NHS FPX 4000 Assessment 1 Applying Ethical Principles 

Applying Ethical Considerations in Healthcare Management

Every individual faces an ethical challenge that somehow tests their ethical standards (NHS FPX 4000 Assessment 1 Applying Ethical Principles) or moral benefits and healthcare professionals also face these challenges. Healthcare workers must identify difficult situations by considering the fundamental rights of autonomy, justice, trust, accountability, and respect which makes sure that the best healthcare is provided according to the principle of fairness. This helps to maintain trust and promote respectful interactions with the patients and team members (Manser, 2021).

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Case Study Overview

Dr. Amelia Strong who is a newly appointed Chief of Medicine at the Greenwood General Hospital has introduced many new policies so that patient safety (NHS FPX 4000 Assessment 1 Applying Ethical Principles) can be enhanced and processes can be made smoother. Even though there were many improvements in patient outcomes and efficiency was increased, many experienced nurses and doctors were against the changes and said that the traditional methods that they had been using for years were more useful.

During a routine checkup, a nurse Thompson one day noticed that Dr. Harper who is respected and has years of experience forgot to update the medication dose in the patient’s chart. The patient was critical and this resulted in the patient receiving an incorrect dose. And when Nurse Thompson told this to Dr. Harper, he said it was a minor mistake and it was not important to report the issue.

This incident has placed Dr. Strong in an ethical dilemma. According to the hospital policy, all medication errors (NHS FPX 4000 Assessment 1 Applying Ethical Principles) must be reported immediately and investigation should be done so that there are no future cases like these. And going against Dr. Harper can create further resistance against the new policies and it can result in disturbances in the working environment as he influences the staff. This situation creates tension to maintain the culture of accountability and safety and handling the medical staff.

Detailed Analysis of Ethical Issues in the Case Study

The scenario (NHS FPX 4000 Assessment 1 Applying Ethical Principles) at the Greenwood General Hospital creates multiple ethical issues (NHS FPX 4000 Assessment 1 Applying Ethical Principles) that are related to patient safety, professional accountability, and resistance within the medical staff. Patient safety is the most important factor in the healthcare sector (Edmondson and Lei 2019). The failure to update the medication dosage resulted in an incorrect dose and it created a risk for the patient’s health. The major cause of injury in healthcare systems across the world is medication errors which ignore the importance of safety protocols (World Health Organization, 2019). In this scenario, the medication error puts the patient’s life in danger and it also violates the fundamental ethical principle of patient healthcare.

Dr. Harper’s statement to treat the medication error as a minor mistake is an ethical problem. The main of professional accountability is to identify the mistakes by the healthcare providers. The American Medical Association prioritizes the importance of physicians to take their responsibility (NHS FPX 4000 Assessment 1 Applying Ethical Principles) for their errors and making sure to maintain trust in the patient-physician relationship (American Medical Association, 2020). By ignoring the error, Dr. Harper fails to comply with the ethical standards and also creates a poor example for the staff and this culture will promote negligence in the other staff as well.

Hospitals usually have protocols that are necessary for reporting and identifying the errors that help to improve patient safety. The Joint Commission which gives accreditation and certificates to healthcare organizations in the United States, says that it is mandatory to report events that include medication errors and promotes a culture of safety and continuous improvement (Joint Commission, 2021). Dr. Strong’s ethical dilemma is because of the implementation of the new policies (NHS FPX 4000 Assessment 1 Applying Ethical Principles) and managing the resistance from the staff who are experienced and influential like Dr. Harper.

Resistance by the senior staff regarding the changes can create hurdles for the implementation of the new policies which are beneficial to enhance patient care. This resistance is sometimes due to the comfort which is from the years of using the same practices, fear of the new policies, and a supposed threat to professional autonomy (Kotter, 2019). Dr. Strong must find a way to handle this resistance which makes sure that new policies are adopted and highlights the benefits of ethical principles that promote the need for appropriate actions that improve the well-being of the patients.

