The Ethical Evolution of Health Management

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The Ethical Evolution of Health Management Essay

Recently, I have been asked by several nursing organizations to review articles and position papers related to technology and innovation. I have also read a short article in the Minnesota Nurse about the reticence of patients to share their health information with healthcare practitioners. According to the nurse researcher, Lisa Moon of the University of Minnesota School of Nursing, 14% of people surveyed (equated to 45 million people in the United States) are withholding or suppressing their information because they are fearful of the security of the information and the healthcare system maintaining its privacy. The Ethical Evolution of Health Management Essay. Yet, the current trend in healthcare is to collect “big data” and to advance technology. These initiatives include everything from technological assistive devices used by patients to artificial intelligence used to promote healthcare assessment. Both of these are areas with which nurses might be associated in the future.

In every instance, in every article and position paper, questions arise about the privacy and confidentiality of the data collected. In some instances informed consent is suggested, but generally no provisions for access or security or privacy of the information is provided.

As much as I understand the striving for progress in healthcare, the need for this progress, and the fact that it may improve the lives of our patients as it accelerates advances in “defeating disease”, there are concerns.


I am not a technophobe or a Luddite, but the push to collect as much data as possible with few restrictions and even fewer concerns is beginning to make me question the ethical use of both technology and the data collected by it. My primary concern is informed consent on an individual basis for the use of the data in patient care, research, administration, and education and how big data on a collective basis has the potential to be positive or how it may deleteriously transform healthcare. The Ethical Evolution of Health Management Essay.

One only needs to consider the current COVID-19 pandemic to see what may happen. Politics on one hand and extreme fear communication on the other are competing. The politicians in some cases are trying to downplay the severity of the crisis while at the same time the professionals are modeling the dire consequences of ignoring the spread of the virus.

It would seem there must be a “golden mean” where politicians recognize the seriousness of the pandemic but professionals also recognize the difficulties with fear communication. My masters’ clinical paper was “Client Teaching Guidelines for Nurse Clinicians in Ambulatory Care Settings.” At the time (1997), high blood pressure was considered an epidemic. A National High Blood Pressure Program studied the best way to promote the use of antihypertensives. What they found was that fear communication changed behavior for a short time but eventually led to patients stopping their medications. Finally, after years of effort, the Program discovered that the most efficacious message for persons with high blood pressure, which encouraged them to continue therapy, was the slogan and message “do it for the ones you love.”

Much of what one hears reminds one of the dearth of results from trying to frighten citizens into compliance with less than productive and beneficial outcomes. The Ethical Evolution of Health Management Essay. Some say that there is no problem—others that the problem is too severe to conquer without draconian measures that may forever alter our identities as human beings and care workers.

Public health modeling, assistive devices for patients, thorough health assessment with artificial intelligence, social surveillance, and social distancing all have benefits and burdens. In the current situation it has been suggested that social distancing be tracked with GPS devices. That raises multiple privacy concerns that require addressing

As healthcare providers, we have benefited from the pandemic in that restrictions on practice have been eased for nurses nationally and here in Wisconsin. But, we also need to consider the far-reaching consequences of the ways in which we educate practitioners, the ways in which we practice and the ways in which we relate to our clients, peers and society as a whole—now and in the future.

Professional practice entails consideration of the benefits and burdens of technological innovation and the possible deleterious effect of artificial intelligence, big data, widespread surveillance and quarantining, social distancing and the economic cost of health. How much are we willing to sacrifice for an appropriate state of health and who assumes the benefits and burdens of an enhanced healthcare system?

We as nurses need to be prepared to consider both the positive and negative aspects of technological advances and the data that it collects. We need to consider how the data is used—to benefit our patients and society as a whole or to place more consequential burdens on an ever-changing world? Who assumes the responsibility for the result, both positive and negative? Historically, the vulnerable have assumed the responsibility. Can we ethically allow there to be such disparities in the future?

