THE MOSAIC MODEL FOR ETHICAL DECISIONS: HOW WE DECIDE WHAT TO DO WHEN CONFRONTED WITH MORAL ISSUES IN PRACTICE

A new ethical model that stems from an ethic of care is introduced that is called, The Mosaic Model for Ethical Decisions. The goal of this ethical tool is to ensure that during the process of moral reasoning nothing essential gets left out, especially what is crucially important to the individual who is at the centre. Even though this model utilizes caring notions as a guide, it also takes into account the law; sound moral principles; the CNA Code of Ethics values and responsibilities; and any additional knowledge as deemed appropriate. Due to the fact that issues in practice often differ, not every segment of the model is needed in all settings. Therefore, strategies for decisionmaking are carefully designed as five key components with subcategories that are presented in an algorithm form. Each segment is supported by rational. The aim of Part I is to identify what matters to the client and others who have a stake in the case. Part II focuses on determining the key ethical and/or legal issues. Part III draws from other sources of knowledge for support. Part IV considers any possible course of action that may be taken, as well as the associated risks that may arise. Part V deals with additional considerations, like problems for the client’s family and healthcare professionals, in addition to relevant societal issues of concern. Exciting features of this model is that it is user friendly and applicable in diverse situations. Nurses are encouraged to carry the condensed version with them in the clinical setting.

Keywords: Decision-making frameworks, Ethical dilemma, Ethical problem, Moral distress, Moral outrage, The Mosaic Model for Ethical Decisions, Caring presence, Advocacy