scholarly journals Linking Ethical Standards for Healthcare Professionals with Indian Cultural Values

2021 ◽  
Vol 16 (3) ◽  
pp. 49-58
Author(s):  
Jaya Mathew ◽  
Phathara-On Wesarat
Keyword(s):  
Cultural Values ◽  
Healthcare Professionals ◽  
Ethical Decision Making ◽  
Healthcare Sector ◽  
Ethical Standards ◽  
Competing Values ◽  
Healthcare Ethics ◽  
Community Values ◽  
Working Lives ◽  
Ethical Conflicts

Ethical standards of healthcare sector are important to the lives of people because healthcare is a profession that impacts the lives of people, their families and society. Healthcare professionals are inevitably involved in ethical decision-making in their working lives and address a conflict regarding competing values such as personal, organizational, professional, and community values. India is a country in South Asia where people are diverse in ethnicity, religion, and culture. So, revealing commonly accepted ethical standards for resolving ethical conflicts for healthcare professionals becomes more relevant for India. However, the research on this issue is limited. Therefore, the purpose of this paper is to reveal the link between ethical standards for healthcare professionals in general and Indian cultural values such as Dharma, Nishkama Karma and Jnana. This paper used a scoping review to screen the relevant articles which were selected from the Scopus and Google Scholar databases. The keywords used for searching the research articles were “ethical standard”, “ethics”, “healthcare ethics”, and “Indian cultural values”. Then, the constructs of healthcare ethics were identified and the relevant ethical standards for each construct were not only evaluated based on the two key theoretical viewpoints namely deontology and teleology, but also justified by Indian cultural values.

scholarly journals Ethical decision-making regarding infant viability: A discussion

2016 ◽  
Vol 25 (7) ◽  
pp. 897-905 ◽  
Author(s):  
Janet Kelly ◽  
Emma Welch
Keyword(s):  
Healthcare Professionals ◽  
Ethical Decision Making ◽  
Healthcare Ethics ◽  
Joint Decision ◽  
Ethical Decisions ◽  
Codes Of Practice ◽  
Knowing That ◽  
Legal Case ◽  
Professional Codes ◽  
The Uk

Background: There are no universally agreed rules of healthcare ethics. Ethical decisions and standards tend to be linked to professional codes of practice when dealing with complex issues. Objectives: This paper aims to explore the ethical complexities on who should decide to give infants born on the borderline of viability lifesaving treatment, parents or the healthcare professionals. Method: The paper is a discussion using the principles of ethics, professional codes of practice from the UK, Nursing Midwifery Council and UK legal case law and statute. Healthcare professionals' experiences that influence parental decision are also considered. Findings & Discussion: There are considerable barriers to an effective discussion taking place in an environment where clinical decisions have to be made quickly once the baby is born. This is compounded by the need and respect for parental autonomy and the difficulties they face when making a best interest's decision knowing that this could cause more harm than good for their infant child and balancing any decision they make with quality of life. Conclusion: On deciding whether to give lifesaving treatment born at the borderline of viability, it should be a joint decision between the parents and the neonatal team.

scholarly journals Ethical considerations at the end-of-life care

2021 ◽  
Vol 9 ◽  
pp. 205031212110009
Author(s):  
Melahat Akdeniz ◽  
Bülent Yardımcı ◽  
Ethem Kavukcu
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Assisted Suicide ◽  
Healthcare Professionals ◽  
Ethical Decision Making ◽  
Biomedical Ethics ◽  
Artificial Nutrition ◽  
Life Care ◽  
Ethical Challenges ◽  
Physician Assisted Suicide

The goal of end-of-life care for dying patients is to prevent or relieve suffering as much as possible while respecting the patients’ desires. However, physicians face many ethical challenges in end-of-life care. Since the decisions to be made may concern patients’ family members and society as well as the patients, it is important to protect the rights, dignity, and vigor of all parties involved in the clinical ethical decision-making process. Understanding the principles underlying biomedical ethics is important for physicians to solve the problems they face in end-of-life care. The main situations that create ethical difficulties for healthcare professionals are the decisions regarding resuscitation, mechanical ventilation, artificial nutrition and hydration, terminal sedation, withholding and withdrawing treatments, euthanasia, and physician-assisted suicide. Five ethical principles guide healthcare professionals in the management of these situations.

