Subject(s)
Armed Conflicts , Delivery of Health Care , International Law , Social Responsibility , Warfare , Armed Conflicts/ethics , Armed Conflicts/legislation & jurisprudence , Delivery of Health Care/ethics , Delivery of Health Care/legislation & jurisprudence , Health Facilities/ethics , Health Facilities/legislation & jurisprudence , International Law/ethics , Ukraine , Warfare/ethics , Warfare/legislation & jurisprudenceABSTRACT
The COVID-19 pandemic has required healthcare organizations to introduce risk mitigation strategies that challenge usual family presence (visitor) policies. Policies within healthcare must be viewed from an ethical lens, which includes ensuring that the patient voice helps guide decision-making. In considering pandemic-specific family presence policies, Kingston Health Sciences Centre, an academic tertiary care hospital in Southeastern Ontario, applied an ethical framework for decision-making. The various tensions between the values of duty to provide care, protection of the public from harm, transparency, proportionality, and patient-centred care are highlighted in a discussion of how patient partners contributed to decision-making about family presence in the first 9 months of the COVID-19 pandemic.
Subject(s)
COVID-19/epidemiology , Decision Making/ethics , Health Facilities/ethics , Infection Control , Organizational Policy , Visitors to Patients , Humans , Ontario/epidemiology , Pandemics , SARS-CoV-2ABSTRACT
In today's climate and environment, the conventional relationship between caring, economic, and leadership practices may no longer meet the needs of patients, clinicians, providers, or systems. It is asserted that in the current complicated and complex healthcare environment challenged by a multitude of issues, a shift toward human caring values and an ethic of authentic healing relationships is required, especially in light of the current COVID-19 pandemic. The costs of unethical behaviour can be even greater for followers. When we assume the benefits of leadership, we also assume ethical burdens. It is the assertion and experience of the authors that the triangle of ethics and ethical behaviour, followers, and patient outcomes is closely interrelated and affects each other in a very intimate and direct way. Unethical leadership may lead to follower disappointment and distrust, leading to lack of interest and commitment, consequently negatively impacting patient outcomes and organizational effectiveness.