Modus operandi for ethical action in social and health care in the era of digitalisation

Raija Koskinen, Kristiina Helminen, Arja Koski, Mikko Malkavaara, Päivi Sanerma, Päivi Sihvo
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Abstract

The ethical operational model developed in SotePeda 24/7 project in 2018-2020 has since its launch been used in continuous learning in social and health care. The model was developed to work as a tool in identification of ethical issues in the digitising operational environment of social and health care, as well as to support ethical evaluation and decision-making. When the ethical operational model is embraced, it results into internalizing the reflective process of the model and increases the ability to face ethical dilemmas in the mode of modus operandi indicating socio-culturally established ways of engaging and of doing things. Our aim in this study is to evaluate the experiences gained of the implementation of the ethical operational model in continuous learning in social and health care. As research methods we apply qualitative evaluation: program theory-based and systems approach. As material of the study, we address the experiences gained from the practical use of the model. Additionally, we scrutinize the ethical operational model as an artefact, as co-constructed object, and make use of the multifaceted data from the time of developing the model. The results of our study indicate that when the ethical operational model has been systematically used in continuous learning, the experiences have been overall positive, increasing awareness and ethical competence of the participants. From the point of view of its systemic impact, the scrutiny of the ethical operational model as an artefact, indicates that the focal constituents embedded enable even those new to the model to engage in it and to develop the content further via reflection. We conclude that the ethical operational model has found its way in active use as means of continuous learning in social and health care. The model may gradually become infused in digital era practices and be vitally present in action as modus operandi.
数字化时代社会和卫生保健伦理行动的操作方式
2018-2020年SotePeda 24/7项目开发的道德运营模式自启动以来一直用于社会和医疗保健领域的持续学习。开发该模型的目的是作为一种工具,在社会和卫生保健的数字化操作环境中识别伦理问题,并支持伦理评估和决策。当道德操作模型被接受时,它会导致内化模型的反思过程,并增加在操作方式模式中面对道德困境的能力,这表明社会文化建立的参与和做事的方式。本研究的目的是评估在社会和卫生保健领域持续学习中实施伦理运作模式所获得的经验。作为研究方法,我们采用定性评价:基于程序理论和系统方法。作为研究的材料,我们讨论了从实际使用该模型中获得的经验。此外,我们将道德操作模型作为人工制品,作为共同构建的对象进行审查,并利用从开发模型时开始的多方面数据。研究结果表明,在持续学习中系统地使用伦理运作模式,整体经验是积极的,提高了参与者的道德意识和道德能力。从其系统影响的角度来看,将道德操作模型作为人工制品进行审查表明,嵌入的核心成分使那些新接触该模型的人也能参与其中,并通过反思进一步发展内容。我们的结论是,道德运作模式已被积极用作社会和保健领域持续学习的手段。这种模式可能会逐渐融入到数字时代的实践中,并作为一种运作方式在行动中发挥重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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