Healthcare Ethical Dilemmas

Studies have shown that many factors have been contributing to influence patient’s care in an ethical manner. What factors could affects one decision for their medical care? Does it also included the nurse’s individual views or should consider their moral obligations? But what is ethics really is? Based on the book Nursing Ethics by Butts & Rich, “Ethics is a systematic approach to understand, analyze, and distinguish matters of right and wrong, good and bad, and admirable and deplorable as they relate to the well-being”. Ethics should follow the current AMA guidelines.

One of the major areas of strength of the AMA Code of Ethics is the principle that outlines that the physician must “regard responsibility to the patient as paramount” (American Medical Association, n.d., par. 9). This principle outlines that importance of putting the patient first in all care aspects when working with a patient. Along with this, other principles set forth in the AMA Code of Ethics, while involving other aspects of care, state that the rights of the patient shall be acknowledged and followed during patient care. It is very important that healthcare codes of ethics are clear in defining that the patient needs to be considered first and foremost.

Working in healthcare requires an overall ethical compass to keep the law and order. As a healthcare professional, I rely on Consequential ethics, Normative ethics, and Applied ethics to influence my morality. Consequential ethics, one of the theories that center around achieving the greatest good for most of those involved states that the overall benefits should outweigh the risks. Healthcare is an industry that is patient centered. Organizations such as The Joint Commission apply these ethical standards when surveying facilities and hospitals to give accreditation or penalty. The importance of this theory stems from the principles of beneficence and nonmaleficence or do no harm. If a facility is understaffed and has poorly educated workers

A philosophy of an organization helps differentiate themselves from their competitors and set a foundation for future success. It also helps shape an organization by presenting the goals they want to accomplish with specific activities. To improve this, many organizations understand the important of sharing values and goals and realize employee recognition. This helps staff from moving forward toward success of the organizations. Chapter 4 introduces “Codes of Ethics in Health Services.” Code of ethics is a guideline for healthcare professionals to accomplish and serve as a member of a society. Similar to other professions, managers have their own code of ethics in maintaining their duties and responsibilities. They also use the codes for ethical decision-making in dealing with ethical issues. Chapter 5 deals with “Organizational Responses to Ethical Issues.” It provides assistance for managers and organizations in their decision making. It is manager’s duty to figure out the problem and resolve it (Darr, 2011,

I learned that as a nurse it is my duty to always consider my own well being, along with my patient’s. I must keep a high moral character both in the workplace and in my personal life. I must continue to educate myself and keep myself up to date with all the latest nursing practices and research. I must subject myself to peer review and evaluation. I must never let my personal feelings about a patient’s lifestyle affect my care for them. When met with a tough choice that places me in an ethical crisis I must keep a good head on my shoulders and always have my patient’s best interests in mind. If I feel that a situation at work is in direct conflict with my personal values or my oath to be an ethical nurse I must go through the proper channels to work through the problem.

Health care leadership begins with creating an honest environment. The core principles of ethics are beneficence (do good), nonmaleficence (do not harm), autonomy (control by the individual), and justice (fairness) (Flite and Harman 2013). Health care professionals has the responsibility of dealing with complex patient and healthcare system issues. According to, Limentani (1998), a code of ethics can assists with facilitating

I will not alter any facts or rules just for personal benefit or gain, and will always be dependable, trustworthy and reliable for the organization. I promise to build my reputation only on the basis of merit, and nothing else. I strongly believe that in order to receive fair treatment from others, it is very important to demonstrate that within yourself first. Thus, I try my best to be polite and respectful to everyone I meet. This ensures that I don't add to anyone's problems, if any, and provides for polite interaction with everyone I encounter. With integrity comes courage. I will never hesitate to stand up for what is right, and I will do so even if I am in a difficult situation that demands me to ignore my personal feelings. I will always support the truth and never let anyone influence me to do otherwise. I will not give in to peer pressure and will never let the fear of failing affect my actions. I would like to conclude by saying that it is the responsibility of every healthcare administrator to abide by a code of ethics in healthcare that will benefit not only themselves, but also their working environment, and society as a whole. My list of personal ethics will definitely help me fulfill my responsibility as a healthcare

This gap away from being completely ethical occurs because professional decisions are often influenced by individual ethics. Identifying these gaps allow healthcare administrators to make necessary steps to improve the method in which they make decisions.

According to Morrison E. And Furlong B. (2014), hospital ethics committee is one of the most important group that exist within a health care organization. Today, ethics committee are become more of use due to ongoing ethical conflicts. In addition, more health care organizations such as, hospitals, nursing homes facilities, and managed care are reaching out to this group for better assistance (Morrison E. & Furlong B. 2014). It is also understood that ethics committee serve major roles including, developing standards and policies, improve and promote education, and orchestrating clinical consultations. The underlying goals of traditional ethics committees are: to promote the rights of patients; to promote shared decision making between patients,

The role of the Ethics committee in maintaining and sustaining the four ethical and legal principles of health care vis-à-vis the ACA and its applications to the hospital.

“If you don’t have integrity, you have nothing. You can’t buy it. You can have all the money in the world, but if you are not a moral and ethical person, you really have nothing”. –Henry Kravis - The American healthcare system delivers some of the finest care in the world. However, despite the high level of achievement delivered from the American healthcare system, it is afflicted with problems. Ethical issues that occur in the healthcare delivery system are indeed common. Almost every decision that is made in a healthcare organization has ethical implications. These ethical implications are towards the patient, provider and the leader of the organization. Ethics tend to determine which actions will contribute to an individual fulfillment of happiness. Ethics are very powerful and tend to presuppose freedom and responsibility in the organization. In my current place of employment the care of patients is integrated with medical research, which in return allows for the healthcare practices to continuously be studied and improved. As a healthcare leader or worker, decisions will be made when the common good of both the patients and organization must be taken into consideration. As an effective healthcare leader one must practice adhering to the ethical standards and codes of conduct for his or her individual place of employment. According to Rae (2009), there are 7 steps in making moral decisions. The seven

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.

Ethics are rules of conduct and moral principles of an individual which have various origins such as family, culture, and social environment. Given the diversity of people in the healthcare profession and the importance of providing care that is ethically sound

Any member within the healthcare environment may be conflicted with some ethical decisions that have to be made. Ethics committees have been developed, and are required due to the number of ethical issues that present daily within hospitals and other health institutions. These committees are comprised of persons who assist patients, their families, and healthcare personnel in identifying, understanding, and quickly resolving ethical issues. Policies, procedures, and ethic codes are formulated around moral principles of beneficence, autonomy, non-maleficence, and justice.

The Code of Ethics furnishes a definitive model of conduct. The standard of conduct is entrenched in associations, affiliations, confidentiality, and commitment with health care professionals. The Code of Ethics for healthcare quality professionals is dedicated to routine enhancement and preserving integrity by identifying individual accountability and ethical obligation to patients, medical providers, employees, health care organizations, and the community (Oddo, 2011). Ethics are not voluntary in the health care field. They are a vital and central part of medicine. Ethical codes form and assemble moral atmosphere and allotting the ethical accountability and