Waldron (n.d.), “Management is the process by which people, technology, job tasks, and other resources are combined and coordinated so as to actually achieve the organizational objectives” (para. 3). Organizational structure brings about an open and healthy communication. The communication method changes according to the environment and the situation. In any business, conflict will come, however; one ought to utilize the right steps to diffuse the matter. Ethics or Morals is something that everybody should to have in an organization, however in the event that issues arise, management should address the issue by following policies and procedures.Encountering Ethical Issues Essay.
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The way your organization connects with clients and its’ public audience affects the organization’s image. Planning includes short-term, long-term, and strategic planning. Once strategic planning and management planning are implemented, organizing to get the job done is next. Changes in today’s business arena pose critical ethical difficulties. In all results there are the accompanying conceivable outcomes: right motivation with the proper activity; right motivation with wrong activity; wrong motivation with the right activity; or wrong motivation with improper activity. Human Resources’ decisions and financial decisions affect health care in many ways. (“Human Resources for Health,” 2000).
Encountering Ethical Issues as a Health Care Administrator
California State University, Stanislaus
Encountering Ethical Issues as a Health Care Administrator
In the health care field there are many ethical issues that arise. But in health care, ethical issues are very common. Almost every decision has an ethical implication either for the primary provider, the patient, or the health care administrator. As stated by Larson (2013) “…issues such as balancing care quality and efficiency, improving access to care, building and supporting the healthcare workforce, addressing end of life situations, and dealing with limited medications and donor organs are most likely to be encountered by a healthcare administrator.” Ethical dilemma is most commonly caused by moral distress, lack of training, absence of overall global ethics, and lack of strategies most healthcare administrators often endure.Encountering Ethical Issues Essay.
First of all, ethical issues and conflicts are universal in today’s modern healthcare setting, but many time healthcare administrators and healthcare personnel face moral distress. Moral distress as stated by the American Association of Critical-Care Nurses (2016), “… is a serious problem in nursing which contributes to nurses feeling a loss of integrity and dissatisfaction with their work environment.” Not only is moral distress in nursing but is seen in every healthcare profession. Moral distress can be neutralized by having a strong support team that has several strategies implemented to address certain issues such as supporting the nurses code of ethics, offer ongoing education, create an environment where healthcare professionals can speak up, bring different disciplines together, provide ethics experts, add unit based ethics mentors, hold a family conference, sponsor ethics journals or book clubs, reaching out to other professional associations, and offering employee counseling services. With a strong back support, it ensures healthcare administrators to tackle on ethical issues without having moral distress.Encountering Ethical Issues Essay.
Secondly, there are times where healthcare administrators lack the training of how to neutralize ethical issues, which affect the overall patient care as well as employee stress and jobburnout. As stated in 10 Best Practices for Addressing Ethical Issues and Moral Distress by Wood (2014, para 2), “Our challenge isn’t to eliminate moral distress; it is becoming part of our new normal and not going away, so our new goals have become learning how to recognize and address it effectively,” said Ramon Lavandero, RN, MA, MSN, FAAN, senior director of the American Association of Critical-Care Nurses (AACN) and clinical associate professor at Yale University School of Nursing. “Healthcare leaders can start by helping clinicians learn how to recognize moral distress and point them to resources to help address it.” Ethical issues are very common and needs to be embraced instead of overlooking the situation, and making it linger on. Strategies will ensure the ethical issue or conflict is handled appropriately. Encountering Ethical Issues Essay.
Furthermore, no matter the amount of training or support healthcare administrators receive, there needs to be an emphasis on overall global ethics. There needs to be a set of universal ethics that everyone can refer to. As stated by Lynch (2001, para 3), Peter L. Cruise talks about, “… enhanced standards, informed by virtue and ethics and utilized by independent bodies (such as the Joint Commission on the Accreditation of HealthCare Organization or JCAHO) during the health care organization accreditation process, offer a better alternative than the current retributive approach.” What needs to happen is that, JCAHO does not only need to accredit the hospital but provided universal ethical and moral strategies that health care professional need to help ease the weight off them in moral distress. Universal ethical issues will help healthcare administrators with an in depth perspective on how to resolve issues, and to look at every issue with the same outlook and weighing the pros and cons of the situation.
Looking deeper and deeper into ethical situations, one may think it is easy to come up with a solution, but every solution comes at a risk. Such as a hospital administrator finding out that the hospital, they are working in is barely staying afloat financially due to moving people, who are willing to pay cash to be on top of the organ donor list. What does one do when a situation is presented like this? There are a series of issues that are presented with this dilemma, from it being ethically wrong does the healthcare administrator resign, leaving the hospital as is or to come clean to the public and threaten to shut down the hospital which results in many losing health care as well as jobs? Ethical principles such as autonomy, beneficence, non-maleficence, justice, equality, and equity all play a role. If that healthcare administrator is following the principles of health care ethics, then the solution is clear which is to do an investigation and figure out why the hospital is in financial distress and to present a number of strategies to better the hospital care and to make it run efficiently, without it being shut down. Looking at the bigger picture is the key during ethical dilemmas and to work with an open mind with all the evidence presented. With every dilemma a healthcare administrator needs to weigh the pros and cons of the issue, and have a meeting with the board to ensure that the right steps are being taken to help resolve the situation.
All in all, ethical dilemmas are usually caused by moral distress, lack of training, absence of overall global ethics, and lack of strategies, which is a huge problem for healthcare professionals; which in the end causes moral distress which affects the patients’ well-being to decision making. As stated by Lynch (2001, para 2), “He notes that such decisions are made from a person’s inner sense of morality which directly affects ethical behavior. Thus, morality is the result or long-term, irreversible cognitive development and the most dominant determinant of overall ethical behavior.” Regardless, there are many ethical issues that arise, but with a better understanding of strategies, that will help neutralize the ethical dilemma as well as help promote a balance in care quality and efficiency.
American Association of Critical-Care Nurses (2016). Moral Distress. Retrieved from http://www.aacn.org/wd/practice/content/ethic-moral.pcms?menu=practice
Larson, J. (2013, March 6). Five Top Ethical Issues in Healthcare. Retrieved from http://www.amnhealthcare.com/latest-healthcare-news/five-top-ethical-issues-healthcare
Lynch, T. (2001). Practical public administration frontiers of ethics: A symposium. Public Administration Quarterly, 25(3/4), 387.
Wood, D. (2014, March 3). 10 Best Practices for Addressing Ethical Issues and MoralDistress. Retrieved, from http://www.amnhealthcare.com/latest-healthcare-news/10-Best-Practices-Addressing-Ethical-Issues-Moral-Distress/
Encountering Ethical Issues Essay.