What ethical principles most guide your organization’s decision-making when a conflict arises?
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Q1. What ethical principles most guide your organization’s decision-making when a conflict arises?
Healthcare organizations (HCOs) often face ethical dilemmas however; the principles that govern and guide an organization should be of a fiber that does not vary between times of conflict and times of calm. We have to identify the roles an HCO is expected to play in order to define its moral responsibilities and the principles it employs to fulfill those roles. These roles are directly linked to its perceived purpose of being a caregiver, employer, corporate citizen and resource manager.
I. CAREGIVER
Principle: Provide Care with Compassion
The nature of the caregiver-patient relationship confers fiduciary duties on caregivers to promote patient-centered values such as competence, compassion, trust, and shared decision making. Competence is ensured by setting high standards, promoting continuing professional development, tying incentives to quality of care rather than to costs alone, and ensuring adequate staffing. Compassion and kindness are the appropriate responses to suffering and can be promoted by formal and informal rules and rewards. Patients must be able to trust HCOs and health professionals to provide care that is tailored to their needs. The HCO must enable those actually delivering care to be advocates for their patients and help create, critique, and improve organizational guidelines that affect patient welfare. Finally, patients and caregivers should jointly decide treatment by sharing information; understanding each others’ values; and following the principles of clinical ethics, especially autonomy and beneficence.
II. EMPLOYER
Principle: Treat Staff with …
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