The survey dilemmas were also reviewed by three independent living center directors in which they were asked to rate each dilemma in terms of: (a) how likely ILSPs would perceive each dilemma as containing two conflicting courses of action, (b) each action being mutually exclusive, and (c) each action having potential significant consequences.
A mini-field test was conducted with two ILSPs for the purpose of completing the survey, followed by a personal interview to identify any instructions or items that were ambiguous, misspelled words, or other problems.
A total of 39 usable surveys were returned from the 107 ILSPs in the sample for a return rate of 36.
Table 1 shows 21 dilemmas encountered by 50% or more of the responding ILSPs and the frequency with which each dilemma was encountered.
As can be observed on Table 1, the three most frequently encountered ethical dilemmas by ILSPs (i.
An implication of encountering these types of dilemmas suggests that ILSPs respect consumer autonomy in the service-delivery process.
Ethical Dilemmas for which ILSPs Requested Training
All 38 ethical dilemmas were rated by at least 75% of ILSPs (item 11 was the exception at 74.
A paucity of research exists on the types of ethical dilemmas encountered by ILSPs and their perceptions on the need for training to address these dilemmas.
The development of ethics training materials could enhance current skills of ILSPs in: (a) identification of ethical dilemmas in case studies, (13) developing resolutions to ethical dilemmas, and (c) providing opportunity to express counseling and explore decision-making skills in role play scenarios with consumers.