An Ethos of Deconstruction in Multi-Cultural and Multi-Religious Contexts

2016 ◽  
Vol 23 (3-4) ◽  
pp. 368-385
Author(s):  
Johann-Albrecht Meylahn
Keyword(s):  
Cultural Values ◽  
Cultural Practices ◽  
Local Context ◽  
Traditional Practices ◽  
Ethical Norm ◽  
Ethical Conflicts ◽  
Textual Space ◽  
Alternative Practices ◽  
Dominant Narratives

The essay will focus on the role of Derrida’s différance in opening a space for an alternative ethos in religious or cultural plural contexts. In postcolonial contexts individual human rights, as the universal norm, is challenged by religious and cultural traditional practices. Some of the traditional practices are incompatible with individual rights and this is aggravated in a postmodern context as there is no universal meta-narrative to arbitrate between the conflicting practices. The result of this conflict is often a stalemate between the universal rights of individuals, often marginal individuals (children, homosexuals and women), over against religious and cultural values and traditions of the particular local context or religious or cultural group. The question this article focuses on is how deconstruction can help to move beyond such ethical conflicts. The article proposes that deconstruction can offer a way of reading, interpreting and understanding these cultural practices within their contexts, by taking the various practices (texts) within their contexts seriously as there is no beyond the text. This reading creates an inter-textual space between the various dominant narratives for the emergence of an alternative ethos. This emerging ethos is not presented as the ethical norm, but rather as an open, expectant attitude towards all the texts involved. This attitude can maybe open the space for alternative practices beyond the stalemate in multi-religious and multi-cultural contexts.

scholarly journals Ophthalmic Workplace Modifications for the Post-COVID Era

2020 ◽  
Author(s):  
Hasan Naveed ◽  
Victor Leung ◽  
Mehran Zarei-Ghanavati ◽  
Christopher Leak ◽  
Christopher Liu
Keyword(s):  
At Risk ◽  
Healthcare Professionals ◽  
Scientific Evidence ◽  
Industrial Hygiene ◽  
Workplace Safety ◽  
Control Measures ◽  
Healthcare Sector ◽  
Exposure Control ◽  
Control Options

The COVID-19 pandemic necessitates implementation of exposure control measures in all facets of the healthcare sector. Healthcare professionals who work in busy ophthalmology clinics and theaters are amidst the highest at-risk of contracting COVID- 19. The authors review the up-to-date scientific evidence of SARS-CoV-2 transmission to demystify and explain the exposure control options available for ophthalmic workplace and offer insights from an industrial hygiene standpoint. As the we enter the post-COVID world, these measures will be critical to enhance workplace safety, and thus protect patients and staff alike.

scholarly journals Human Resource Practices in Public Healthcare Sector: A Perceptual Study among Healthcare Professionals

2017 ◽  
Vol 6 (1) ◽  
pp. 52
Author(s):  
Sumathi G N
Keyword(s):  
Performance Management ◽  
Human Resource ◽  
Healthcare Professionals ◽  
Healthcare Sector ◽  
Family Welfare ◽  
Public Healthcare ◽  
Human Resource Practices ◽  
Public Healthcare Sector ◽  
Primary Health Centres ◽  
And Performance

