What is the right thing to do? The constitutive role of organizational ethical frameworks in collective ethical sensemaking
基于对公立医疗机构的质性研究，揭示了组织伦理框架在集体伦理决策中既简化意义建构又引发新解释挑战的双重作用，并提出了三种框架执行模式的概念模型。
In the complex realm of ethical decision making, organizations are increasingly developing comprehensive ethical frameworks as guides. These frameworks prescribe ethical principles and decision-making processes to steer organizational actors toward addressing the elusive question of “what is the right thing to do?” in specific situations. However, the interplay between these prescriptive frameworks and collective processes of ethical sensemaking remains underexplored. Based on an extensive qualitative study within publicly funded healthcare organizations, we examine how organizational actors, confronted with the challenge of making exceptional funding decisions, enact an organizational ethical framework. Our findings reveal the manifold ways through which such a framework both streamlines ethical sensemaking and induces new and unexpected interpretive challenges. These challenges generate ethical equivocality, which decision makers seek to reduce through particular sensegiving interventions, and, on occasion, through problematizing the abstract principles prescribed by the framework, based on what is intuitively felt right in situ. We contribute to the literature by developing a conceptual model of three distinct modes in which organizational actors enact the prescriptions of an ethical framework. Our article sheds new light on the unintended consequences of using organizational ethical frameworks in real-world ethical deliberations.