Friday, October 11, 2019

Applying Ethical Frameworks in Practice Essay

Patient confidentiality is essential in developing a trusting relationship between a healthcare worker and the patient. Confidentiality means that the patients personal and medical information that is given to a health care provider will not be disclosed to others unless the patient has given permission for the information to be released (â€Å"Confidentiality,† 2014). There are situations where a breach of confidentiality may occur and is acceptable. These situations include information when an individual has been diagnosed with a specific disease, such as Tuberculosis or an injury, such as a gunshot wound. Other situations may be when there is evidence that the patient may cause harm to himself or others. The nursing profession is one that promises to abide by the laws of patient confidentiality. Protecting the patients’ rights is guaranteed by both common law-which is the decisions of the courts, and statute law-which is passed by Parliament (O’Dowd, 2014). This commitment to the patient helps preserve high quality care for that patient, as disclosing important information between the patient and nurse, is essential for the patient to receive the appropriate medical care. Patients put their trust into the nurse, as they expect the nurse to respect their privacy, when that trust is broken, the relationship between the nurse and patient declines. Losing the trust is one of the ethical implications that may occur when a breach of confidentiality occurs. Other ethical implications that can occur are disciplinary action by the employer, disciplinary proceedings under the health professionals regulatory statute, and a fine may be imposed (â€Å"Patient Confidentiality,† n. d. ). Pamela G. Nathanson wrote an article in reference to an episode of NBC’s ER which reveals an ER nurse who faces an ethical dilemma in regards to patient confidentiality. The ER nurse has made a promise to two fourteen year old girls that she will not disclose any medical information to their parents. The girls trust the nurse that she will keep her promise; therefore, they disclose their personal concerns. One of the girls test positive for a serious medical condition, at this point, the ER nurse has reached an ethical dilemma. She needs to make an ethical decision as to whether or not she should disclose the information to the young girls’ parents. In this situation, the ER nurse has made the appropriate decision to have a breach of confidentiality and inform the young girls’ parents of their daughters’ medical condition. In understanding ethical theories and/or ethical principles, this has assisted the ER nurse in making the correct decision. Ethical theories and principles guide individuals in making decisions. When using ethical theories to determine an appropriate decision, the theory must be directed towards a common set of goals, which are ethical principles (Rainbow, 2002). The ER nurses’ goal is to ensure that the young girl receives the appropriate medical treatment for her condition. Ethical principles that can relate to this situation are beneficence, which is to do what is good and least harm, which is to do the least harm to an individual. In looking at ethical theories, using Deontology and Utilitarianism is useful in that Deontology relates to the nurses obligations and duties to disclose the information and Utilitarianism relates to being able to foresee the consequences of actions if the information is not disclosed. A utilitarian looks at what is the greatest benefit for that individual (Rainbow, 2002). When an individual is confronted with an ethical dilemma, using an ethical-decision making model is useful. This type of model assists in breaking down all the facts and individuals’ involved in the dilemma and helps to develop possible alternatives to address the dilemma. It guides ones’ decision making from an objective, cognitive perspective, rather than an emotional perspective (â€Å"GCU,† 2014). In the article discussed, the ER nurse can incorporate an ethical-decision making model to make the most appropriate decision. First is to address who is involved and what the actual dilemma entails and identify the ethical dilemma. Next, she can look at the situation at hand and determine how her own personal values see this issue and determine what alternatives can be used to help resolve the dilemma. Once the alternative actions are decided upon, the ER nurse can look at each one and decide if they conflict with her own personal values. If so, she may need to get another health care provider involved to eliminate any biases. In the article, the nurse is advised by the physician that the girls’ parents need to be informed; therefore, guiding her into making the appropriate decision. The next step is to prioritize the acceptable alternatives from most acceptable to least acceptable. The alternatives in the articles dilemma can be 1). The young girl informing her parents herself. The implication with this alternative is that most likely she will not inform her parents. 2). The nurse informing the parents of their daughters medical condition. The implication here is that the patient will not feel she can trust the nurse; however, by choosing this alternative, the decision is in the best interest of the child and 3). Not disclosing information at all. The implications here is that the minor child will not receive the appropriate care needed which will cause further harm. The significance in using this model is to ensure that the appropriate ethical decision is made. Ethics committees are available as well to assist and guide when ethical dilemmas occur. In regards to the article, an ethical committee can discuss the alternatives and make recommendations, still keeping in line with the patients’ rights. These committees focus on issues of morality, patient autonomy, legislation, and states’ interest. They have a significant influence on decision making and the power to influence a judge or jury (â€Å"GCU,† 2014). Ethical dilemmas will always be in a health care professionals’ daily work. Using ethical theories and principles will guide health care professionals in making the most appropriate ethical decision. Following these theories and principles will ensure that the patient is receiving the best quality care that they deserve. References

