Lets hear your thoughts, please share!
How important do you think ethics are in today's work force no matter what environment? Do you think training and education are important when it comes to ethics? Why or why not? Lets hear your thoughts, please share!
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https://www.ache.org/newclub/career/ethself.cfm The Ethics Self-Assessment can help you identify those areas in which you are on strong ethical ground; areas that you may wish to examine the basis for your responses; and opportunities for further reflection.
-ACHE This self assessment is a great way for employees to see where they aren't always performing ethically, and where they need to improve. Being ethical, especially in healthcare, is a major concern. Some may not realize how important it is to always be ethical in every situation. Even the smallest ethical dilemma can be major for an organization. This is a simple and quick self evaluation tool that all employers should be providing for their employees. "Notice that "I" is at the center of the word "ethical." There is no "they." Achieving the ethics of excellence is our individual assignment."
Lawrence Kohlberg’s theory is useful in health policy development, specifically patient/system relations. Patients have to be able to trust that they are in good hands, and that the doctors in charge of making their decisions about their care or even life, patients have to be able to trust that they are putting their lives in hands of good moral people. Patients need to be able to trust that their needs will come before the doctor’s own selfish needs. If anything was to breach this, the patient could potentially lose trust in the doctor or even the organization, and accuse them of being unethical. Once this happens the organization will carry this negative image, which will affect them financially in the long run. So when developing a policy, it is important to include a policy about always doing what is ethically right for the patient, not just the organization or doctor. Also making sure all information is private and confidential, so no trust will be broke between the organization and the patient, which can lead to lawsuits.
I believe that certain parts of certain theories can go hand in hand together. For example would be rights views, and deontology. With deontology, all human beings have worth or value, not matter who they are. With rights views, your supposed to blind yourself from others ignorance, and realize people are equal and should all follow the same basic rules no matter who they are. So you can believe that all humans have worth and value, and believe that no matter who they are they should have to follow the same basic rights as everyone else. No one is above the law or one another; they are all of equal value.
Other parts of certain theories don’t go together as well. For example utilitarianism and Rawls rights view do not go together as well. With utilitarianism you do whatever is best for the greatest amount of people, and with Rawls you are expected to provide to those who have the least amount of resources, or need help. You can’t help the greatest amount of people, while also helping the small minority that needs help. Therefore these two theories do not go hand in hand. Depending on the theories you are using and putting together I believe that parts of some can go together and be practiced together while others just cant. Healthcare providers have an obligation to their employees and the patients. Leaders have to make sure they are being ethical to ensure that their employees are doing the same. Employees can be influenced by the environment in which they work. It is important to ensure that they are in a strong ethical culture so they and being influenced properly. It is also important to ensure that education, training, and policies are in place. All of these are necessities when it comes to ensuring that one is being ethical, and knows what is the right thing to do in any given situation.
For this forum post we had the opportunity to work with a partner and combine our two perspective paper topics to answer one similar issue. This taught me how to work in a group. Although we had different topics we had to look and see how our topics both related to our issue, and use them to answer the question. This also taught me a little more about my partners topic and opinions. I was not aware of her topic, so it was nice to hear her side of things, and what she was focusing her topic on. Once she told me this I could relate the two of our topics together better. After we created a powerpoint presentation, we then had to present it orally to the class. This was a great opportunity to present our paper topics, talk about how our topics relate to our given topic, and practice speaking orally. This also led to the class asking me more questions and specifics about my paper topic giving me the opportunity to better inform them, and enlighten them on all the great research I found. Below is our powerpoint presentation, our given topic was Healthcare Administration Workforce & Organizational Ethics.
