Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
What are the impacts on healthcare delivery in the United States
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Bouville (2008) describes whistleblowing as an act for an employee of revealing what he believes to be unethical or described as an illegal behaviour to a higher management (internal whistleblowing) or to an external authority or the public (external whistleblowing). Whistle-blowers are often seen as traitors to an organisation as they are considered to have violated the loyalty terms of that organisation while some are described as heroes that defend the values and ethics of humanity rather than loyalty to their company. In the medical community, it is the duty of a practitioner aware of patient care being threatened to make it known to those in charge and for those in charge to address the issues and act on it. The General Medical Council (GMC) stipulated this act of raising concern as a doctor’s duty in its Good medical practice guide. This paper will be based on the analysis of the experience of whistle blowers, reasons why they chose or chose not to take such actions and personal opinions on whistleblowing in the medical community.
In an ideal medical society, no dilemma should arise on whistleblowing associated with poor medical practice or illegal behaviours. However these dilemmas arise when these whistle blowers take privileged information to the public in order to address their personal concerns or conscience. It can however be said that they are often left with little or no choice. Lipley (2001) discusses a case which occurred in the UK where a nurse wrote to the media reportedly that the elderly inpatients at her organisation did not receive adequate care and that this was jeopardising their lives. The appeals tribunal ruled that her decision was right and was both reasonable and an acceptable way to raise such issues ...
... middle of paper ...
...e at one point absorbed the psychologically painful experience of being disloyal (Ibid).
Works Cited
Bouville, M. (2008) Whistle-blowing and morality. Journal of Business Ethics. 81 (3), pp. 579-585.
Jackson, D. and Raftos, M. (1997) In uncharted waters: confronting the culture of silence in a residential care institution. International Journal of Nursing Practice. 3 (1), pp. 34-39.
Lipley, N. (2001) Whistleblower who wrote to newspaper wins tribunal. Nursing Standard. 16 (12), p. 4.
Martin, M.W. and Schinzinger, R. (2005) Ethics in Engineering. 4th ed. New York: McGraw Hill.
Rhodes, R. and Strain, J.J. (2004) Whistleblowing in academic Medicine. Journal of Medical Ethics. 30 (1)
Taubes, G. (1995) Plagiarism suit wins: experts hope it won't set a trend. Science. 268
Wilmot, S. (2000) Nurses and whistleblowing. Journal of Advanced Nursing. 32 (5), pp. 1051-1057.
For anyone who has ever worked in healthcare, or simply for someone who has watched a popular hit television show such as Grey’s Anatomy, General Hospital, House or ER know that there can be times when a doctor or health care provider is placed in extremely difficult situations. Often times, those situations are something that we watch from the sidelines and hope for the best in the patient’s interest. However, what happens when you place yourself inside the doctors, nurses, or any other of the medical provider’s shoes? What if you were placed in charge of a patient who had an ethically challenging situation? What you would you do then? That is precisely what Lisa Belkin accomplishes in her book “First Do No Harm”. Belkin takes the reader on
Nurses are required to protect and support their patients if they are to be an efficient patient advocate. Ethically questionable situations are quite common for nurses that conflict with their professionals and personal morals. At times, the patient necessitates the nurse to speak out for them demonstrating
One of the most complex, ever-changing careers is the medical field. Physicians are not only faced with medical challenges, but also with ethical ones. In “Respect for Patients, Physicians, and the Truth”, by Susan Cullen and Margaret Klein, they discuss to great extent the complicated dilemmas physicians encounter during their practice. In their publication, Cullen and Klein discuss the pros and cons of disclosing the medical diagnosis (identifying the nature or cause of the disease), and the prognosis (the end result after treating the condition). But this subject is not easily regulated nor are there guidelines to follow. One example that clearly illustrates the ambiguity of the subject is when a patient is diagnosed with a serious, life-threatening
Roger Higgs, in “On Telling Patients the Truth” supplies commonly used arguments for paternalistic deception. For the purposes of this paper, paternalism will be defined as, “interference with one’s autonomy or self determination for their own good.” The first argument for paternalistic deception is founded on the idea that medicine is a technical subject where there are very few guarantees (613). Thus, Higgs supplies the argument that not only is it impossible for a patient to understand the true breadth of their diagnosis and prognosis, but additionally that medical predictions are not medical truths. The second argument for paternalistic deception comes from the belief that patients do not actually want to know the truth about their condition, and could suffer from worse health outcomes if they are told the truth (614, 615).
Whistle-blowing can be defined many different ways. For example, from page 384 in the book, whistle-blowing is the voluntary release of nonpublic information, as a moral protest, by a member or former member of an organization outside the normal channels of communication to an appropriate audience about illegal and/or immoral conduct in the organization or conduct in the organization that is opposed in some significant way to the public interest. For a simpler explanation of the term whistle-blowing, Merriam-Webster defines the term as, an employee who brings wrongdoing by an employer or other employees to the attention of a government or law enforcement agency and who is commonly vested by statute with rights and remedies for retaliation.
