Ethical Decision Making
Making the moral right decision is never seen on paper. What could be seen as the right thing to do, may not be the right thing for other people. Also, making decisions and then having to face them later on, can impose a difficult problem for many people. Many of us have made a decision that we end up regretting later on. In the healthcare field, decision making could be life and death of a patient
1.Problems at the Veterans Affairs (VA) with ethical decision making.
Nearly most of the problems that have arisen at the VA are not only bad scheduling practices that resulted in extremely longer wait times, putting certain veterans before others, but also death to veterans who had to wait for care. Also, there is a lack of ethical culture, but beneficence, justice, nonmaleficence, self-sufficiency as well as confidentiality that was forgotten is this case (McWay, 2014). The beneficence and nonmaleficence are the most important of ethics (McWay, 2014). First, beneficence is to make available good and nonmaleficence means to do no harm whatsoever (McWay, 2014). Also, justice can include the responsibility of fairness, honesty, and in essence treating all patients
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ACHE code of ethics. Retrieved from http:// www.ache.org/abt_ache/code.cfm.
Markkula Center for Applied Ethics (2017). Bioethics- What is Bioethics? Retrieved from http:// www.scu.edu/focus-areas/bioethics.
McWay, D. (2014). Today's Health Information Management: An Integrated Approach. Cengage Learning. Retrieved from http:// www.kaplanvitalsource.com
Medical and Public Health Law Site (2009). Paternalism in Medicine. Retrieved from http:// www.biotech.law.lse.edu/ Clash of Cultures.
Veterans Affairs Healthcare System (2016). Actions needed to improve newly enrolled veterans access to primary care. United States Goverment Accountability Office. Retrieved from http://
Health Information Management Technology. (3rd Edition). Chicago, IL: AHIMA Press.
In certain situations it is difficult for a person to decide between a moral and immoral choice. In the field of health there are physicians and patients that may have two different mindsets. One may be a patient that believes a decision is moral, while a physician may think the decision is immoral. How can the physician stick to his beliefs and morals when he must make a choice to go against them or not?
Principles of Biomedical Ethics, by Tom Beauchamp and James F. Childress, has for many critics in medical ethics exemplified the worse sins of "principlism." From its first edition, the authors have argued for the importance and usefulness of general principles for justifying ethical judgments about policies and cases in medical ethics. The organization of their book reflects this conviction, dividing discussion of particular ethical problems under the rubrics of the key ethical principles which the authors believe should govern our moral judgments: principles of autonomy, nonmaleficence, beneficence and justice.
Slosar, J. P. (2004). Ethical decisions in health care. Health Progress. pp. 38-43. Retrieved from http://www.chausa.org/publications/health-progress/article/january-february-2004/ethical-decisions-in-health-care
Within these readings there will be a brief discussion of a case study ethical issue of having 1,700 veterans that were not listed on the electronic wait list (EWL), wait for primary care appointment at the Phoenix VA. There will also be two policies/standards discussed that can ensure ethical leadership practices with respect to improve coordination of the EWL primary appointments. There will also be a brief explanation of why Secretary Eric Shinseki resigned from his position also giving two alternative options Secretary Shinski could have taken to resolved the unethical decisions he made.
