Case Ethical Analysis:
National Kidney Foundation of Singapore (A) – Anatomy of a Crisis
Wee Beng Geok and Yvonne Chong
Overview
When the National Kidney Foundation (NKF) of Singapore came under the scrutiny of the nation back in the July of 2005, it was evident that there was going to be major changes in the local social welfare scene.
As a non-profit charitable organisation, the main aim of NKF was not only to look after the needs of its patients but encompassed drawing resources from society and moving towards changing and improving society as a whole.
In this report, we focus on the issues that the top management faced and how this entire saga has affected not only NKF but also its numerous internal and external stakeholders.
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NKF’s management might seem to not have taken donors’ opinions into consideration and hence portrayed the image of mismanaging donations. However, it would be unfair to not point out how not all stakeholders are equal and each is entitled to different considerations. Expectations differ across stakeholders and decisions made would more often than not lead to a conflict of interest but following the principle of utilitarianism, it is up to the discretion of the organisation to balance their decisions and decide how best to appease the majority. An example would be NKF’s dilemma of whether to disclose the salary of the CEO; not doing so would result in accusations of not being transparent while disclosing it might lead to criticism of charity leaders being too highly paid. The interests of the CEO and the donors are at conflict.
Alternative Theoretical Perspectives
Having received the National Youth Excellence Award in 1976 and practiced as a lawyer for 6 years2, Durai could be seen as a leader with strong self-efficacy and self-esteem. He valued new challenges more than conformity and challenged society’s perspective of managing a charity. His refreshing approaches to branding and fund raising led to staff costs incurred by the many fund raising activities to be higher than that of staff cost for dialysis treatment, which was not on the same page as what external stakeholders (donors and society) would expect from a charity.
One of the main ethical issues that faces health care is the security of patient information. This information is protected by laws and regulations such as HIPPA, but there are still concerns Scott, et al, 2005). Among those concerns is the new concept of electronic patient records and information. These records are designed to help hospitals and doctors get patient information more quickly, so that patients can receive treatment as soon as possible. Unfortunately, anything kept and transmitted on a computer has the potential to be hacked, so that is a serious concern for patients. Not all patients want their medical records to be available electronically, but they may not have too many options (Romano & Stafford, 2010). Opting out may not be an option for them, and if they do have that option it could reduce the speed and quality of treatment that these patients would receive. Do they want to risk that, just so they can feel as though their medical information is better protected?
Collaboration among organization members and community stakeholders is very important, we must begin to study and understand nonprofits not merely as organizations housed within four walls but as catalysts that work within, and change, entire systems. The most effective of these groups employ a strategy of leverage, using government, business, the public, and other nonprofits as forces for good, helping them deliver even greater social change than they could possibly achieve alone (Crutchfield, 2012). There is also an understanding that community partnerships and assistance from caring individuals will be of a great benefit to the organization and the young men they serve. The different chapters in the organization are funded through member dues, grants and contributions from corporations, foundations, individuals and combined federal
The fourth nonprofit I analyzed is called GreaterGood which is an online website that sells a wide range of products that have been made across the world and uses the profit generated by sales to donate to a variety of different nonprofits that have a specific mission (Help, 2015, p.1). The specific nonprofits that GreaterGood donates to breast cancer, animal rescue, veterans, autism, diabetes, the rainforest, and the one that is specific to my area of analysis the hunger site. This style of nonprofit expressed by the GreaterGood charity is extremely unique because of the extreme differences in charities they are partners with. With the multiple charities they work with I would be confident in arguing that the GreaterGood-hunger site is a path-goal leadership style.
Setting up the ‘Heal the World’ Foundation which aims at providing medicine for children and fighting world hunger, drug and alcohol abuse, and child abuse
Identify and explain two ethical issues/dilemmas in healthcare as identified and discussed in the scholarly literature (ProQuest, EBSCO,
In July 2014, Steven Nardizzi wrote an article, “Measuring Charity Effectiveness: Manage Your Mission, Not Your Rating” for Huffington Post, in which he stated “furthering our mission and broadening our impact was only possible by ignoring conventional wisdom about how nonprofits should be run” (Nardizzi, 2014). Nardizzi went on to state that nonprofits should disregard the pressure that ratings organizations generate for charities to decrease expenditures relating to fundraising and administrative costs. Instead, Nardizzi shared, WWP had chosen to appropriate funding to its efforts relating programs, staff, and infrastructure and fundraising. By doing so, WWP warranted that it could continue to develop in a manner that accomplished its mission while meeting the needs of its various constituents. Nardizzi did acknowledge that they could improve within certain areas such as “measuring and reporting our impact, holding ourselves and our industry to the highest of ethics and profession, informing government officials about the appropriate ways to measure charity effectiveness, and starting a public dialogue about these issues” (Nardizzi, 2014). Nardizzi’s position on the complaints did not acknowledge any misdoings on the part of WWP. Instead, he defended the organization’s choice to disregard charity rating systems—describing them as schemes that do not work. While it is true that nonprofits must endeavor to advance their missions and strengthen their impact, those who provide financial or other types of support should examine external, independent sources of information, and not as Nardizzi suggests, rely up information exclusively form the
The purpose of this paper is to gain a deeper understanding of the non-profit sector by analyzing a non-profit organization. The organization chosen for this report is SickKids Foundation located at, 525 University Ave, Toronto, ON M5G 2L3.