Now is the time to consider the moral and ethical arguments surrounding progress. There will always be unintended consequences, but they can be intuited in many instances, sometimes through brainstorming or the above-mentioned modeling. The time is now to consider the effects of social distancing, surveillance with big data, healthcare modeling and its uncertainty, and other advances. The Ethical Evolution of Health Management Essay.

Science is, and hopes to be, beneficial. Nursing science, education, administration, and research seek to improve the lives of our patients. But now is the time to consider the ramifications of progress. Progress without insight is less than helpful. Progress that is blind leads to social chaos or unwanted and unnecessary social control.

There are wise reasons for not sharing data with others. We are a communal healthcare system but privacy, security, confidentiality and informed consent still matter. My suggestion is one favored by the Roman emperors Augustus and Titus: “festina lente,” loosely translated as “make haste slowly.” There should be a balance of urgency and caution. Before instituting any healthcare innovation, consider the ethical and practical consequences and try to prevent as many unintended consequences as the moral imagination permits. If we can consider the future and the possible consequences of our actions and our science, we may make progress a benefit not a burden.

The articles that I have chosen deal with the ethics of healthcare management which involves malpractice and dispute resolution. The articles will show different few and in-depth information about the ethics/ morals one should have. Also give a more detailed overview of healthcare management; what the career details about. Issues in Leadership “Leadership has been described as the behavior of an individual when directing the activities of a group toward a shared goal. The key aspects of the leadership role involve influencing group activities and coping with change. A difficulty when considering leadership of healthcare professionals is that most theories were not developed within a healthcare context but were usually developed for the business setting and then applied to healthcare. Published researches provide little evidence that such leadership initiatives are associated with improvements in patient care or organizational outcomes when applied in the healthcare setting. Leadership theory is dynamic and continues to change over time. Great Man theory assumed that certain people have characteristics that make them better leaders.The Ethical Evolution of Health Management Essay. Various behavioral theories were developed between 1940 and 1980 describing common leadership styles such as authoritarian, democratic and laissez-fair. Situational and contingency theories between 1950 and 1980 recognized the importance of considering the needs of the worker, the task to be performed, and the situation or environment.
As a health administrator, planning and managing the delivery of health care services are some of the most important things one may have to do on a daily basis. Duties mainly focus on business functions, and personnel in small group practices, all administration duties would be my sole responsibilities in large group practices, I might have several assistants. In either setting, my primary objective will be to assure that operates efficiently. About 40 percent of health care administrators work within hospitals. Other employment settings include physicians’ office, small or large group medical practice or centers. Within these settings, (I) they manage whole facilities or a specific department. Most health care administrators work full-time business hours, but the basis during off hours including holidays, weekends, nights or on-call. Managing a health care facility today is the close equivalent to managing a city. It’s dynamic environment of specialized competing interests. To lead such an organization one must require careful budgeting, and tough decision making, above all else. Within this environment, a health care administrator is responsible for also establishing personnel management procedures necessary to support his/her vision.
Health Care Administration
Education requirements, certification and credentials

A bachelor’s degree (four years) is the typical entry level preparation needed for health administration jobs. For high level executive positions, a graduate education (two years) Master’s degree, or a doctorate in health administration. The Ethical Evolution of Health Management Essay.Although in most areas of health care administration, a license is not needed one exception is for administrators of long-term care nursing facilities and some examination, of a bachelor’s degree and successful completion of attending a training program are typical element of the licensing process. When it comes to the provision of health care change is always in the air. However, health dare administrators must adept to adjusting to new developments in heavy organized in putting policy change into practice. As well as effectively communicate with people at all professional levels, specific department or facility, as well as knowing details of all employees daily responsibilities. Current Issues relevant to health administration According to Bureau of health professionals, the aging of nursing workforce was raised as an issue in almost every interview. Workforce forecasters note that the fundamental dilemma is whether the historical rates of the workforce demand side will continue, as to whether past projection models will have validity in the future. Another issue is the demand for highly skilled individuals and job applicants in the health industry is extremely high. The Ethical Evolution of Health Management Essay.