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Ethical Decision-Making
In today's business and personal world, ethical decisions are made on a daily basis. Most of these decisions are based on company ground rules. The others are based on personal ground rules. All decisions can have a number of ground rules that help us determine whether our decision is ethical or unethical. Each decision whether it is based on company or personal ground rules will have its own set of implications.
Discussion
According to the Cambridge Dictionary, ethics is a system of accepted beliefs that control behavior, and it is the study of what is morally right and wrong, or a set of beliefs about what is morally right and wrong. (Cambridge Dictionary). I work in a hospital so an example of an ethical situation would be; suppose I am up in the Emergency Room and a family member of my best friend comes in through the ambulance. This person is seriously injured, and you overhear the nurses say that they will probably not make it. You know that your best friend and this family member are extremely close, and it will devastate them not to be there when they past away. The ethical question here is do I break company policy and call my friend or say nothing and just acted shocked when my friend tells me about their relative. The ground rules for my company are detailed when it comes to patient information. Since I work in the Information Systems department, we are not allowed to speak to anyone about the situation. We can comment in general among fellow coworkers but not to anyone outside the company. A general comment would be saying, "There was a serious accident that just came into the Emergency Room". Anything else is considered unethical and violating patient rights and will result in immediate termination. My personal set of ethics tells me to call my best friend and tell her what happen, so she can spend the last moments with her relative. I would not be harming the patient or releasing any sensitive data to the general public, just her relative. I would have such a guilty conscience if I just stood by and acted like the situation never happened. But on the other hand, I do not want to loose my job. I have been with the hospital for 1 years and I love my job. So in order to keep my job and help me keep a clear conscience, I could speak to the nurse in charge. I would let her know that I know a close relative of this patient and I could then tell her my friend's phone number so they could contact her. This conclusion allows me to obey the ethical practices of the hospital and maintain patient confidentiality. It also relieves me of feeling guilty about not doing anything about the situation. This type of situation is not spelled out in our company handbook, but I had to make a decision how to satisfy both sets of ethical ground rules. Ethical decisions are not always in black and white, sometimes you have to work in the gray area.
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Another example of this type could result in a totally different outcome. For example suppose I am in the Emergency Room working on a computer and the doctor leaves a diagnostic screen up. While I am closing windows to prepare to reboot the computer, I see a name that I recognize. It is the name of my best friends relative and they are diagnosed with a fatal disease and they are not given a long time to live. Your ethical dilemma is, do you call your friend and inform her of your current findings or do you just keep what you have learned to yourself. The company ground rules are you do not speak about what you have saw to anyone. You are not even allowed to mention it to coworkers. When you begin your employment at the hospital, you sign a document stating that anything you see will not be a topic of conversation. My personal set of ethics tells me to call my friend and tell her the bad news. But in these case I would be hurting the patient, her relative might want to let people know in their own time. The relative also might want to keep this information from all the family. This would also open the hospital up for a lawsuit if my friend would tell how she found out about the diagnoses. So I would not only be fired but I could possibility be sued for damages. I would have a guilty conscience, especially if the relative kept this information to themselves. I would not want to see anyone not have a support group around them knowing that they will die soon. This conclusion only allows for one decision, and that is to act like I never saw the diagnose. This is the only solution that allows me to obey the practices of the hospital and the confidentiality of the patient. I will have a guiltily conscience and feel bad for my friend especially if the relative keeps it a secret. But in this example there is no other scenario, I must respect the patient's wishes. When a patient comes to the hospital, they expect that all of their personal information will be kept in confidence. This ethical decision is in black and white, but the two example are similar in nature.
When making a ethical decision a person needs to ask themselves what are the ground rules, both professional and personal. Sometimes, these ground rules match but usually there is difference. You have to carefully analyze both set of ground rules and make a decision. This entails listing all the professional and personal ground rules and see it there is a gray area. If not you will have to make a decision that could have a impact on your job and the way people view your character.
Reference
Cambridge Dictionaries Online. Retrieved April 15, 00, form
http//www.dictionary.cambridge.org/define.asp?key=ethic1+0&dict=A
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