Focus on Ethics: "Make Sure My Child Drinks Her Milk!" 鈥擳he Response

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The Situation鈥斺淢ake Sure My Child Drinks Her Milk鈥
Jane, a petite just-turned-3-year-old is new in Kristen鈥檚 class. Her father brings her to school each day at breakfast time.
As required by licensing and the USDA food program, the school serves milk each day at breakfast and lunch. Like a number of children in her class, Jane refuses milk and drinks water instead. Kristen allows children to make this choice. One day Jane鈥檚 father tells Kristen that he and his wife do not want her to allow Jane to drink water until she has drunk at least a full cup of milk. Kristen assures them that she will encourage Jane to drink her milk.
At the next meal, Kristen tells Jane that her family wants her to drink milk so she鈥檒l be healthy and grow strong. Jane sobs uncontrollably. Kristen comforts her and allows her to drink water. She tells Jane she will talk to Jane鈥檚 father about letting her drink water. Jane鈥檚 eyes grow wide and she sobs even harder, saying, 鈥淒on鈥檛 tell Daddy! Don鈥檛 tell Daddy!鈥
What do you think a good early childhood educator should do? Should Kristen honor the wishes of the family or allow Jane to continue to drink water instead of milk? How could Kristen use the 强奸视频 Code to guide her thinking and decision making in this situation?
Early childhood educators encounter many ethical issues in the course of their daily work with children and families. Focus on Ethics presents such an issue and asks readers to determine how an early childhood educator might best respond to it. We are grateful for the input from the field that we received about this case. We want to thank two groups in particular: students in The Professional in Early Education and Family Studies course at Portland Community College and a very engaged group of participants at our ethics session at 强奸视频鈥檚 2016 National Institute for Early Childhood Professional Development in June. And we thank Karen VanderVen, professor emerita at the University of Pittsburgh, for her thoughtful response as well. The ethical questions raised by this issue led to rich and productive deliberation.
The process for resolving the issue
We will use the same steps for systematically applying the 强奸视频 Code of Ethical Conduct that we have employed in previous Focus on Ethics columns.
1. Identify the problem and determine whether it involves ethics.
When you encounter a situation that appears to have a moral dimension, the first thing to do is to determine whether it involves ethics (that is, determine whether the terms听right听and听wrong听or听fair听and听unfair听can be applied). This situation involves ethics because Kristen must decide the right course of action.
2. Identify the stakeholders affected by the situation.
The issue concerns Jane鈥檚 needs and Jane鈥檚 family鈥檚 wishes. It is clear that in this situation, Kristen has conflicting ethical obligations to different听stakeholders听(those with an interest in an ethical situation). These obligations are primarily to the following stakeholders:
鈥衡赌 Jane鈥擪risten has a responsibility to provide for Jane鈥檚 physical needs (to have a drink with her meals) and her social and emotional needs (to have a reasonable measure of autonomy).
鈥衡赌 Jane鈥檚 family鈥擪risten has a responsibility to honor the family鈥檚 values and beliefs and their right to make decisions affecting their child.
To a lesser extent Kristen also has obligations to
鈥衡赌 Her employer鈥擟omplying with this request would violate program policy and philosophy, both of which are based on knowledge of child development and best practices in early childhood education.
鈥衡赌 Community and society, as represented by USDA鈥擪risten and the program have an obligation to follow USDA regulations that require that drinking water be offered and available to children upon their request throughout the day.
How Kristen responds depends on whether she decides the situation involves an ethical responsibility or an ethical dilemma.
Is it an ethical responsibility or an ethical dilemma?
Ethical responsibilities are mandates that are clearly spelled out in the 强奸视频 Code of Ethical Conduct. They describe how early childhood educators are required to act鈥攚hat they must do and must not do. But even well-meaning and conscientious early childhood educators like Kristen may sometimes be tempted to do what is easiest or what will please others instead of honoring these responsibilities.
It is important to remember that when you encounter a situation that involves an ethical responsibility, you must follow the Code鈥檚 clear direction. The most important responsibility spelled out in the 强奸视频 Code is Principle 1.1:听
P-1.1鈥擜bove all, we shall not harm children. We shall not participate in practices that are emotionally damaging, physically harmful, disrespectful, degrading, dangerous, exploitative, or intimidating to children. This principle has precedence over all others in this Code.
Kristen realizes that it is essential to ensure that Jane鈥攁nd all the children鈥攈ave access to drinking water throughout the day. This is an ethical responsibility because preventing children from drinking water could cause physical harm. She agrees with the program and USDA policies that say that while she should encourage children to try foods, she should never force, coax, or bribe children to eat. She believes that it would be wrong to force any child to drink milk because it would be disrespectful to the child and might cause emotional harm. To do so would be a violation of her ethical responsibilities (P-1.1). But Kristen also wants to honor family requests (Ideal 2.6):听
I-2.6鈥擳o acknowledge families鈥 childrearing values and their right to make decisions for their children.