Thursday, October 10, 2019

Evaluating a Business Code of Ethics Essay

Businesses in today’s society share a purpose, a vision, that relates philosophy and principles of ethics to better meet the needs of the organization and stakeholders, including customers, employees, shareholders, suppliers, and communities. Without professional ethics, businesses and its programs would not have the ability to be successful. This paper will examine Humana, its business code of ethics, and its mission statement that assists in organizational values and goals of the company. The type of ethical system used by Humana will be explored, along with examples that support this system and its attributes. In addition, how the code of ethics is identified and used within the company will be addressed as it pertains to employees, management, and its board of directors. Upon further evaluation, this paper will explore the need for modification, if any, to their existing code of ethics. Reactions to the code of ethics, its effects of organizational culture on the code of ethics, and its effects on the organization will be defined. Lastly, this paper will provide an analysis of Humana’s business code of ethics and how the analysis exhibits significant key concepts to maintain and promote ethical decision making and business success. Business Code of Ethics and its Mission Statement Businesses developed codes of ethics starting back in the early 1970s within the United States. Business ethics â€Å"is the study of standards of business behavior which promote human welfare and good† (Santa Clara University [SCU], 2011, para. 1). Humana, a company that provides and administers health insurance plans, established its formalized code of ethics in 1995 and since established a 24-hour access to their ethics assistance hotline demonstrating its commitment and accessibility to business ethics (Humana, 2011, para. 1). Humana’s code of ethics was developed as a means of understanding Human’s ethical standards and promoting open communication and the well-being of members as it pertains to these standards. Humana’s code of ethics stresses its mission and vision of the company: â€Å"to become the most trusted name in health solutions. To foster a successful environment, Humana’s code of ethics is designed to educate each associate to contribute to the company’s success through ethical behavior and by doing the right thing in the right way for the right reasons† (McCallister & Catron, 2011, p. 1). Defining the purpose of the business’s code of ethics allows for better understanding of ways to promote ethical business behavior. Deontological Ethical System Ethical systems in business are the â€Å"contexts for making decisions in ethics, much like rules in an athletic competition,† giving significance and meaning to the performance and conduct of employees within an organization (Ulrich, 2010, para. 2). Ethical systems can be broken into subcategories depending on its purpose. Humana demonstrates a deontological, also known as a duty-driven ethical system. â€Å"Deontological comes from the Greek deon, meaning, duty. Deontologists base their decisions about what’s right on broad, abstract universal ethical principles or values such as honesty, promise keeping, fairness, loyalty, rights, justice, compassion, and respect for persons and property† (Trevino & Nelson, 2007, p. 98). Humana’s business code of ethics lays out its purpose and mission statement and supports these objectives by establishing ethical principles that employees and stakeholders are to follow to ensure compliance, quality, and business success. Within Humana’s business code of ethics, it discusses the key to integrity. The guidelines that are incorporated and integrated into Humana’s ethical code address several key issues that exemplify the business’ duty and obligations to ensure ethical standards are followed. For example, the key components of Humana’s code of ethics focuses on: â€Å"Honesty: act fairly and â€Å"honestly with those that are affected by our actions; compliance with laws: comply with laws, regulations, and act in such a manner that the full disclosure of all the facts would reflect favorably; business responsibility: adhere to the highest ethical standards of conduct; and responsibility for reporting violations: promote elationships based on trust and respect and reference policies, ethics hotline, and the ethics intranet within Humana’s website that further addresses compliance with Humana’s business code of ethics† (McCallister & Catron, 2011, p. 4). These components provide examples of a duty-driven, deontological ethical system. Th e code of ethics defines the ethical standards and expects employees and stakeholders to abide by these regulations in order to ensure the highest ethical standards and decision-making abilities. How the Code of Ethics is Used Humana’s code of ethics defines its mission and goals and how stakeholders can actively participated in ethical decision making within the organization. Employees, for example, are provided with Humana’s business code of ethics on the first day of employment. The purpose of this is to clearly define the organization’s ethical standards and address how employees can adhere to these standards through Humana’s vision. Employees are required annually to view and complete an ethical compliance training course. This reinforces Humana’s ethical standards and resources that are available when confronted with these ethical dilemmas. For