In Week 4, we will focus our attention on the rights and responsibilities of patients and employees to ensure ethical conduct in healthcare settings. We will also explore patient consent and the importance of understanding the ethical and legal context for such consent.

Your Learning Objectives for the Week:

  • Evaluate the importance of confidentiality and examine different ways confidentiality can be violated.
  • Analyze the rights and responsibilities that physicians have toward patients and analyze the role of legal and ethical principles in adhering to these rights.
  • Analyze existing issues of malpractice and liability in healthcare organizations and assess the measures taken to limit malpractice claims.

MHA6060 WEEK 4 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS

Page | 1

Employee Rights and Responsibilities

As we strive to uphold an ethically responsible healthcare environment, we rely heavily on our staff. Staff members have a variety of rights that healthcare administrators must ensure, and in turn, staff members have responsibilities to patients, employers, and the organization. In this lecture, we will discuss some of the major employee rights and responsibilities with which the healthcare administrator should become familiar.

Staff rights include fair treatment and employment along with a working environment that is free from discrimination and provides equal opportunity to pay. Additionally, staff rights include freedom from harassment and intimidation, as well as respectful treatment and privacy. For healthcare administrators, it is also important to follow legal guidelines for family medical leave and unemployment compensation. Employee rights are guaranteed by over one hundred eighty federal laws that work to regulate workplace activities. One key point you need to be aware of is that the US Equal Employment Opportunity Commission (EEOC) is responsible for enforcing federal laws that outlaw workplace discrimination. Employees have the right (and responsibility) to report unethical conduct within the organization.

Running parallel to employee rights are the responsibilities that employees must fulfill. Employees must adhere to codes of professional ethics and conduct. Compassionate care that honors patient autonomy and wishes is imperative in healthcare settings. Additionally, it is the responsibility of employees to ensure that they are in compliance with state and federal regulations, organizational policies, and job expectations. A professional demeanor detailed in codes of ethics, including collaborative spirit and adherence to professional standards, is also essential. Individual staff members with the ability to work with others and maintain professional relationships are a critical component of any successful workplace. While administrators may not be direct caregivers, we must still abide by the tenets of the caregivers’ pledge.

The Caregiver’s Pledge

The Caregiver’s Pledge by Pozgar (2018):

I will be compassionate.

I will not neglect my duties and responsibilities.

I will read instructions and follow protocols.

I will seek verification of questionable orders.

I will report concerns for patient safety (e.g., staffing concerns).

I will not assume responsibilities beyond my capabilities.

I will call for help when any patient’s medical needs suddenly change.

I will continuously improve my skills and participate in continuing education opportunities. (p.560)

Reference:
Pozgar, G. D.

MHA6060: Health Law and Ethics




Week
4
Assignment




NON
CONSEQUENTIAL
ETHICAL THEORY





Please review the following case:


Chelsea was preparing to drape Mr. Smith’s leg in OR 6 for surgery when she was approached by Nicole, the nurse manager. Nicole asked, “Chelsea, please come to OR 3. We have an emergency there and urgently need your skills to assist the surgeon.” Chelsea turned to Daniel, the surgical technician, and asked him to continue prepping Mr. Smith’s leg for surgery. Daniel prepped the leg prior to the surgeon entering the room. The surgeon entered the room a few minutes later and asked, “Where is Chelsea?” Daniel replied, “She was called away for an emergency in OR 3. Karen will be shortly in to assist us.”

Following the surgery, Mr. Smith was transferred to the recovery room. While he was in the recovery room, a nurse was looking at the patient’s medical record as to the notes regarding the patient’s procedure during surgery. She noticed that the surgery was conducted on the wrong leg.

Although there was a heated discussion between the surgeon and the nursing staff, each member of the staff had good intentions, but the outcome was not so good. Nonconsequentialists believe that right or wrong depends on the intention. They generally focus more on deeds and whether those deeds are good or bad. In this case, the intentions were good but the outcome was bad. It should be noted that nonconsequentialists do not always ignore the consequences.

They accept the fact that sometimes good intentions can lead to bad outcomes. In summary, nonconsequentialists focus more on character as to whether someone is a good person or not. Nonconsequentialists believe that right or wrong depends on the intention. Generally, the consequentialist will focus more on outcomes as to whether they are good or bad.

Please address the following questions
drawing support from your course resources and credible scholarly resources cited in APA format
:




Describe how the nonconsequential theory of ethics applies in this case.

  • What questions might a consequentialist raise after reviewing the facts of this case and why.

References

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