Rationale, aims, and objectives: The current study and previous research have called the six-component model of Lützen's 30-item Moral Sensitivity Questionnaire (MSQ) into question. For this reason, we re-examined the construct validity of this instrument. Methods: In this cross-sectional study, which was based on a convenience sample of Dutch nurse practitioners (NPs) and physician assistants (PAs), we tested the validity of MSQ items using exploratory and confirmatory factor analyses (EFA and CFA, respectively). Results: The EFA revealed a two-component model, which was then tested as a target model with CFA and was found to have good model fit. Some items were correlated with two uncorrelated latent constructs, which we labelled as “paternalistic” and “deliberate” attitudes towards patients. Conclusions: As in previous studies, the analyses in the current study, which was conducted among PAs and NPs, did not reveal six dimensions for the 30 items. Two new latent dimensions of moral sensitivity were psychometrically tested and confirmed. These two components relate to studies investigating ethical behaviour, and they can be used to describe the moral climate in healthcare organizations. The scales are indicators of the extent to which health professionals behave in a deliberate (sensitive) or paternalistic (insensitive) manner towards the opinions of patients within the context of medical decision-making.
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This article aims to explore the moral ideas and experiences that students at Dutch universities of applied sciences (UAS) have of being a professional with an ‘ethical compass.’Semi-structured interviews were held with 36 fourth-year Bachelor students divided over four institutions and three different programmes: Initial Teacher Educa- tion, Business Services and Information and Communication Technology. Findings show that students say they strive to be(come) moral professionals, but that they have difficulties recognising and articulating the moral aspects of their professional roles. They seem to lack a moral vocabulary and the moral knowledge to verbalise their aspirations and to provide arguments to explicate or legitimise their moral behaviour. While most students were critical of the support they received from their universities, they indicated that various other role models and (work) experiences did have a strong and positive influence on their moral development. In this article, we reflect on the findings in relation to international empirical research on students’ moral development and highlight the characteristics of UAS students.
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In this article, the main question is whether and, if so, to what extent online journalism raises new moral issues and, if any, what kind of answers are preferable. Or do questions merely appear new, since they are really old ones in an electronic wrapping, old wine in new bottles? And how does journalism deal with the moral aspects of online journalism? The phenomenon of the Internet emerged in our society a few years ago. Since then, a large number of Dutch people have gone online, and the World Wide Web is now an integral part of our range of means of communication. Dutch journalism is online too, although certainly not in the lead. More and more journalists use the Internet as a source, especially for background information. Newspapers have their web sites, where the online version of the printed paper can be read. And that is it for the time being. There are no more far-reaching developments at present, certainly not on a large scale. Real online journalism is rather scarce in the Netherlands. The debate concerning the moral aspects of online journalism is mainly being conducted in the United States. First of all, by way of introduction, I will present an outline of online journalism. The first instance is the online version of the newspaper. Here, only to a certain degree new issues come up for discussion, since the reputation of reliability and accuracy of the papers, in spite of all criticism, also applies to their online versions. Besides, especially in the United States and increasingly in European countries as well, there is the so-called dotcom journalism, the e-zines, the online news sites without any relationship with printed newspapers. This may be the reason why these sites do not have a strong commitment to moral standards, at least as they have developed in the journalistic culture of the newspapers. After having outlined the moral issues arising in online journalism, the question will be addressed whether and, if so, to what extent it is meaningful and desirable to develop instruments of self-regulation for this new phenomenon of journalism.
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The central focus of this article is on the moral dilemmas that social servants face when applying the law. These moral dilemmas result from the professional’s discretionary space. Exploratory qualitative research shows that, in order to solve these dilemmas, professionals in some public organisations try to find tailormade solutions. However, this sometimes leads to a more or less denying of the discretionary space at hand, or to the creation of more rules in an effort to close the discretionary space. The question is, are these approaches effective? The answer may very well turn out to be negative. This article shows that applying a rule always leaves the professional some discretionary space. It is precisely in this free space that moral issues come up. Social servants will attain a stronger stance regarding moral issues by focussing on the development of their own moral sensitivity, both individually and as an organisation, as well as by their increasing awareness of the moral standards held by themselves, their organisation, and society at large. A social servant’s job is not inserting coins in a jukebox. He must create the music himself by interpreting the rules in a given situation. Just as it takes a person to turn a musical score into music, so it takes a person to interpret the law in order to create justice. De morele dilemma’s van publieke professionals die voortkomen uit het toepassen van de wet, vormen het voornaamste onderwerp van dit artikel. Deze morele dilemma’s ontstaan vanuit de discretionaire ruimte van professionals. Verkennend kwalitatief onderzoek laat zien dat in sommige publieke organisaties professionals deze dilemma’s proberen op te lossen door maatwerk te leveren. In de praktijk leidt dit soms echter tot het min of meer negeren van de discretionaire ruimte, of het dichttimmeren van de discretionaire ruimte door middel van meer regels en richtlijnen. Het is de vraag of een van deze strategieën effectief is. Het antwoord hierop is waarschijnlijk ontkennend. Dit artikel laat zien dat het toepassen van een regel altijd discretionaire ruimte laat voor de professional. Juist in deze vrije ruimte spelen morele kwesties. Publieke professionals kunnen moreel gesterkt worden door de ontwikkeling van morele gevoeligheid, individueel en als organisatie, en door een groeiend bewustzijn van de morele standaarden die de samenleving en zijzelf in hun organisatie handhaven. De publieke professional kan niet als bij een jukebox door een druk op de knop de machine zijn werk laten doen. De regels en de situatie interpreterend zal hij zelf muziek moeten maken. Zoals er mensen nodig zijn om van notenschrift muziek te maken, zo kunnen alleen mensen van wet- en regelgeving in een unieke situatie recht en rechtvaardigheid maken.