example, one particular part of the code discusses how employees have the right to report workplace violence and harassment. The code lists several examples of unacceptable and unethical behavior that attributes to workplace violence. In addition to the 24-hour ethics hotline, the code of ethics provides additional resources and people to contact if this is occurring. Furthermore, if violence is occurring outside of the workplace, affecting any one of Humana’s employees, they are also encouraged to discuss this with Employee Assistance. Employee assistance provides Humana employees with support services and resources when faced with violence whether at home or in the workplace. Humana discusses how employee performance and success can be affected both internally and externally and feels each employee should be given the resources and support no matter where employees encounter violence. In addition to Humana’s business code of ethics, management and its board of directors also have another code of ethics, specifically addressing the ethical guidelines for leaders and managers, and directors within the company. The purpose of a corporate level code of ethics is to â€Å"maintain the highest standards in Humana’s financial reporting with governmental agencies† (Humana, 2004, p. 1). Management has responsibilities that require interaction and relationships with businesses, regulating and governing boards, and many stakeholders that participate in Humana’s business entities. The corporate code of ethics was defined for this reason and discusses standards such as conflicts of interest, accurate reporting, and compliance with these ethical guidelines. In addition, guidelines that address â€Å"avoiding personal activity or association with people that could interfere in making good judgment concerning Humana’s best interests† (Humana, 2004, p. 2). The corporate code of ethics is additional resource and tool that managers can refer to when faced with ethical dilemmas such as these. Code of Ethics and Modification Upon analysis of Humana’s business code of ethics, the guidelines are clear. Humana’s code of ethics is current, accessible, easily understood, and it provides a plethora of useful tools and resources that govern these ethical standards and offer support for Humana employees when face with ethical issues. In addition, a code of ethics is to: provide framework of acceptable behavior, promote high standards of practice, enhance a sense of community, create transparency in business activities, and offer guidelines to comply with government laws and regulations† (Fieser, 2008, para. ). Humana’s business code of ethics not only addresses the significant portions of a code of ethics, but also has 24-hours access to these ethical resources and guidance. When establishing a code of ethics, it is imperative to address key components of a company’s mission and company goals, along with clear guidelines that support a business’ vision. Reactions to a Cod e of Ethics When businesses prepare a code of ethics, consideration to addressing this code to ensure compliance is significant to ethical and organization success. A code of ethics should be addressed immediately upon hire or the establishment of a business relationship. Addressing it early promotes the significance of the code of ethics along with guidelines that employees and business partners should be informed up early on to ensure they are able to support these guidelines while maintaining the business relationship. Employees and business partners can either react negatively, stating that this code of ethics tells an employee what to say and how to act. Others react in a positive and constructive manner and understand the need for ethical guidelines within a business to ensure compliance, yet more importantly, ethical decision making in accordance within Human’s mission and vision, to ensure continued business success and growth. The organizational culture promotes the highest ethical standards that are directly in line with Humana’s mission and its guidelines that support the key to business integrity. The Effect of a Code of Ethics  Businesses are aware of downfalls and economic disasters that attribute to the lack of ethic performance and decision making. Humana’s business code of ethics affects employees, the organization, its stakeholders, and the surrounding communities in a way that displays moral and ethical importance, integrity, and success, attributed by the development of this code of ethics. Furthermore, Humana’s code of ethics promotes business responsibility, honesty, and fairness. These characteristics affect business and community relationship by promoting trust, a significant behavior in organizational and community success. Summary of Ethical Analysis In reviewing Humana’s business code of ethics, it is apparent that this 52 page code of ethics was not established merely to put it in place. It was established as a way of making clear and important ethical guidelines that support business growth and success. From its mission statement and supporting regulations, Humana’s business code of ethics supports high ethical standards, promotes trusting relationships, and keys to integrity. Addressing these key components and how employees can support these guidelines, along with several support tools, resources, and 24-hour access to ethical support, Humana provides a business code of ethics that supports ethical decision making and high ethical standards.

