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...Saudi journal of nursing and health care abbreviated key title j nurs issn print online scholars middle east publishers dubai united arab emirates homepage https scholarsmepub com sjnhc review article importance ethical decision making application james rest model uzma khursheed sana sehar muhammad afzal lahore school the university pakistan doi vi received accepted published corresponding author abstract in an organization is important process requires careful assessment analysis all possible alternatives it management executives duty at levels this case study patient suffered due to medical harm committee did not provide justice apply on scenario developed theoretical framework for understanding his has four components moral awareness motivation judgement action thomas jones gave intensity concluded that features which he collectively called strength affect conceptualized so could impact each s component leaders faces complex situation their consciousness conflict decisions choices c...