Kristen asks herself, 鈥淲ould it harm Jane to drink a glass of milk at breakfast if she doesn鈥檛 want to? Would it be unethical to insist that
she drink milk before she drinks water?鈥 After reading and reflecting on the Code (and talking with her coworkers), Kristen decides she has a responsibility: she cannot deny children water; she cannot force them to drink or eat anything. She will offer Jane milk at breakfast but will allow her to drink just the water if that is Jane鈥檚 choice.
This reflection leads Kristen to feel confident that the Code will back her up. She plans to use it to explain to Jane鈥檚 father why she has made this decision.
3. Brainstorm possible resolutions.
Though they questioned whether or not it was an听ethical dilemma, those who worked on this case agreed that Kristen has an听ethical responsibility鈥攁nd a problem. Though they agreed that water could not be denied to Jane and that she could not be forced to drink milk, they made a number of suggestions for managing the problem in ways that acknowledged the family鈥檚 wishes. In other words, they sought to employ ethical finesse.
4. Consider ethical finesse.
As readers of previous columns know,听ethical finesse听means finding a way to meet the needs of everyone involved鈥攖ypically without having to make a difficult decision. But Kristen鈥攁nd those who worked on this case鈥攄ecided she had to decline the father鈥檚 request. And they suggested a number of things that Kristen could do to better understand the situation and engage the family in mutual problem solving.
鈥衡赌听Get more information.听First and foremost, those who worked on the case wanted Kristen to get more information. They wanted to acknowledge the family and find out what lay behind the father鈥檚 concern (nutrition? financial need that prevented them from offering Jane milk at home? cultural expectations?). They also wanted to know what lay at the root of Jane鈥檚 dislike of milk (a bad experience? a hidden allergy?) and her apparent fear of her father.
鈥衡赌听Encourage Jane.听Like all good early childhood educators, respondents had many practical ideas. They suggested flavoring Jane鈥檚 milk or offering milk in alternate forms (smoothies, yogurt, cheese). They suggested making a plan with the family for increasing Jane鈥檚 acceptance of milk at home and
at school.
鈥衡赌听Share Information.听Our respondents were strongly in favor of giving the family more information. They suggested sharing research on the importance of providing children adequate hydration, on alternatives to milk, and on nutrition in general. They suggested bringing in a nutritionist to talk to families. They wanted Kristen to explain why teachers cannot force children to eat anything and why they cannot ever deny water to a child. They wanted the family to understand Kristen鈥檚 obligations as a teacher in a USDA-participating program and as an early childhood educator. They suggested that Kristen invite Jane鈥檚 family to observe a mealtime to see that other children prefer water over milk and to better understand how teachers encourage children to try diverse foods.
5. Look for guidance in the 强奸视频 Code
Unlike cases presented in many previous Focus on Ethics columns, this situation involved an ethical responsibility rather than an ethical dilemma. Kristen鈥檚 response is well supported by the 强奸视频 Code of Ethical Conduct. However, because it involved a child, a family, program policy, and an outside agency, it focuses our attention on a number of ethical issues for which the code offers guidance.
Core values
Ethical ideals and principles in early childhood education rest on the base of core values identified by the field. In this case, the core values that are most salient are our commitments to
- Base our work on knowledge of how children develop and learn
- Respect diversity in children, families, and colleagues
- Recognize that children and adults achieve their full potential in the context of relationships that are based on trust and respect
Ideals and principles
The Code sets forth a framework of professional responsibilities that include ideals and principles. As previously stated, Principle 1.1 (鈥淎bove all, we shall not harm children鈥) applies in this case. Since P-1.1 has precedence over all others in the Code, Kristen鈥檚 course of action (to allow Jane to drink water and not force her to drink milk) is clearly required. However, respondents saw that other ideals and principles were involved. They recognized that the case involved ideals that reflect our aspirations for exemplary practice, which include the following:
I-1.2鈥擳o base program practices upon current knowledge and research in the field of early childhood education, child development, and related disciplines, as well as on particular knowledge of each child.
I-1.4鈥擳o appreciate the vulnerability of children and their dependence on adults.
I-1.5鈥擳o create and maintain safe and healthy settings that foster children鈥檚 social, emotional, cognitive, and physical development and that respect their dignity and their contributions.
I-2.2鈥擳o develop relationships of mutual trust and create partnerships with the families we serve.
I-2.4鈥擳o listen to families, acknowledge and build upon their strengths and competencies, and learn from families as we support them in their task of nurturing children.
I-2.5鈥擳o respect the dignity and preferences of each family and to make an effort to learn about its structure, culture, language, and beliefs to ensure a culturally consistent environment for all children and families.
I-2.6鈥擳o acknowledge families鈥 childrearing values and their right to make decisions for their children.
I-2.8鈥擳o help family members enhance their understanding of their children, as staff are enhancing their understanding of each child through communications with families, and support family members in the continuing development of their skills as parents.
