RESUMO
At the heart of healthcare are fundamental values like caring and compassion as well as the duty shared by healthcare organizations to address the care needs of those in their communities who are vulnerable, injured, or ill. A concern being raised by some political analysts in Canada is that fundamental values are being challenged by current economic and political influences that are reshaping the landscape of healthcare in this country. Influences from industry, technology, and business have significantly shifted healthcare from its moral foundations. A culture of caring is also challenged by the values and behaviours of individuals that negatively impact staff morale and inter-professional collaboration in many work settings. If a "culture of caring" is to survive the canons of cost containment, the impact of recurrent political wrangling, and other substantive influences, then healthcare must be guided by committed values-based leadership. Using case illustrations, this article attempts to explain the characteristics and role of values-based leaders in promoting those values that inspire a culture of caring.
Assuntos
Liderança , Cultura Organizacional , Assistência ao Paciente , Valores Sociais , Anedotas como Assunto , Canadá , Humanos , Estados UnidosAssuntos
Atitude Frente a Morte , Luto , Tomada de Decisões , Relações Pai-Filho , Núcleo Familiar/psicologia , Assistência Terminal , Adulto , Idoso de 80 Anos ou mais , Canadá , Pai , Feminino , Humanos , MasculinoRESUMO
BACKGROUND: Planning for the next pandemic influenza outbreak is underway in hospitals across the world. The global SARS experience has taught us that ethical frameworks to guide decision-making may help to reduce collateral damage and increase trust and solidarity within and between health care organisations. Good pandemic planning requires reflection on values because science alone cannot tell us how to prepare for a public health crisis. DISCUSSION: In this paper, we present an ethical framework for pandemic influenza planning. The ethical framework was developed with expertise from clinical, organisational and public health ethics and validated through a stakeholder engagement process. The ethical framework includes both substantive and procedural elements for ethical pandemic influenza planning. The incorporation of ethics into pandemic planning can be helped by senior hospital administrators sponsoring its use, by having stakeholders vet the framework, and by designing or identifying decision review processes. We discuss the merits and limits of an applied ethical framework for hospital decision-making, as well as the robustness of the framework. SUMMARY: The need for reflection on the ethical issues raised by the spectre of a pandemic influenza outbreak is great. Our efforts to address the normative aspects of pandemic planning in hospitals have generated interest from other hospitals and from the governmental sector. The framework will require re-evaluation and refinement and we hope that this paper will generate feedback on how to make it even more robust.
Assuntos
Planejamento em Desastres , Surtos de Doenças/prevenção & controle , Análise Ética , Hospitais , Influenza Humana/prevenção & controle , Coerção , Tomada de Decisões/ética , Tomada de Decisões Gerenciais , Planejamento em Desastres/organização & administração , Ética Institucional , Administradores Hospitalares/ética , Hospitais/ética , Humanos , Obrigações Morais , Recursos Humanos em Hospital/ética , Privacidade , Saúde Pública/ética , Alocação de Recursos/ética , Justiça Social , Valores Sociais , Triagem/ética , ConfiançaRESUMO
BACKGROUND: Although clinical ethicists are becoming more prevalent in healthcare settings, their required training and education have not been clearly delineated. Most agree that training and education are important, but their nature and delivery remain topics of debate. One option is through completion of a clinical ethics fellowship. METHOD: In this paper, the first four fellows to complete a newly developed fellowship program discuss their experiences. They describe the goals, structure, participants and activities of the fellowship. They identify key elements for succeeding as a clinical ethicist and sustaining a clinical ethics program. They critically reflect upon the challenges faced in the program. RESULTS: The one-year fellowship provided real-time clinical opportunities that helped them to develop the necessary knowledge and skills, gain insight into the role and scope of practice of clinical ethicists and hone valuable character traits. CONCLUSION: The fellowship enabled each of the fellows to assume confidently and competently a position as a clinical ethicist upon completion.
Assuntos
Educação de Pós-Graduação/métodos , Eticistas/educação , Ética Clínica/educação , Bolsas de Estudo , Bioética/educação , Consultoria Ética , Hospitais de Ensino , Comunicação Interdisciplinar , Papel Profissional , Avaliação de Programas e Projetos de SaúdeAssuntos
Cuidados Críticos , Tomada de Decisões Gerenciais , Eticistas , Seleção de Pacientes , Papel Profissional , Comunicação , Conflito Psicológico , Consenso , Cuidados Críticos/ética , Cuidados Críticos/organização & administração , Cuidados Críticos/psicologia , Dissidências e Disputas/legislação & jurisprudência , Eticistas/legislação & jurisprudência , Eticistas/psicologia , Humanos , Unidades de Terapia Intensiva/ética , Unidades de Terapia Intensiva/organização & administração , Futilidade Médica/ética , Futilidade Médica/legislação & jurisprudência , Princípios Morais , América do Norte , Planejamento de Assistência ao Paciente/ética , Planejamento de Assistência ao Paciente/organização & administração , Equipe de Assistência ao Paciente/ética , Equipe de Assistência ao Paciente/organização & administração , Seleção de Pacientes/ética , Papel Profissional/psicologia , Relações Profissional-Família/ética , Especialidades de Enfermagem/ética , Especialidades de Enfermagem/organização & administração , Fatores de TempoRESUMO
Transplantation is an effective, life-prolonging treatment for organ failure. Demand has steadily increased over the past decade, creating a shortage in the supply of organs. In addition, the number of deceased organ donors has reached a plateau. Living-donor transplantation is increasingly an option, influenced by favourable clinical outcomes and increased waiting times at most transplant centres across North America. Living-donor kidney transplants have exceeded deceased-donor transplant rates at some centres. Organ donations from living donors have challenged transplant programs to develop a framework for determining donor acceptability. After a multidisciplinary consensus-building process of discussion and debate, the Multi-Organ Transplant Program of the University Health Network in Toronto has developed ethical guidelines for these procedures. These proposed guidelines address ethical concerns related to selection criteria and procedures, voluntariness, informed consent and disclosure of risks and benefits to both donor and recipient.
Assuntos
Ética Clínica , Doadores Vivos/ética , Transplante de Órgãos/ética , Humanos , Consentimento Livre e Esclarecido/ética , Consentimento Livre e Esclarecido/legislação & jurisprudência , Doadores Vivos/legislação & jurisprudência , Ontário , Seleção de Pacientes/ética , Revelação da Verdade/ética , Voluntários/legislação & jurisprudênciaRESUMO
In 1997 the Child and Family Clinic treatment team at Southlake Regional Health Centre (SLRHC) in Newmarket Ontario, Canada created the Eating Disorders Program, which included a day treatment program for adolescents with eating disorders. When first conceived, this day treatment program was the first of its kind in Ontario. The multi-disciplinary team created a feminist-informed model centered on developing joint decision making relationships among team, client, and family through sustained and transparent communication and negotiation. This model for decision making has evolved through careful deliberation and ethical reflection in the planning and provision of care.