I Will Great This Day with Love in My Heart Essay

Who is love by the author? The author love everybody because even if we have indifferences he knows that every quality we posses should be accepted and be love for what they have. What does the author love about this people? The author loves this people for who they are. Regardless of our indifferences he loves everyone because he knows that every individual has a life that we cannot judge base on their appearance. He loves the rich because they are lonely. That means that we cannot say that a man is happy just because he has money. Aside from love, what does the writer feel for this people? Aside from love the author feels their inner emotions that they people tries to hide. So he is so compassionate about their feelings. How were you able to get the message of the poem? I was able to get the message by understanding each phrase and what it truly means. The message is that to love everybody because they have a purpose. Like loving the ambitious for they can inspire you. What helped you determine what the author wanted to convey? The details in the poem like: I will greet this day with love in my heart. Because he will greet the day with love, he loves everybody even if there is indifferences.

Wednesday, October 9, 2019

MGT Week 3 DB SA Case Study Example | Topics and Well Written Essays - 250 words - 1

MGT Week 3 DB SA - Case Study Example tart a new life to live in new York at the moment hence moving to Pennsylvania will help them to save some money since they will be living with their family. Deciding to live in Pennsylvania was a good decision irrespective of the fact that it will have an emotional impact on one of them. However, being financially stable greatly outweighs a negative emotional impact thus deeming it a good decision to move back to Pennsylvania. Many people use rational when making hard or simple decisions. Scholars have further dissected the rational people use in decision making to the use of positive illusions and bias availability. This is where one makes a decision based on the bias they have given the decision depending on the consequences they stipulate. For example, in the case study when the person was selecting a service operator he/she depended on the information they had derived from others thus creating a bias that the product was good. This is usually works for many people but should not be used when making serious decisions since the information from which one creates a bias might be totally

Tuesday, October 8, 2019

Prosecutorial Misconduct Research Paper Example | Topics and Well Written Essays - 1750 words

Prosecutorial Misconduct - Research Paper Example In this respect, this becomes unacceptable by the law. Therefore, in order for the criminal justice system to be in a position to provide the mandate for which it is created, there is a need for the reformation of this problem. This will provide a solution to the issue as the prosecutors among other law enforcers will be in a position to act within their specified duties. In this sense, both the criminals and other citizens of the countries will be given the opportunity to enjoy their individual rights of justice. Within the legal profession, there are those convictions that have been made in a wrongful manner. Although most of the time these have been contributed by honest mistakes that could not have been prevented or avoided, there are those that have taken place as a result of ignorance and the lack of responsibilities by the members of the legal profession. This is a sign that in far too many cases, the same people who are entrusted with the responsibility of ensuring truth and justice since they are the law enforcement officers and mainly the prosecutors lose focus of this obligation and instead of working towards the maintenance of justice they mainly focus on securing convictions for themselves regardless of the consequences placed on the defendant. It mostly applies to the prosecutors who aim at providing evidence against the defendant despite the fact that they also possess alternative evidence to prevent the incrimination of the said defendant. This means that they may have evidenc e to incriminate a different individual hence leading to the wrongful conviction of the first defendant (Davis, 2007). It refers to the illegal action or the lack of action by the prosecutor especially in the attempt to influence the jury to convict a defendant inappropriately or to give a punishment that is harsher than it is necessary. At times, it is also known as selective prosecution. This is a problem that has currently been