Self Interests: One must look after their self without interfering with the rights of others. Goal: long term interests of you and your organization
Personal Virtues: Be yourself, good virtues such as honest, open, and truthful, avoid envy, never do anything you wouldn’t be proud of. Religious Injunctions: Good virtues and compassion and kindness are a must for a good society. Golden Rule...work together for an accepted goal. Government Requirements: Competition causes issues with kinds and compassion. We all have to follow enforces rules in order to maintain peace. Utilitarian Benefits: Greatest good for the greatest amount, never take any action that does not result in the greater good than greater harm for society. Universal Rules: Never do something that you wouldn't want to see others do or be encouraged to. What is life or well being worth? Individual Rights: Never do anything that abridges the agreed upon rights of others (laws of government) Economic Efficiency: Impossible to make any one person better off without harming someone else. Always maximize profits by being legal and market constraints, with external costs, max profits under these conditions are the sign of the most efficient production. Distributive Justice: Should look out for the best interests of those below us, never take any action in which the least among us are harmed in some way. Contributing Liberty: Never take any action that will interfere with the rights of others for self-development and self-fulfillment, no judging. -Hosmer 1994 One forum post we did in this course was watching the cost of dying video. Then were asked to post your reflection on this video, and explain how it relates to beneficence and nonmaleficence. This video is from 2010. Therefore, as part of your reflection, please share your thoughts on how things have changed, or are different now in 2014.
https://www.youtube.com/watch?v=F6xPBmkrn0g I personally think that end of life care is extremely expensive and needs to be utilized less, although others may think this is an inhumane response. I understand that a lot of the people that go through the end of life care process are someone's loved ones, and it is hard to let go, but the money that is being spent on end of life care is outrageous. Sometimes the daily amount being spent on end of life care can amount to over 10,000 dollars a day, and these patients end up dying shortly after, or have to be restrained to their beds the entire time. This is an inhumane extreme just to keep someone alive a few more days. This can also be a huge loss of Medicare dollars. Some people could look at not providing end of life care as not practicing nonmaleficence, because you are letting someone die without providing every extreme possible to keep them alive. Others could look at practicing end of life care as not nonmaleficence also, because someone is severely suffering and you are keeping them alive each and everyday making them suffer through it until they pass. Beneficence is not always practiced in healthcare. Patients families usually expect the absolute best for their loved ones, and want their doctor to do whatever is possible to keep them alive for as long as they can, which can sometimes interfere with the doctor might think is best. Being a doctor and knowing the cost of end of life care, and the patient’s condition, they doctor might think it is best to not keep them alive day after day on a machine. Overall its what the patient or the patient’s family wants. I think this is an issue that will always be a controversial one, and everyone will always have different opinions. With healthcare costs continually on the rise, end of life care will only continue to rise as well. I think there is other methods families can offer their love ones to reduce their pain and suffering, without taking some of the extreme measures with end of life care. An example would be palliative care. Palliative care is basically helping the patient get through a serious illness/disease and making sure they are not suffering in the process. Also it helps not only the patient but the family as well with the process of death. One study showed that using palliative care helped the patient fight more, and saved around $4,800 per patient (Smith and Hillner, 2011). If more patients and families would go towards this method than expensive end of life measures, this could help drastically. In the end, patients and families will always have differing opinions and be entitled to what they think is best for their situation, but this is personally how I feel. Rights Views: What is a just society
Concepts would create rules Veil of ignorance: Blind yourself of others around you, don't judge, You could always end up in their shoes one day. Liberty Principle: All people have the same basic rights Social Justice: people make decisions in order to protect those who are in a lesser position Rights Views is having a just society, in which we need rules to maintain. Rawls believed in blinding yourself from others or from ignorance, which is known as the veil of ignorance. Rawls always believed that all people should have the same rights, and all should be equal no matter who they are, this is known as liberty principle. Distributive justice plays a role in this as well. This is basic equality for all, no one should come before someone else, and those who are better off or in a better place should help those who can’t help themselves. The first code of ethics that goes with this theory is “A physician shall respect the law and also recognize a responsibility to seek changes in those requirements, which are contrary to the best interests of the patient” (AMA code of ethics, 2001). This ethic states that all people should be equal with the same rights and be treated the same. No matter who you are you have to respect the law, and obey it. The physician should treat every patient the same no matter who they are, and respect them as a human life. The last code of ethics that correlates with this theory is “A physician shall, while caring for a patient, regard responsibility to the patient as paramount” (AMA code of ethics, 2001). The physician has an overall responsibility to the patient, and to do what’s best for the patient, and to look out for the patient no matter who they are or their situation. The physician is in a place where he/she is supposed to look out for the people coming to them for help better known as the patient. |