1
Rose, a public health nurse, is also the director of  the Primary Care Division, one of the highest level  positions in th...
Rose soon discovered that her predecessor Dr.Jones – an elderly physician who had held theposition for 35 years-diverted m...
He dismissed her concerns and reminded her of hispower and her lack of longevity with the agency. Roseknew that the federa...
Who should be prioritized in this case? Justify youranswer.What are the specific ethical issues that Rose couldencounter w...
Organizational Ethics                        6
Organizational EthicsManner an individuals ought  to act in organizations.                              7
How people behavewithin the organization How their decisions   affect others.                          8
According to JCAHO  Operation of health care organization that have to do with the ethical responsibility ofthe organizati...
FOCUS. . .  1. CHOICES of individual and the  organization                                     10
2. Seeks to identify, educate,facilitate internalization ofinstitutional values and beliefs.                              ...
3. Organizational moral norms can beidentified and morally evaluated.                                       12
4. It studies                personal                  and          organizational normsas they apply to activities and go...
5. Moral norms of an organization is manifested in:-   mission statement-   policies and procedures-   code of professiona...
Approaches inStudying Organizations    Rational System    Natural System     Open System                         15
Rational SystemOrg’l Purpose: Goal Attainment                                 16
Rational System   Structured                  17
Formality is implied and behavior within the   organization is created because of the       limitations that are predefine...
STRENGTH1. Focus on employer-employee   relations, official rules and policies.                                           ...
2. Be use to study recent changes               in HC                                    20
3. Focus on violation of rulesorganizational norms+/- outcomes that result from strictadherence to rules.                 ...
Key Areas to monitor:EMPLOYEE EVALUATION & DISCIPLINE                                   22
THE NATURAL SYSTEMS  DUPLEX PYRAMIDS                       23
THE NATURAL SYSTEMS          InformalUseful: examining clinical and  professional cultures and     work relationships.    ...
OPEN SYSTEM APPROACH                       25
OPEN SYSTEM APPROACH                Dependent on                 Resources                 Personnel                 Legit...
Moral Status of Organizations                                27
OrganizationsSubunit of  larger society                               28
Organizations                29
Health Care Moral Status  is geared towards…                           30
Health Care Moral StatusOrganizations set own goals                              31
Health Care Moral StatusOrganizations act and        decide                                   32
Policiesproduct of deliberation of possible actions to meet                organizational goals.                          ...
Health Care Moral StatusOrganizations are normally        evaluated                               34
How does an organizationencourage their employees to act  and make decisions ethically?                                   35
Leaders are responsible for theachievement of org’l missionTo do this:MUST HAVE EMPLOYEES WHOARE ETHICAL IN THEIR DAILYWOR...
EMPLOYEESARE HIREDWHO AREETHICALLY SOUND            37
EMPLOYEESWOULD WANT TO BE VALUED BYORGANIZATION                38
METHODS OF INSTILLING ETHICS: 1. Selection Method                                39
METHODS OF INSTILLING ETHICS:2. Training Method                                40
How do you make an ethically    sounding decisions?                               41
Ethical Decision Making1. Gather information               And               Determine client’s ability to make           ...
Ethical Decision Making2. Identify ethical dilemma                       May be legal issue                              O...
Ethical Decision Making3. Identify options, risks, benefits andconsequences of each.                Then, present such to ...
Ethical Decision Making4. Reach a consensus about the most agreeablesolution.                                             ...
Models for Organizational Ethics           Program                                   46
1. Existing Hospital Committees1. Responsibility2. Accountability3. Economic costs4. Efficacy5. Role of committee in pt’s ...
1. Existing Hospital Committees1. DNR2. Patient’s right3. Professional practice   issues4. Death and dying5. Allocation of...
2. Ethics Officer & Consultant                                 49
50
Board of                     Directors4. Governing Board    Committee                     Governing                       ...
5. Management Discussion         Group      More advisory than authoritative in nature                                    ...
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Elective 2 -3 organizational ethics

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  • Formalization= formalized process benefit: 1. uncertainty is removed – anxiety,unrest is removed2. It serves to objectify the structure (make definitions of roles and relationships appear to be both objective and external to participating actors.
  • Elective 2 -3 organizational ethics