The basic goal of a non-profit firm is to provide some socially desirable need on an ongoing basis. The resources provided are directed towards providing goods or services to a client other than the actual resource provider.
According to Benatar, the ordinary "standard of care" against which new intercessions are tried in restorative research has not been formally characterized and is typically interpreted as meaning the "best demonstrated treatment" for any condition under scrutiny in a trial (Benatar, 2000).
The CEO of a nonprofit must distinguish himself not only as a financial manager but as a financial leader also by improving the nonprofit practice (Young, 2007). The CEO is commonly expected to collect data, produce reports, analyze findings, as well as offer financial solutions for short and long term objectives along with other daily operational duties. However, a CEO distinguishes him or herself as a financial leader by developing a business model that meaningfully impacts organizational productivity, sustainability, and propel nonprofits futuristic vision while remaining integral to its mission (Bell, 2016). This is accomplished in several ways such as, vigorous budgeting, attaining a net financial outcome, exploring futuristic expectations, performing financial projection assessments, evaluating income diversification options, etc. and work well with the organizational board.
Being a student and learning every subject in the Health care field has been quite an eye opener on what healthcare professionals have to face in their every day careers. Our quality of providing services has been drastically changing with technology advancements, new policies being implemented and stricter regulations. When it comes to medical ethics the patient always comes first. Many people have their own personal views on what is considered to be ethical or not. Being a physician and helping others whether they are ill, have been diagnosed with a disease, or just an injury, they must also have compassion, and show consideration to their patients. What if a patient is suffering a terminal illness and is ready to take their own life, but
Acute kidney injury (AKI) is a fatal kidney disorder typically caused by renal ischemia, a condition in which the kidneys do not receive enough blood. This syndrome is fatal and new therapeutic strategies are needed to treat patients who have this syndrome. When the kidney goes through acute injury, some regeneration occurs. replacing the damaged kidney cells and renal progenitor cells (RPC) are a key player in kidney repair, however, they are very rare. Another method which can be used for regeneration are stem cells. Stem cells are cells with no specific function until they differentiate and they can become any other cell in the body. Both embryonic and adult ones can help with self-repair. Adult stem cells(tissue specific stem cells) are
I explained the kidneys functions, kidney failure, how dialysis is done, and how it is applied to different kinds of patients. I tried my best to use scientific knowledge on this part and it worked out pretty well.
Everyday, healthcare professionals are faced with ethical dilemmas in their workplace. These ethical dilemmas need to be addressed in order to provide the best care for the patient. Healthcare professionals have to weigh their own personal beliefs, professional beliefs, ethical understandings, and several other factors to decide what the best care for their patient might be. This is illustrated in Mrs. Smith’s case. Mrs. Smith is an 85 year old who has suffered from a large stroke that extends to both of her brains hemispheres which has left her unconscious. She only has some brain stem reflexes and requires a ventilator for support. She is unable to communicate how she wishes to proceed with her healthcare. Mrs. Smith’s children, Sara and Frank have different views regarding their mother’s plan of care. The decision that needs to be made is whether to prolong Mrs. Smith’s life, as Sara would like to do, or stop all treatments and care, as Frank feels his mother would want. In the healthcare field, there are situations similar to this case that happen daily where moral and ethical judgment is necessary to guide the decision that would be best for the patient. The purpose of this paper is to explore and discuss, compare and contrast the personal and professional values, ethical principles, and legal issues regarding Mrs. Smith’s quality of life and further plan of care.
Kwong Wai Shiu Hospital was founded in 1910 by a group of Cantonese merchants with an aim of bringing Cantonese immigrants free medical services. This year, the hospital will be celebrating their 107th year of community care and service, leading it to be one of Singapore's most longevous charitable healthcare institutions. Kwong Wai Shiu Hospital started with only a 6-acre