

Question 5

What is my response?

Answer 5

Individual Process

Question 6

What is the problem?

Answer 6

(Ethical) Situation

Question 7

4 steps of RIPS

Answer 7

1. Recognize and define the problem
2. Reflect on it
3. Decide on a course of action
4. Implement, Evaluate, Reassess

Question 8

Realm

Answer 8

Individual
Organizational & Institutional
Societal

Question 9

Moral Sensitivity

Answer 9

recognizing there is a moral issue happening
identifying personal beliefs that are involved in the situation

Question 10

Moral Judgement

Answer 10

The individual considers possible actions and what the effect will be on all parties involved
Realizing that there is a right adn a wrong

Question 11

Moral Motivation

Answer 11

you will need to put your moral values above other values, even when you are not getting support to do this (Financial/ Self-Interest)

Question 12

Moral Courage

Answer 12

taking action to correct a wrong

Question 13

Ethical Temptation

Answer 13

there is a clear “right” choice, but you stand to benefit directly from the “wrong” choice: RIGHT V WRONG

Question 14

Ethical Distress

Answer 14

you know the right course of action, but have no authority to act

Question 15

Ethical Dilemma

Answer 15

right v right (only one can be followed)

Question 16

Dual Loyalty Dilemma

Answer 16

Choosing loyalty to employer or loyalty to your patient

Question 17

5 Questions about a Dilemma

Answer 17

1. Is anything illegal happening?
2. Stench test?
3. Front Page test?
4. Mom test
5. do the core documents have anything to offer?

Question 18

Ethical Silence

Answer 18

Practitioner is fully aware of the problem but chooses to ignore and takes no action, no action taken.

Question 19

Step 2: Reflect on it

Answer 19

who, what, 5 dilemma questions, foundational concepts, relevant laws, duties, ethical pronciples

Question 20

Step 3: Decide on a course of action

Answer 20

rule-based, end-based, care-based

Question 21

Rule-based

Answer 21

“standard of care” following the rules that are already in place

Question 22

Ends-based approach

Answer 22

do what produces the greatest good for the greatest number of people
looks more at the general good for society and less and the individual’s needs

Question 23

care-based approach

Answer 23

do unto others as you would have done unto you
usually help resolve relationships and concern for others

Question 24

Step 4: Implement, Evaluate, and Reassess

Answer 24

put into action
did it work?
Were there any unexpected results?
did you or others learn?