Bush, S. S., Connell, M. A., & Denney, R. L. (2006). Ethical Practice in Forensic Psychology: A Systematic Model for Decision Making. Retrieved from http://dx.doi.org/10.1037/11469-001
On April 24th, 2014, one simple recording released by TMZ made Donald Sterling, owner of the NBA’s Los Angeles Clippers, the most hated man in America. In this recording, Sterling ranted over the fact how he did not want V. Stiviano, his partner, to be affiliated with any African Americans. As a result of his racist statements, fans, athletes, and sports organizations/members, voiced their opinions on the matter, flourishing social media. Many star players such as LeBron James, Michael Jordan, Magic Johnson, and a majority the Clippers players acknowledged that something had to be done, and that the NBA is no place for racism. In the end, after team owners took a vote, NBA commissioner Adam Silver held a press conference enlightening the public
I chose to go into nursing because I had taken a sports medicine class in high school I enjoyed, and I thought I would be guaranteed a job graduating that had something to do with medicine. I can remember being so excited to learn how about illnesses and medications, and all the difference procedures done in the hospital. At the time I thought a nurse’s job was to do what the physicians said, and I expected set guidelines that would tell me what I was and wasn’t allowed to do. I had no idea that I was entering onto a career path involving so much complexity, and that the skills I had dreamed of learning were such a small part of nursing in comparison to the emotional, decision making, and critical thinking skills that a nursing career requires. Ethics in nursing was not something that had ever crossed my mind when I chose to take this path, however now ethics is something that I think about every day I am practicing, whether in clinical or theory courses. Ethical theories often come from the idea that because we are human we have the obligation to care about other’s best interests (Kozier et al., 2010), however in nursing ethical practice is not just a personal choice but a professional responsibility.
Everyone knows someone who has been touched by the recent Veterans Affairs Scandal. Someone in your family or a friend may have served our country only to come home and be delayed medical attention when they arrive at their local VA. This has personally touched my family; my spouse is a Marine Veteran. He needed to see a doctor and I asked him to make an appointment with the VA in Gainesville, since most of the cost would be covered; he laughed at me. He proceeded to tell me that the last time he went to the VA, he arrived prior to seven am and waited almost eight hours to see the doctor and the doctor walked in, told him he thinks he has this condition, wrote him a prescription and walked out within five minutes. My spouse looks at the VA not as a hospital but as a Band-Aid clinic. This experience is not uncommon at most VA’s given the recent accusations that the VA has a “secret wait list”.
Workplace ethics engages in judgements and collective agreements regarding a suitable guide of behaviour. The ethical decision making framework (EDM) presents, business decision is ethical or unethical.EDM provides an indication of traditional decision making process and issues that manipulate ethical decisions. Employees tend to fraud because they can experience the unfair treatments or situation that they face. Manages may ask employee to work long hours, and then they can take additional time off. Good performance leads to remunerations and appreciation managers than workers.
Why is it so important that healthcare executives adhere to a professional code of ethics?
According to Morrison and Furlong, normative ethics discovers what is right and wrong and guides decision making for all situations in many areas including health care. A normative ethical theory that this research will discuss is virtue ethics in the American health care system. The purpose of this research is to develop potential for excellence and to find the highest good for humans by doing what is right short-term, long-term, and to compete globally (Morrison & Furlong, 2013). Giving certain situations each theory can provide tools to assist in decision-making but virtue ethics concentrates on excellence and perfection.
Wager, Karen A, Frances W. Lee, and John P. Glaser. Health Care Information Systems: A Practical Approach for Health Care Management. San Francisco: Jossey-Bass, 2013. Internet resource.
My overall vision is to develop and promote information technology solutions to better improve health outcomes, patient safety, and prevention of medical errors in underserved countries. In closing, Health informatics and Health Information Management is an exciting program that is designed to provide me with a suite of resources to help me develop essential leadership, teamwork, and healthcare management skills that will help me to become successful leader in healthcare
Health care providers are faced with bioethical issues every day when caring for a wide variety of patients. Bioethical principles are outlined in order to help these professionals provide the best possible care for their clients. The first principle focuses on the autonomy of individuals. This is the foundation of “informed consent” that is required before performing any medical care on a patient. The patient must completely understand the benefits and risks associated with any medical acts and make their own decision. The second principle states that no intentional harm or injury to the patient can result from the medical decision. This principle of nonmaleficence helps set standards of care to prevent wrongdoing. Beneficence is the third bioethical principle that states that it is the responsibility of the health care provider to benefit the patient. The fourth bioethical principle refers to justice and that each patient is treated with fairness. Every patient is entitled to impartial medical care to ensure the appropriate distribution of goods and services (McCormick, 2013). These bioethical principles help guide health care professionals when making difficult decisions related to controversial topics and practices.