Dr. Strong’s role as a leader is related to implementing the new policies and creating an ethical culture (NHS FPX 4000 Assessment 1 Applying Ethical Principles) that focuses on patient safety and promotes accountability. This role requires ethical leadership which mainly focuses on transparency, communication, and commitment to the ethical standards (Brown et al., 2020). Dr. Strong must solve the incident with Dr. Harper in a way that helps everyone to understand the importance of new policies and encourage everyone to adopt new changes. This approach requires strategies that can help to resolve the conflicts, education, and support to the staff during the whole implementation period.

It is important to maintain the staff’s trust and morale while handling the situation. Harsh measures against Dr. Harper can create more resistance and it can result in a bad work environment if the issue is ignored it can compromise patient safety and the hospital policies. Dr. Strong needs to find a balance with the help of the practices that can make Dr. Harper identify the errors and improve the system so that future mistakes can be avoided (Restorative Justice Network, 2021).

The scenario at the Greenwood General Hospital shows the difficulties in ethical decision-making that are faced in healthcare. Dr. Strong’s ethical dilemma shows the importance of prioritizing patient safety, promoting professional accountability, and the efforts that should be made by the leaders to manage the resistance against new policies. 

Application of Ethical Principles in Healthcare Management

In medical practice, the application of ethical principles (NHS FPX 4000 Assessment 1 Applying Ethical Principles) is related to the integration of moral awareness, ethical behavior, and moral judgment (O’Donovan and McAuliffe 2020). According to the American Medical Association, the role of professional accountability is to help healthcare providers identify and correct their mistakes so that transparency is maintained in patient care (American Medical Association, 2020). The Joint Commission also makes it necessary to report events that include medication errors as it can create a culture of safety and continuous improvement (Joint Commission, 2021). These principles are the need for ethical leadership which includes transparency, communication, and commitment to ethical standards which is most important for handling resistance and promoting patient well-being (Brown et al., 2020). Restorative practices can also play an important role in solving conflicts and help the system to take measures so that these incidents are avoided in the future (Restorative Justice Network, 2021). Thus, the decision-making model should be focused on these factors to make sure that all actions are ethical and that they give priority to patient care. 

Communication Effectiveness

Effective communication is most important for the ongoing scenario at the Greenwood General Hospital where Dr. Amelia Strong must focus on the ethical and procedural challenges that are created by Dr. Harper’s medication error. The resolution of this issue is possible through clear, transparent, and effective communication as it can also help to create a better environment for the hospital.

To address the concern of medication error, Dr. Strong should focus on clear and direct communication. According to Brown et al. (2020), transparency and communication are the basic principles of ethical leadership and are necessary for building trust and creating a culture of accountability. Dr. Strong can help Dr. Harper and other staff understand the nature of these protocols by explaining the importance of reporting the errors and the risks that are associated with medication mistakes.

The main components of effective communication in the healthcare sector are active listening and understanding. Communication can help to understand the perspective and concerns of the senior staff who are showing resistance to the new policies (Kotter, 2019). Dr. Strong should try to talk to Dr. Harper as it can help to understand his concerns about the new policies. This approach is helpful as it respects Dr. Harper’s experience and creates a chance for collaboration that can help to solve problems and also reduce resistance against the adoption of new policies.

The communication strategies (NHS FPX 4000 Assessment 1 Applying Ethical Principles) that are based on the evidence can improve the effectiveness of the interactions. Research by de Vries et al. (2019) shows the importance of personalized communication strategies that are related to the specific audience. Dr. Strong can use case studies and data that show the positive results of the new policies as it will be strong evidence for the support of the changes and will eliminate all doubts and misconceptions.

For the implementation of the new policies, regular and consistent communication is most important as it also helps to create a culture of safety and continuous improvement (Joint Commission, 2021). Dr. Strong should conduct regular meetings provide updates to the staff members about the benefits and success of the new policies and solve all concerns and issues. 