    1. 1. 1
    2. 2. Rose, a public health nurse, is also the director of the Primary Care Division, one of the highest level positions in the City Health Department. Although employed there for only 2 months, Rose was responsible for monitoring millions of money of the city appropriations specifically earn marketed for pediatric disease prevention in District 10. However, District 10 had two indigent populations: young families with children and elderly persons with chronic diseases. 2
    3. 3. Rose soon discovered that her predecessor Dr.Jones – an elderly physician who had held theposition for 35 years-diverted much of theappropriated pediatric funds to the indigent elderly.She brought her concerns to Dr. Quack, the Directorof the City Health Department for the past 20years. 3
    4. 4. He dismissed her concerns and reminded her of hispower and her lack of longevity with the agency. Roseknew that the federal and state appropriations wereduly budgeted for pediatric disease prevention for theindigent children in District 10. she also knew that theindigent elderly in District 10 desperately neededservices too. 4
    5. 5. Who should be prioritized in this case? Justify youranswer.What are the specific ethical issues that Rose couldencounter with this issue?If you were Rose, who would you turn to for adviceregarding this matter? 5
    6. 6. Organizational Ethics 6
    7. 7. Organizational EthicsManner an individuals ought to act in organizations. 7
    8. 8. How people behavewithin the organization How their decisions affect others. 8
    9. 9. According to JCAHO Operation of health care organization that have to do with the ethical responsibility ofthe organization itself to conduct its business and patient care practices in an HONEST, DECENT and PROPER manner. 9
    10. 10. FOCUS. . . 1. CHOICES of individual and the organization 10
    11. 11. 2. Seeks to identify, educate,facilitate internalization ofinstitutional values and beliefs. 11
    12. 12. 3. Organizational moral norms can beidentified and morally evaluated. 12
    13. 13. 4. It studies personal and organizational normsas they apply to activities and goals of an organization. 13
    14. 14. 5. Moral norms of an organization is manifested in:- mission statement- policies and procedures- code of professional conducts- strategic objectives 14
    15. 15. Approaches inStudying Organizations Rational System Natural System Open System 15
    16. 16. Rational SystemOrg’l Purpose: Goal Attainment 16
    17. 17. Rational System Structured 17
    18. 18. Formality is implied and behavior within the organization is created because of the limitations that are predefined (Scott and Davis, 2007). 18
    19. 19. STRENGTH1. Focus on employer-employee relations, official rules and policies. 19
    20. 20. 2. Be use to study recent changes in HC 20
    21. 21. 3. Focus on violation of rulesorganizational norms+/- outcomes that result from strictadherence to rules. 21
    22. 22. Key Areas to monitor:EMPLOYEE EVALUATION & DISCIPLINE 22
    23. 23. THE NATURAL SYSTEMS DUPLEX PYRAMIDS 23
    24. 24. THE NATURAL SYSTEMS InformalUseful: examining clinical and professional cultures and work relationships. 24
    25. 25. OPEN SYSTEM APPROACH 25
    26. 26. OPEN SYSTEM APPROACH Dependent on Resources Personnel Legitimacy 26
    27. 27. Moral Status of Organizations 27
    28. 28. OrganizationsSubunit of larger society 28
    29. 29. Organizations 29
    30. 30. Health Care Moral Status is geared towards… 30
    31. 31. Health Care Moral StatusOrganizations set own goals 31
    32. 32. Health Care Moral StatusOrganizations act and decide 32
    33. 33. Policiesproduct of deliberation of possible actions to meet organizational goals. 33
    34. 34. Health Care Moral StatusOrganizations are normally evaluated 34
    35. 35. How does an organizationencourage their employees to act and make decisions ethically? 35
    36. 36. Leaders are responsible for theachievement of org’l missionTo do this:MUST HAVE EMPLOYEES WHOARE ETHICAL IN THEIR DAILYWORK. 36
    37. 37. EMPLOYEESARE HIREDWHO AREETHICALLY SOUND 37
    38. 38. EMPLOYEESWOULD WANT TO BE VALUED BYORGANIZATION 38
    39. 39. METHODS OF INSTILLING ETHICS: 1. Selection Method 39
    40. 40. METHODS OF INSTILLING ETHICS:2. Training Method 40
    41. 41. How do you make an ethically sounding decisions? 41
    42. 42. Ethical Decision Making1. Gather information And Determine client’s ability to make sound decision. 42
    43. 43. Ethical Decision Making2. Identify ethical dilemma May be legal issue Or On conflict of personal values 43
    44. 44. Ethical Decision Making3. Identify options, risks, benefits andconsequences of each. Then, present such to client, proxy, family and HC team 44
    45. 45. Ethical Decision Making4. Reach a consensus about the most agreeablesolution. 45
    46. 46. Models for Organizational Ethics Program 46
    47. 47. 1. Existing Hospital Committees1. Responsibility2. Accountability3. Economic costs4. Efficacy5. Role of committee in pt’s care decisions6. Privacy7. Committee composition 47
    48. 48. 1. Existing Hospital Committees1. DNR2. Patient’s right3. Professional practice issues4. Death and dying5. Allocation of resources 48
    49. 49. 2. Ethics Officer & Consultant 49
    50. 50. 50
    51. 51. Board of Directors4. Governing Board Committee Governing Board Manage ment 51
    52. 52. 5. Management Discussion Group More advisory than authoritative in nature 52

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