Monday, October 7, 2019

T-Test and Chi-Test Assignment Example | Topics and Well Written Essays - 500 words

T-Test and Chi-Test - Assignment Example It is scientifically proven by Ridley (1999) the fact that men and women are different from each other. And they also differ in their motivational styles. Still, employment agencies will have to disregard the gender when it comes to a job working, so the aim of the employers are to motivate them using different tools that are available for them to use their abilities. The research that was carried out by Wiedner (1998) regarding personality type, etc. presented as determinants of job satisfaction has scrutinized the other factors such as age, educational level, sex, and the part-time and full-time status of the worker. And the one-way analysis of variance has been computed to determine if there are significant differences among the pay satisfaction levels. As the null hypothesis believed that there is no significant difference among the three shift categories. While on the other hand, the alternative hypothesis states that there is significance that exists on at least one of pair. Th is is just the same with the study in Unit 1, but the variance indicates that there is an insignificant difference that the level of education did not have the critical impact on their perception of equity on their perception of equity on pay. Here our finding is that there is a significant relationship in the differences between men and women regarding job satisfaction. As we observe from the first regression. And on the table we made, we have come up with a perfect correlation indicating that we have a positive result. There came the difference between the two regressions. When x and y switch, the result was changed. As the formula was: y = bx+a/y to get they we cross multiply the equation this way y = bx + a.   1 Y Their both sums came to become different and they both contrasts with each other since their composition was changed. They now represent another equation. The conclusion somewhat came to be undecided since it's different to explain both regressions with different dat a in it.

Sunday, October 6, 2019

Balanced Reading Program Essay Example | Topics and Well Written Essays - 500 words

Balanced Reading Program - Essay Example Such issues have been addressed and overcome by the introduction of a balanced literacy program. The balanced reading approach offers effective techniques for enhancing reading, writing, listening, viewing and speaking skills of the students through its literacy program. According to Cohen and Cowen (2007): â€Å""The primary goal of a balanced literacy program is to teach reading, not as a skill broken into isolated steps, but as a lifelong learning process that promotes higher order thinking, problem solving and reasoning† (Pp. 37). The basic components of a Balanced Literacy Program include: Reading Alouds, Shared Reading, Guided reading, Independent Reading, Modeled/ Shared writing, Interactive Writing, and Independent Writing. The essential components of a Balanced Reading Program, on the other hand include: explicit instruction and practice in essential academic learning requirements which includes phonemic awareness, vocabulary, fluency, comprehension and thinking skills and strategies etc; Response to reading through writing, discussion and drama; Classroom environment i.e. conducting activities individually or in small groups, focusing on thinking and learning and problem-solving, as well as student interaction; High expectations, clear standards and continuous evaluation; Use of variety of materials such as fiction, non-fiction, and other popular genres; and Daily Reading which includes shared reading, reading to students by teachers, guided reading, and independent reading practice (Holcomb, 2004). This article on â€Å"IQ, Phonological Awareness and Continuous-naming Speed Related to Dutch Poor Decoding Childrens Performance on Two Word Identification Tests" by Kees van den Bos deals with the word identification variables and reading-related variables of intelligence, phonological awareness and continuous naming speed. For the purpose of this study, a series of experiments were conducted on children aged between 10 and 12 years who had poor