“Faced with what is right, to leave it undone shows a lack of courage” (Confucius Quotes, 2012). The person who does her duty, at great risk to her own interest, when most others would defy from fear is considered a hero (Schafer, 2004). Dr. Nancy Olivieri is a hero who blew the whistle on Apotex, University of Toronto (U of T) and the Hospital for Sick Children (HSC); and fought for her academic rights till the end. Whistle-blowing refers to actions of an employee that breach her loyalty to the organization but serves the public interest. When other constraints proved to be ineffective, whistle-blowing acts as a check on authority of the organization. Whistle-blowers expose severe forms of corruption, waste, and abuse of power within their organization and put the organization in a position where it is answerable to the public, thus enhancing its accountability (Cooper, 2006, pg. 198-205).
Barnett, Wilson J.(1986). Ethical Dilemmas in Nursing. Journal of Medical Ethics. Retrieved on 12th July 2010 from
One day while doing his job, a physician used a used swab that was possibly infected with HIV on another patient. When looked at by certain people, the doctor did the correct thing by telling his patient that he roused a swab on him/her. However, the chances of this patient getting HIV was substantially low, and he should have waited for the patient to develop symptoms, which would have been rare, before telling the truth. As stated by Michael Greenberg, “he might have done better by keeping his mouth shut.” If the doctor did lie, he could have lied to protect himself, the quality of life of the patient, and his ability to help others with their lives. If he had not told the patient that he used the swab on him/her, he/she would not have had to live in fear of getting HIV. Because of this decision of truth telling, the doctor lost his job, money, confidence, and also affected someone’s quality of life.
...y is not absolute and that the disclosure and justification of some individuals cases can potentially be successful. Moreover the person who disclosed the information will always be the person under scrutiny of the common law. Professionally, if the health care worker adhere to the policy it offers much protection for the topic of confidentiality and the correct attitude to retain information correctly.
When professionals in the health sector are compliant to the standards and ethics of practice, then accidents in the sector and any activities that undermine patient safety are bound to be addressed. In particular, whistleblowers in the sector should also be protected to improve service delivery in the health sector.
The importance of honesty cannot be overstated in the professional setting. It would be unethical and immoral for a judge to preside over a case where he has a conflict of interest. It would be disastrous for a police officer to lie under oath about someone going over the speed limit. As humans we all suffer from the human condition, which is that we have weaknesses, we are imperfect and we are all highly capable of mistakes. However, there exists a profession in which the ramification of these mistakes and imperfections can be most deadly. Medicine is one of the few highly regarded fields in which the professionals are able to dictate their own standards. The importance and magnitude of this liberty to self-govern can be a boon to those practicing within the ethical and moral confines, however, breaking the trust of self-governance as a profession not only puts the offender in peril but the integrity of the institution as well. Dishonesty as it relates to three aspects of medicine in particular will be discussed in this essay: Dishonesty as it relates to medical training, in particular, during medical school, Dishonesty as it relates to postgraduate medical work/career and lastly dishonesty as it relates to medical advancement, publications and data.
Diesfeld & Godbold, (2009) suggests that the New Zealand disciplinary process is a form of preventative law for patients and health care providers. Therefore it is vital for health care providers to have an understanding of their legal obligations to their profession and their patients. The Medical Council of New Zealand (2006) believes that patient’s needs should be a priority and that patients are entitled to competent health professionals. Furthermore the Medical Council of New Zealand encourages the maintenance of the patient caregiver relationship through honesty, trustworthiness and integrity. Therefore accountability is essential for health practitioners who do not comply with the accepted standard of care and to be held accountable (Johnson, 2004).
Almost all whistle-blowers face some form of retaliation if they are not protected by unions or professional organizations. Both the professional and personal lives of the whistle-blower will be questioned and if possible, damaged. Form a career standpoint, the whistle-blower might be fired, given bad recommendation letters and even blacklisted from future employments in the same position of other organizations. The social life of the whistle-blower and everyone close to them are ripped apart by rumours that might be true or false but, nonetheless still be very. Sexuality, mental stability, drug abuse and sex scandals are the few ways that the personal life of a whistle-blower can be damaged.
In the recent past, there have been several employees who have brought to light corrupt and unethical business practices on the part of their employer. Whistleblowers are known as internal and external individuals who disclose their firms’ illegal behavior. When faced with such an accusation, some companies have tried retaliating against the informer (Beatty 743). As a result of these cases, there are numerous laws that exist that protect employees from retaliation. Within this paper, the most significant whistleblowing protection statutes and acts will be discussed, as well as, important cases, and the ethics behind whistleblowing.
McLaren, B. (2010, July 22). The ethical responsibility of engineers and the rest of us, too [Web log article]. Retrieved from http://www.huffingtonpost.com/brian-d-mclaren/the-ethical-responsibilit_b_653812.html