Case Study Of Ethical Dilemmas In Public Hospitals

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?

The issue of ethical decision making has become more important in recent years for a variety of reasons. An understanding of ethical decision making in organizations is more significant to the development of organizational science. Managers engage in decision-making behavior affecting the lives and well-being of others. The individual responds to an ethical dilemma with cognitions determined by his or her cognitive moral development stage.

In the late summer of August 2005 the Gulf Coast was preparing for a hurricane that no one ever imagined would be such a detriment to the beloved town of New Orleans, LA. Hurricane Katrina was a category five hurricane, according to the Saffir-Simpson Hurricane Scale. On August 29, 2005 Katrina made land fall as a category three hurricane with wind speeds around one hundred and forty miles per hour. Evacuation efforts in the state of Louisiana were non-existent for many families including the local hospitals and nursing homes. The hospitals became shelters for the surrounding nursing home facilities, current patients, the staff, families of the staff, and even pets. One of the most unethical debates from this disaster occurred in a local hospital where patients were given lethal doses of drugs and euthanized by Dr. Anna Pou. The conditions at Memorial Hospital were anything but ideal, but no person is obligated to decide who survives and who perishes.

Instead of numbering patients from 1-3 and leaving #3s (DNR patients) to die, health care providers could have done same thing as the other hospital in New York. Just because these patients had DNR does not mean the health professionals take away the patients’ autonomy and hasten their death. If they had not numbered the patients and had evacuated all patients equally regardless of their health conditions then some of them may have survived. The medical professionals take a Hippocratic oath to do no harm do the patients, yet some of them at Memorial Hospital gave extra morphine and sedative to the patients. Where was non-maleficence? I mean how is someone destined

Nurses are constantly challenged by changes which occur in their practice environment and are under the influence of internal or external factors. Due to the increased complexity of the health system, nowadays nurses are faced with ethical and legal decisions and often come across dilemmas regarding patient care. From this perspective a good question to be raised would be whether or not nurses have the necessary background, knowledge and skills to make appropriate legal and ethical decisions. Even though most nursing programs cover the ethical and moral issues in health care, it is questionable if new nurses have the depth of knowledge and understanding of these issues and apply them in their practice

Healthcare professionals will be faced with ethical dilemmas throughout their career, particularly in the hospital environment. Having an education regarding professional healthcare ethics will provide some direction in how to best address these dilemmas at a time when either the patient or their family is in need of making decisions for themselves or their family member. It can be difficult for healthcare professionals to weigh professional protocol against their own personal beliefs and ethical understandings when determining critical care for their patient.

When looking at the emergency room physician actions in how they relate to the ethical principles of autonomy, non-maleficence, respect for persona and veracity. Autonomy refers to a patient has the right to choice in the decisions regarding their own health care. In this scenario the physician did not respect Ms. Y wishes when being placed on a ventilator nor, did they explained the risks and the possibly outcome to Mrs. X, for her to make an informed decision in regards to her daughters care, they simply stated that it was for comfort. Non-maleficence refers to not causing harm to Ms. Y. (Stanford, 2017) However, when looking at if Ms. Y was harmed by being placed on a ventilator, I would has to say no, however, when looking at in how it

An ethical issue is an issue in which there is no clear right or wrong decision, these types of decisions are constantly faced in professional workplace. Here one must weight both the benefits and the consequences of taking the action. These could range from breaking confidentiality to the morality of the death penalty.

As a project manager, the most important rule I have to obey is to be honest.

When selecting members for an ethics committee, the health care organization needs to include individuals who have experienced in addressing ethical matters and represent from a diverse viewpoint. Members must have a knowledge and interpersonal skills. Committee members can include physicians, nurses, psychiatry, social workers, chaplains, department managers, board members, lawyers, and even patient representatives (Pearlman, 2013). The author also suggests that all ethic committee members should take the responsibility to learn how the procedure of ethical analysis work and the arguments surrounding the right change. Furthermore, members of the committee are required to maintain the confidentiality of the information discuss and sign an oath (Pearlman, 2013).

Ethical and moral decisions are a big part of being a successful healthcare worker. Being in the healthcare career cluster means making decisions that you may not necessarily agree with or that others may not agree with, however it is the best decision for the patient. In this paper, the use of ethical and moral decisions are outlined as I make the decision to grant one of three varying patient's 10,000 dollars for health care.

I am employed with the New York City Health and Hospitals Corporation (H&H) located on Rikers Island. The agency is responsible for providing appropriate services to all individuals receiving mental health treatment throughout all of the New York City jails. There are nine correctional facilities located on Rikers Island and three borough jails and New York City Department of Corrections (DOC) and H&H works together to provide services for all inmates. DOC provides care, custody, and control to the inmates/patients, while H&H staff are the direct care providers responsible for providing services e.g. medical, dental, mental health, pharmacy, etc. All staff either working for DOC or H&H must be cleared by DOC and/or New York City Department of Investigations (DOI). Additionally, all staff are provided security trainings and consistently educated on boundaries and undue familiarity, none the less, boundaries are crossed, at times to the extent that laws are broken.

In doing their profession, a public sector manager must adhere social norms, profession ethics and law. Otherwise, the breach of these guidance will draw public attention, which resulting public scepticism and cynicism to public institution. However, in running its position as public sector managers, they are forced by shareholders to achieve the best possible outcomes with any action as possible. In these circumstances, a public sector manager could do an unethical behaviour in order to obtain the goals. These conditions have drawn controversy among citizens regarding the action that has been done by public sector managers to accomplish their goals. Therefore, the focus of this essay is to explain the ethical issues which occur

A student goes to college and takes an Ethics course. He or she comes out of the class thinking that he or she will never compromise their ethics for any job. The thought is usually that they will come out and change the world. Then reality strikes once he or she begins looking for a job. Jobs are scare these days, and he or she ends of compromising himself or herself to keep the job they thought they could change the world with. Then when facing a dilemma at work, which he or she never thought he or she would ever have to make, suddenly a test of their ethics happens. According to Hanson (2010), “ethical dilemmas and choices

• Managers are sometimes faced with business choices that create tensions between ethics and profits, or between their private gain and the public good. Early 2000s Conditions of Ethical Dilemma • There are three conditions that must be present for a situation to be considered an ethical dilemma. • The first condition occurs in situations when an individual, called the