And respondents noted that the case involved additional principles outlining practices that are required, prohibited, or permitted. These include
P-1.8鈥擶e shall be familiar with the risk factors for and symptoms of child abuse and neglect, including physical, sexual, verbal, and emotional abuse and physical, emotional, educational, and medical neglect. We shall know and follow state laws and community procedures that protect children against abuse and neglect.
P-1.4鈥擶e shall use two-way communications to involve all those with relevant knowledge (including families and staff) in decisions concerning a child, as appropriate, ensuring confidentiality of sensitive information.
P-2.2鈥擶e shall inform families of program philosophy, policies, curriculum, assessment system, cultural practices, and personnel qualifications, and explain why we teach as we do鈥攚hich should be in accordance with our ethical responsibilities to children.
P-2.4鈥擶e shall ensure that the family is involved in significant decisions affecting their child.
P-2.5鈥擶e shall make every effort to communicate effectively with all families in a language that they understand. We shall use community resources for translation
and interpretation when we do not have sufficient resources in our own programs.
6. Identify the most ethically defensible course of action.
Along with the consensus reached by those who reviewed this case, we agree that Kristen鈥檚 primary obligation is to Jane鈥攖he situation鈥檚 most vulnerable stakeholder鈥攁nd to her well- being. All of those who worked on this case thought that, based on Principle 1.1, Kristen would be justified in refusing to honor Jane鈥檚 family鈥檚 request.
Our respondents recognized that the Code guides Kristen in many other actions: listening to the family; sharing information; acknowledging the family鈥檚 concerns, values, and preferences; observing Jane for signs of emotional abuse; and being proactive in sharing program philosophy and policies. They pointed out the importance of communication, understanding the family鈥檚 concern and goals, and building a positive teacher鈥揻amily relationship. When skilled teachers build strong relationships with families, they are able to stand firm on ethical responsibilities without damaging the relationship. Respondents suggested that Kristen talk to the family to gain more understanding, using wording like 鈥淭ell me why you are concerned about Jane drinking milk,鈥 鈥淒oes Jane drink milk at home?,鈥 鈥淲hat happens at mealtimes at home when milk is offered?,鈥 鈥淎re there other dairy products that Jane will eat?,鈥 and 鈥淚鈥檓 happy to encourage Jane to drink milk, but I鈥檓 not allowed to prevent children from drinking water. I鈥檒l let you know what happens as I try some new ways to encourage her.鈥
Reflection on the case
This issue might be similar to a situation you have faced when working with young children and their families. We know that early childhood professionals are sometimes asked by family members to do things that they feel conflict with their professional knowledge. We know that forcing children to eat or drink can have negative consequences in terms of lifetime eating habits. We also know that access to drinking water is a basic necessity.
In Jane鈥檚 case, we must give priority to our ethical responsibilities to the child. However, we need to be aware of our obligations to the family. This scenario is a good example of how having a clear understanding of your ethical responsibilities can help you know what to do and can support your actions when situations like this emerge.
Could this issue have been avoided? It might have been avoided had there been a statement in a family handbook making it clear that the program makes drinking water available throughout the day and never forces children to eat or drink anything. Additionally it underscores the importance of building and maintaining good relationships and good communication with families鈥攕omething effective early childhood educators understand and do.
Resource
Benjamin, S.E., ed. 2012. Making Food Healthy and Safe for Children: How to Meet the 鈥淐aring for Our Children: National Health and Safety Performance Standards鈥; Guidelines for Early Care and Education Programs. 2nd ed. Chapel Hill: The National Training Institute for Child Care Health Consultants, Department of Maternal and Child Health, University of North Carolina.
Photograph:听iStock听
Eva Moravcik听is professor of early childhood education at Honolulu Community College and the site coordinator of the Leeward Community College Children鈥檚 Center in Pearl City, Hawaii.听She is coauthor of Who Am I in the Lives of Children? (with Stephanie Feeney and Sherry Nolte) and听Meaningful Curriculum for Young Children听(with Sherry Nolte).听[email protected]

Stephanie Feeney, PhD, is professor emerita of education at the University of Hawaii at Manoa. She is coauthor of 强奸视频鈥檚 鈥淐ode of Ethical Conduct鈥澨齛nd 强奸视频鈥檚 books about professional ethics. She participated in the development of supplements to the code for adult educators and program administrators听and has written extensively about ethics in early care and education. She is the author of numerous articles and books, including Professionalism听in Early Childhood Education: Doing Our best for Young Children听and coauthor of Who Am I in the Lives of Children? 听[email protected]

Nancy K. Freeman, PhD, is professor emerita of education at the University of South Carolina in听Columbia, where she was a member of the early childhood faculty. She has served as president of NAECTE and was a member of its board for many years. Nancy has written extensively on professional ethics since the 1990s, and has been involved in the Code鈥檚 revisions and in the development of its Supplements for Program Administrators and Adult Educators.听听[email protected]