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This chapter provides insight into the culturally-bound nature of ethical sensitivity by examining three case studies from different educational contexts: the Netherlands (n = 622), Finland (n = 864), and Iranian Kurdistan (n = 556). Ethical sensitivity was investigated with the Ethical Sensitivity Scale Questionnaire (Tirri & Nokelainen, 2007, 2011), and a four-factor model was found to capture the essential aspects of ethical sensitivity across culturally diverse contexts. Subsequently, the relationships among the four dimensions were examined in each case study. The analyses reveal that caring by connecting to others was a central dimension of ethical sensitivity across the three cases. Given the other dimensions of ethical sensitivity, the dimension of taking the perspective of others seemed particularly dependent on culture. The consequences of these results for moral education are discussed.
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Set up: Focus on ethical agency, of which ethical sensitivity is a part Best practice unit (i.e. a community of practice with inquisitive objectives): cooperation of 12 social workers (of 6 different welfare organizations) and 2 researchers (UAS teachers) Practice based co-research: involving social workers as reflective and inquisitive professionals with regard to their own practice Phenomenological design: focus on (interpreting) experiences
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Through a qualitative examination, the moral evaluations of Dutch care professionals regarding healthcare robots for eldercare in terms of biomedical ethical principles and non-utility are researched. Results showed that care professionals primarily focused on maleficence (potential harm done by the robot), deriving from diminishing human contact. Worries about potential maleficence were more pronounced from intermediate compared to higher educated professionals. However, both groups deemed companion robots more beneficiary than devices that monitor and assist, which were deemed potentially harmful physically and psychologically. The perceived utility was not related to the professionals' moral stances, countering prevailing views. Increasing patient's autonomy by applying robot care was not part of the discussion and justice as a moral evaluation was rarely mentioned. Awareness of the care professionals' point of view is important for policymakers, educational institutes, and for developers of healthcare robots to tailor designs to the wants of older adults along with the needs of the much-undervalued eldercare professionals.
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While social robots bring new opportunities for education, they also come with moral challenges. Therefore, there is a need for moral guidelines for the responsible implementation of these robots. When developing such guidelines, it is important to include different stakeholder perspectives. Existing (qualitative) studies regarding these perspectives however mainly focus on single stakeholders. In this exploratory study, we examine and compare the attitudes of multiple stakeholders on the use of social robots in primary education, using a novel questionnaire that covers various aspects of moral issues mentioned in earlier studies. Furthermore, we also group the stakeholders based on similarities in attitudes and examine which socio-demographic characteristics influence these attitude types. Based on the results, we identify five distinct attitude profiles and show that the probability of belonging to a specific profile is affected by such characteristics as stakeholder type, age, education and income. Our results also indicate that social robots have the potential to be implemented in education in a morally responsible way that takes into account the attitudes of various stakeholders, although there are multiple moral issues that need to be addressed first. Finally, we present seven (practical) implications for a responsible application of social robots in education following from our results. These implications provide valuable insights into how social robots should be implemented
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In projects concerning big data, ethical questions need to be answered during the design process. In this paper the Value Sensitive Design method is applied in the context of data-driven health services aimed at disease prevention. It shows how Value Sensitive Design, with the use of a moral dialogue and an ethical matrix, can support the identifcation and operationalization of moral values that are at stake in the design of such services. It also shows that using this method can support meeting the requirements of the General Data Protection Regulation.
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Robot tutors provide new opportunities for education. However, they also introduce moral challenges. This study reports a systematic literature re-view (N = 256) aimed at identifying the moral considerations related to ro-bots in education. While our findings suggest that robot tutors hold great potential for improving education, there are multiple values of both (special needs) children and teachers that are impacted (positively and negatively) by its introduction. Positive values related to robot tutors are: psychological welfare and happiness, efficiency, freedom from bias and usability. However, there are also concerns that robot tutors may negatively impact these same values. Other concerns relate to the values of friendship and attachment, human contact, deception and trust, privacy, security, safety and accountability. All these values relate to children and teachers. The moral values of other stakeholder groups, such as parents, are overlooked in the existing literature. The results suggest that, while there is a potential for ap-plying robot tutors in a morally justified way, there are imported stake-holder groups that need to be consulted to also take their moral values into consideration by implementing tutor robots in an educational setting. (from Narcis.nl)
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