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Ethics in

EILEEN E. MORRISON. HEALTH. Ethics in. ADMINISTRATION. A Practical Approach For Decision Makers. SECOND EDITION. Class Thirteen: Moral Integrity and Codes of Ethics. Agenda . Definitions of morality Administrative evil Maintaining moral integrity Professional codes of ethics

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Ethics in

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  1. EILEEN E. MORRISON HEALTH Ethics in ADMINISTRATION A Practical Approach For Decision Makers SECOND EDITION © 2010 Jones and Bartlett Publishers, LLC

  2. Class Thirteen: Moral Integrity and Codes of Ethics © 2010 Jones and Bartlett Publishers, LLC

  3. Agenda • Definitions of morality • Administrative evil • Maintaining moral integrity • Professional codes of ethics • Review of the ACHE code • Limitations of codes • Homework assignment • Summary © 2010 Jones and Bartlett Publishers, LLC

  4. Where are we now? © 2010 Jones and Bartlett Publishers, LLC

  5. Morality Defined • Morality involves the choices that help you live successfully with others. • Can be divided into personal behavior and societal behavior. • Also included group moral behavior. • Morality is action; ethics is foundation for action. © 2010 Jones and Bartlett Publishers, LLC

  6. What happens when morality is ignored? • Moral derailment can happen. • Dye (2000) gives some examples. • Laziness, too much ego. • Can you be ethics-based and still make money? • Need to watch out for the shadow side of management. • What temptations will you face? © 2010 Jones and Bartlett Publishers, LLC

  7. Administrative Evil Exists • Actions that are efficient, effective, and cost appropriate can also be evil. • When you forget about humanity, then you can have extraordinarily evil behavior. • What does this look like? © 2010 Jones and Bartlett Publishers, LLC

  8. Why does this happen? • Moreno-Riaño (2001) says administrative evil happens when we reduce people to numbers and deny the human aspects of our workforce. • Discusses virtue or character ethics • You should avoid being deaf to morality. • How does this fit with health care? © 2010 Jones and Bartlett Publishers, LLC

  9. Protecting your Moral Integrity • How can you keep your moral integrity in a high pressure health care world? • Spirituality is important. Connections to something higher than you and a sense of belonging. • Spirituality also includes meaning and purpose (Frankl). • Should we be attending to the spiritual connection to work? © 2010 Jones and Bartlett Publishers, LLC

  10. Maintaining your Moral Integrity • Griffith says you can be moral and successful; do you agree? • You should become a moral beacon; foster integrity in your department. • Practice participative management and allow contrary opinions and ideas. • You have a duty to self care and personal quality improvement. • Be vigilant. © 2010 Jones and Bartlett Publishers, LLC

  11. Professional Codes • Thomas Percival wrote the first code of professional ethics in 1794 and invented the term, professional ethics. • His code was for physicians. • He tried to systematize moral judgments. • His code goes beyond just taking an oath. © 2010 Jones and Bartlett Publishers, LLC

  12. Why are we concerned about professionals? • We have power and are role models. • We need to know what the profession expects. • Our codes are based on ethical reasoning and society’s expectations. • We must remember that codes are guidelines not laws. © 2010 Jones and Bartlett Publishers, LLC

  13. Why Bother? • Ethical decision are not easy; codes provide guidance. • Acts like an ethics vitamin: helps to set boundaries. • Codes are not just words; they should regulate your actions. • Helps you avoid the shadow side of administration. © 2010 Jones and Bartlett Publishers, LLC

  14. ACHE Code • The code is part of ethics materials. • What is your primary duty? • Gives your responsibilities in 8 areas. • Groups will interpret the meaning. Section II Aquinas Section III Kant Section IV Mill Section V Rawls • Conclusions???? © 2010 Jones and Bartlett Publishers, LLC

  15. ACHE also has Other Tools • Examples of Policy Statements • Policy: What are you to do? • Also includes self assessments. © 2010 Jones and Bartlett Publishers, LLC

  16. Learning from other Codes • Many HCAs are “bi-codal” • What problems could this cause? • What should a HCM do about bicodalism? • Examples and lessons from other codes are in the book. © 2010 Jones and Bartlett Publishers, LLC

  17. Examples of Criticisms of Codes • Many professionals do not even know that they have a code of ethics. • Codes are not needed for moral people. • Codes are about the profession not ethics. • Codes are only guides; they cannot be enforced. • Codes need to relate to the real world. © 2010 Jones and Bartlett Publishers, LLC

  18. Homework • Find a least one example of ethics hypocrisy. • Your community will be explaining this next class. © 2010 Jones and Bartlett Publishers, LLC

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