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Designing Sustainable Systems for Ethical Practice 

Designing Sustainable Systems for Ethical Practice
Chapter:
Designing Sustainable Systems for Ethical Practice
Author(s):

Cynda Hylton Rushton

and Monica Sharma

DOI:
10.1093/med/9780190619268.003.0010
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date: 08 March 2021

A conceptual basis for designing individual, team, and system interventions to cultivate individual moral resilience and a culture that enables ethical practice is necessary to create sustainable solutions to address moral adversity. It broadens the lens of inquiry to focus on culture, inviting a more robust view of the elements that support ethical practice as well as individual, team, and organizational integrity. Responses to moral adversity are typically partial. In contrast, the Conscious Full Spectrum approach responds to diverse conditions that cause moral adversity to help people innovate, generate breakthroughs, and sustain the specific change that is needed to establish the desired result. This approach helps change-makers recognize patterns, create alternatives, and design tactics, programs, or initiatives that cultivate moral resilience and foster a culture of ethical practice. Individual, team, and organizational interventions are vital in shifting the culture of a healthcare organization.

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