<span lang="EN-US">The study is aimed to identify various human resource practices in the public healthcare sector and to measure the level of human resource practices. The study adopts the perceptual view of healthcare professionals such as medical officers and staff nurses working in Primary Health Centres of Tamilnadu. A survey using a questionnaire is used to collect data from healthcare professionals. The results indicated that human resource practices such as job autonomy and job security are perceived to be useful and necessary, while training and performance management system are found to provide necessary inputs for carrying job duties and practices such as career growth opportunities and compensation need the attention of the officials of Health and Family Welfare department of Tamilnadu Government for enhancing the utility of these practices</span><span>.</span>

Social and Ethical Concerns of Biomedical Engineering Research and Practice

2011 ◽  
pp. 54-80 ◽  
Author(s):  
Snehasish Mishra
Keyword(s):  
Decision Making ◽  
Biomedical Engineering ◽  
Healthcare Professionals ◽  
Ethical Issues ◽  
Healthcare Sector ◽  
Technological Advancement ◽  
Ethical Values ◽  
Medical Sciences ◽  
Engineering Research ◽  
Bioethical Issues

Biomedical engineering is an advanced and relatively new field in the healthcare sector. Owing to the very nature of the various professional challenges faced by healthcare professionals, the moral and ethical values seem to have taken the backburner. The factors contributing to it may include a sound knowledge of the healthcare professional on the legally-permissible ethical values, and the desperate situations requiring precise split-moment decision-making. No technological advancement without a human face is worth it, and hence, during the course of the degree, a biomedical engineering student needs to be exposed to various ethical issues through theory, live cases and demonstrations. Being intrinsically multi- and inter-disciplinary, biomedical engineering lacks precise ethical rules that delineate and delimit professional responsibility, thus blurring the ethical understanding of biomedical engineering. The solution seems to lie in giving due place to human virtues. In the coming days, bioethical issues are expected to be increasingly complicated and dominating the decision-making process owing to the advancements in sciences, and the ever-complicated cases handled by healthcare professionals. A global healthcare and ethics-related online open-access portal may serve as a common platform for all the stakeholders in the interest and ethical growth of biomedical engineering in particular and medical sciences in general.

scholarly journals A comparative analysis of the antecedents and consequences of employee satisfaction for urban and rural healthcare workers in KwaZulu-Natal province, South Africa

2019 ◽  
Vol 17 ◽  
Author(s):  
Brian Tawana ◽  
Nicolene E. Barkhuizen ◽  
Yvonne Du Plessis
Keyword(s):  
Job Satisfaction ◽  
Service Delivery ◽  
South African ◽  
Employee Satisfaction ◽  
Healthcare Workers ◽  
Healthcare Professionals ◽  
Healthcare Sector ◽  
Rural Healthcare ◽  
Kwazulu Natal ◽  
Antecedents And Consequences

Orientation: The South African healthcare industry is facing significant challenges to retain quality healthcare professionals to deliver services in rural areas.Research purpose: The main purpose of this study was to compare the antecedents and consequences of employee satisfaction for healthcare professionals in urban and rural areas to establish if there are distinguishing factors that can better inform human resource (HR) management to improve job satisfaction and service delivery. KwaZulu-Natal province was chosen because of its number and proximity of rural and urban healthcare facilities.Motivation for the study: A holistic perspective, focusing on both urban and rural South African settings, on how the healthcare sector can retain healthcare workers through employee satisfaction and service delivery is lacking.Research approach/design and method: The research design for the study is a mixed-method sequential design. A quantitative survey using a structured questionnaire inclusive of the constructs such as work environment, work satisfaction, job satisfaction, employee retention and service quality was administered to a sample of urban and rural healthcare professionals in KwaZulu-Natal (N = 405). In addition, the researchers conducted three focus group discussions (N = 28).Main findings: The quantitative results showed that urban and rural sample groups differed significantly in terms of their satisfaction with work duties, compensation, career development, service delivery and turnover intentions. Communalism was found to play a major role in retention and quality of service delivery of healthcare professionals in rural settings.Practical/managerial implications: The findings of this study require from management to understand the differential factors between urban and rural settings in service quality and staff retention. Human resource practitioners are encouraged to understand the differentiators of job satisfaction and service delivery in an urban and rural context and develop conducive work environments that allow healthcare workers to execute their tasks effectively.Contribution/value-add: This study provides a unique perspective of the antecedents and outcomes of employee satisfaction for both urban and rural healthcare sector workers and indicates that context is important.

