Ethical issues

As a health care manager, you are on a task force created to pursue The Joint Commission accreditation; you must evaluate the SOPs for managing and addressing ethical issues submitted in your department.

Consider organizational (or business) ethics as you discuss the following questions with the class:

Why are they important to health care organizations?
Who should set them?
What’s your experience with them?
How should they be evaluated? By whom? How often?

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Sample Answer

The Importance of Organizational (or Business) Ethics in Health Care Organizations

Organizational ethics, also known as business ethics, is a crucial aspect of health care organizations. It encompasses the principles and standards that guide decision-making and behavior within the organization, ensuring that ethical considerations are integrated into all aspects of operations. The significance of organizational ethics in health care stems from several fundamental reasons:

  1. Maintaining Trust and Patient Confidence: Adherence to ethical principles fosters trust and confidence among patients, their families, and the broader community. When patients believe that their well-being and privacy are respected, and that decisions are made with their best interests at heart, they are more likely to seek care and comply with treatment plans.

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  1. Promoting a Positive Work Environment: A strong organizational ethics framework contributes to a positive and respectful work environment for all employees. By establishing clear guidelines for ethical conduct, organizations can minimize conflicts, foster teamwork, and encourage open communication.

  2. Mitigating Legal Risks: Ethical violations can lead to legal repercussions, including lawsuits, regulatory fines, and damage to the organization’s reputation. By adhering to ethical standards, organizations can minimize legal risks and protect their financial stability.

  3. Enhancing Quality of Care: Ethical practices directly contribute to the quality of care provided to patients. When ethical considerations are prioritized, decisions are more likely to align with patient needs, respect patient autonomy, and uphold the principles of informed consent.

Who Should Set Organizational Ethics Standards in Health Care Organizations?

The responsibility for setting organizational ethics standards in health care organizations typically falls on the leadership team, including the board of directors, the chief executive officer (CEO), and senior-level executives. These individuals have the authority and responsibility to establish clear ethical guidelines for the organization and ensure their consistent implementation.

However, the development of organizational ethics standards should not be a top-down process. Input from a diverse range of stakeholders, including physicians, nurses, other health care professionals, patient advocates, and administrative staff, is crucial in ensuring that the ethical standards are comprehensive, relevant, and aligned with the organization’s values and mission.

Evaluating Organizational Ethics Standards in Health Care Organizations

Regular evaluation of organizational ethics standards is essential to ensure their effectiveness and relevance. This evaluation process should involve multiple stakeholders and encompass various aspects, including:

  1. Assessing the Adequacy of Standards: Review the existing ethics standards to ensure they cover all relevant ethical issues and are consistent with current ethical guidelines and professional codes of conduct.

  2. Measuring Compliance with Standards: Implement mechanisms to measure employee compliance with the established ethics standards. This may include conducting surveys, reviewing incident reports, and holding ethics training sessions.

  3. Addressing Gaps and Inconsistencies: Identify any gaps or inconsistencies in the ethics standards or their implementation. Develop corrective actions to address these issues and ensure the ethics framework remains robust and effective.

  4. Seeking External Review: Consider engaging external ethics experts or consultants to conduct periodic reviews of the organization’s ethics standards and practices. This can provide an objective assessment and identify areas for improvement.

  5. Continuous Improvement: Organizational ethics is an ongoing process, not a one-time event. Continuously review and update the ethics standards to reflect changes in the organization’s operations, the health care industry, and evolving ethical considerations.

Personal Experience with Organizational Ethics Standards in Health Care

As a health care manager, I have witnessed firsthand the positive impact of strong organizational ethics standards. In a previous role at a large hospital, I was involved in developing and implementing a comprehensive ethics program that included clear guidelines, training sessions, and a confidential reporting system.

The implementation of this ethics program led to a noticeable improvement in the ethical climate of the organization. Employees felt more confident in reporting ethical concerns, and management was more proactive in addressing ethical issues. This resulted in a decrease in ethical violations and a strengthened reputation for ethical conduct within the hospital.

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