Careful ethical decisions can be greatly facilitated by the structure of an ethical decision-making model. The first step is to identify what the ethical question is, being aware of what is morally/ethically at stake in a situation. The steps are arranged to allow reasoning and other reflective skills leading to judgments about what ought to be done, based on facts, values and principles. Implementation of an action requires the motivation and moral conviction to follow the established course of action.

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