Entrepreneurial orientation and burnout among healthcare professionals

2020 ◽  
Vol 34 (1) ◽  
pp. 16-22
Author(s):  
Claudine Kearney ◽  
Padraic Dunne ◽  
William J. Wales
Keyword(s):  
Quality Of Care ◽  
Entrepreneurial Orientation ◽  
Healthcare Professionals ◽  
Focal Point ◽  
Well Being ◽  
Organizational Outcomes ◽  
Healthcare Sector ◽  
High Tech ◽  
Content Type

PurposeAmong healthcare professionals, burnout is one of the key challenges affecting organizational outcomes, employee productivity and quality of care. The knowledge of burnout and its root causes and primary contributors continues to grow yet remains limited. In many environments, an entrepreneurial orientation (EO) has been shown to dramatically improve organizational outcomes and performance. The purpose of this paper is to illustrate critical research areas at the intersection of organizational EO and employee burnout within the healthcare sector.Design/methodology/approachA conceptual model which considers how EO has the potential to provide an operational context that may negate, lessen or delay the negative effects of burnout among healthcare professionals, is advanced as a useful focal point to foster research exploring connections between organizational orientation and employee well-being.FindingsInsights into how an opportunity-embracing EO characteristic of high-tech firms may shape how stress is experienced and address burnout when applied to healthcare organizations. A decrease in burnout stands to improve quality of care as well as the satisfaction of staff and patients alike, including a greater sense of autonomy, engagement, motivation and passion.Originality/valueThis research agenda proposes new insights and the need for additional research into how the manifestation of organizational EO may contribute to the field of medicine, influence burnout and enhance the well-being among healthcare professionals.

scholarly journals Resource Allocation After a Nuclear Detonation Incident: Unaltered Standards of Ethical Decision Making

2011 ◽  
Vol 5 (S1) ◽  
pp. S46-S53 ◽  
Author(s):  
J. Jaime Caro ◽  
Evan G. DeRenzo ◽  
C. Norman Coleman ◽  
David M. Weinstock ◽  
Ann R. Knebel
Keyword(s):  
Resource Allocation ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Clinical Status ◽  
Routine Clinical Practice ◽  
Ethical Standards ◽  
Critical Thresholds ◽  
Medical Need ◽  
Order Of Presentation ◽  
Available Resources

ABSTRACTThis article provides practical ethical guidance for clinicians making decisions after a nuclear detonation, in advance of the full establishment of a coordinated response. We argue that the utilitarian maxim of the greatest good for the greatest number, interpreted only as “the most lives saved,” needs refinement. We take the philosophical position that utilitarian efficiency should be tempered by the principle of fairness in making decisions about providing lifesaving interventions and palliation. The most practical way to achieve these goals is to mirror the ethical precepts of routine clinical practice, in which 3 factors govern resource allocation: order of presentation, patient's medical need, and effectiveness of an intervention. Although these basic ethical standards do not change, priority is given in a crisis to those at highest need in whom interventions are expected to be effective. If available resources will not be effective in meeting the need, then it is unfair to expend them and they should be allocated to another patient with high need and greater expectation for survival if treated. As shortage becomes critical, thresholds for intervention become more stringent. Although the focus of providers will be on the victims of the event, the needs of patients already receiving care before the detonation also must be considered. Those not allocated intervention must still be provided as much appropriate comfort, assistance, relief of symptoms, and explanations as possible, given the available resources. Reassessment of patients' clinical status and priority for intervention also should be conducted with regularity.(Disaster Med Public Health Preparedness. 2011;5:S46-S53)

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