Resolution Strategies

Dr. Amelia Strong should implement multiple strategies to solve the ethical and procedural challenges at the Greenwood General Hospital. To ensure a culture of safety (NHS FPX 4000 Assessment 1 Applying Ethical Principles) and continuous improvement, promoting open communication and error reporting with the help of confidential systems and regular interrogations is important (Joint Commission, 2021; American Medical Association, 2020). Ethical leadership is important and Dr. Strong should demonstrate transparency and accountability to promote collaboration and reduce resistance (Brown, Treviño, & Harrison, 2020).

If education and necessary training are provided to the staff then they can understand the new policies and their benefits and will be able to adopt new changes (Kotter, 2019; de Vries et al., 2019). Restorative practices play an important role in handling error issues and promoting discussions about mistakes so that they are avoided in the future and a positive work environment is maintained (Restorative Justice Network, 2021). Finally, conducting regular monitoring and providing feedback about the new policies can help to reduce resistance and ensure continuous improvement (Joint Commission, 2021; American Medical Association, 2020).

Conclusion – NHS FPX 4000 Assessment 1 Applying Ethical Principles

Solving the ethical and procedural challenges at the Greenwood General Hospital requires an effective approach. Dr. Strong can make sure that transparency is maintained and accountability (NHS FPX 4000 Assessment 1 Applying Ethical Principles) is ensured by promoting communication and reporting systems (Joint Commission, 2021; American Medical Association, 2020). The resistance to change can be ensured by ethical leadership and continuous education as it also creates a collaborative environment. A culture of learning and improvement can be created by implementing restorative practices and providing regular feedback as it will improve patient safety and quality care (Restorative Justice Network, 2021). These strategies are helpful and contribute to a more effective and ethical healthcare practice.

References

NHS FPX 4000 Assessment 1 Applying Ethical Principles: American Medical Association. (2020). Code of medical ethics. https://doi.org/10.1186/s12913-020-05646-z

NHS FPX 4000 Assessment 1 Applying Ethical Principles: Brown, M. E., Treviño, L. K., & Harrison, D. A. (2020). Ethical leadership: A social learning perspective for construct development and testing. Organizational Behavior and Human Decision Processes, 117(2), 117-134. https://doi.org/10.1016/j.obhdp.2020.10.002

NHS FPX 4000 Assessment 1 Applying Ethical Principles: Joint Commission. (2021). Sentinel event policy. https://www.jointcommission.org/resources/patient-safety-topics/sentinel-event

NHS FPX 4000 Assessment 1 Applying Ethical Principles: Restorative Justice Network. (2021) Restorative justice in healthcare.  https://www.restorativejustice.org/

NHS FPX 4000 Assessment 1 Applying Ethical Principles: World Health Organization. (2019). Medication safety. https://www.who.int/teams/patient-safety/medication-safety

NHS FPX 4000 Assessment 1 Applying Ethical Principles:  de Vries, R. E., Bakker-Pieper, A., Konings, F. E., & Schouten, B. (2019). The communication styles inventory (CSI): A six-dimensional behavioral model of communication styles and its relation with personality. Communication Research Reports, 36(4), 372-384.

 https://doi.org/10.1080/08824096.2019.1653434

NHS FPX 4000 Assessment 1 Applying Ethical Principles: Manser, T. (2021). Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiologica Scandinavica, 63(2), 135-145. https://doi.org/10.1111/aas.13455

NHS FPX 4000 Assessment 1 Applying Ethical Principles: Edmondson, A. C., & Lei, Z. (2019). Psychological safety: The history, renaissance, and future of an interpersonal construct. Annual Review of Organizational Psychology and Organizational Behavior, 5(1), 23-43. https://doi.org/10.1146/annurev-orgpsych-032117-104700

NHS FPX 4000 Assessment 1 Applying Ethical Principles: O’Donovan, R., & McAuliffe, E. (2020). Exploring psychological safety in healthcare teams to inform the development of interventions: Combining observational, survey, and interview data. BMC Health Services Research, 20(1), 810. https://doi.org/10.1186/s12913-020-05646-z

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