Fulfilling Institutional Responsibilities in Health Care: Organizational Ethics and the Role of Mission Discernment

2002 ◽  
Vol 12 (4) ◽  
pp. 433-450 ◽  
Author(s):  
John A. Gallagher ◽  
Jerry Goodstein
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Organizational Ethics ◽  
Health Care Ethics ◽  
The Core ◽  
Turbulent Environments ◽  
Integrated Health Care System ◽  
Core Mission

Abstract:In this paper we highlight the emergence of organizational ethics issues in health care as an important outcome of the changing structure of health care delivery. We emphasize three core themes related to business ethics and health care ethics: integrity, responsibility, and choice. These themes are brought together in a discussion of the process of Mission Discernment as it has been developed and implemented within an integrated health care system. Through this discussion we highlight how processes of institutional reflection, such as Mission Discernment, can help health care organizations, as well as corporations, make critical choices in turbulent environments that further the core mission and values and fulfill institutional responsibilities to a broad range of stakeholders.

Mobilizing Knowledge in Health Care

2016 ◽  
Author(s):  
Huw Davies ◽  
Alison Powell ◽  
Sandra Nutley
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Knowledge Flow ◽  
Evidence Based ◽  
Knowledge Mobilization ◽  
Policy And Practice ◽  
Per Se

This chapter uses “knowledge mobilization” as an umbrella term to cover activities aimed at collating and communicating research-based knowledge within the health care system and within health care organizations. It explores the nature, use and flow of knowledge, focusing in particular on the role of research-based knowledge and its interactions with other forms of knowing, and on the organizational and management arrangements for health care delivery rather than on evidence-based practice per se. The chapter is underpinned by the premise that knowledge flow in health care is often slow, intermittent and uncertain. Specific, active, knowledge mobilization strategies that take account of context, politics and the individuals and groups involved are therefore needed to help ensure that research-based knowledge informs policy and practice.

Training and certification for hospital medicine programs support the essential role of hospitalists for complex multi-morbid patients in acute care

2021 ◽  
Vol 7 (3) ◽  
pp. 125-131
Author(s):  
Vandad Yousefi ◽  
William Coke ◽  
James Eisner
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Essential Role ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Quality Care ◽  
Hospital Medicine ◽  
High Quality ◽  
The World

The current COVID-19 pandemic has resulted in significant strain on acute care delivery in Canada and around the world. It has highlighted the importance of hospitals rapidly increasing their resources to meet the capacity demands brought on by a disruptive change. Hospital medicine teams have become central to many acute care sites, caring for increasingly complex hospitalized patients. We believe that the ongoing implementation of hospitalist teams of generalist physicians is critical in ensuring that health care organizations are well positioned to provide high-quality care in uncertain times. We also highlight the need for adequate training and certification for physicians who aim to work as part of such programs.

Embodied Spatial Practices and the Power to Care

2019 ◽  
pp. 360-377
Author(s):  
Elise Paradis ◽  
Warren Mark Liew ◽  
Myles Leslie
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Ethnographic Study ◽  
Spatial Practices ◽  
Critical Care Units ◽  
Interprofessional Care ◽  
The Social

Drawing on an ethnographic study of teamwork in critical care units (CCUs), this chapter applies Henri Lefebvre’s ([1974] 1991) theoretical insights to an analysis of clinicians’ and patients’ embodied spatial practices. Lefebvre’s triadic framework of conceived, lived, and perceived spaces draws attention to the role of bodies in the production and negotiation of power relations among nurses, physicians, and patients within the CCU. Three ethnographic vignettes—“The Fight,” “The Parade,” and “The Plan”—explore how embodied spatial practices underlie the complexities of health care delivery, making visible the hidden narratives of conformity and resistance that characterize interprofessional care hierarchies. The social orderings of bodies in space are consequential: seeing them is the first step in redressing them.

scholarly journals Bedside Nurse Acceptance of Intensive Care Unit Telemedicine Presence

2018 ◽  
Vol 38 (6) ◽  
pp. e1-e4 ◽  
Author(s):  
Christina Canfield ◽  
Sandra Galvin
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Nurse Practitioners ◽  
Health Care Professionals ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Perception Of Support ◽  
Evidence Based Care

Since 2010, health care organizations have rapidly adopted telemedicine as part of their health care delivery system to inpatients and outpatients. The application of telemedicine in the intensive care unit is often referred to as tele-ICU. In telemedicine, nurses, nurse practitioners, physicians, and other health care professionals provide patient monitoring and intervention from a remote location. Tele-ICU presence has demonstrated positive outcomes such as increased adherence to evidence-based care and improved perception of support at the bedside. Despite the successes, acceptance of tele-ICU varies. Known barriers to acceptance include perceptions of intrusiveness and invasion of privacy.

The Partners HealthCare Settlement and the Future of Health Care Organizations

2014 ◽  
Vol 11 (1) ◽  
Keyword(s):  
Health Care ◽  
Market Power ◽  
Health Care Providers ◽  
Federal Trade Commission ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Health Sector ◽  
Care Providers ◽  
Unique Challenge ◽  
Delivery Models

AbstractA recent settlement between Massachusetts and Partners HealthCare, along with successful antitrust actions by the Federal Trade Commission, may signal the beginning of the end of two decades of consolidation of health care providers. This consolidation has been associated with higher prices resulting from market power, justifying the antitrust actions. However, the appropriate remedy for the health sector is a unique challenge. The proposed settlement appears to lock into place the legacy of the hospital-based delivery model, rather than orchestrating a pathway to a new care delivery models. Clearly, we need a regulatory framework that will introduce innovative alternatives into the market, not enshrine the current costly paradigm.

The Pediatric Nurse Associate

PEDIATRICS ◽  
1976 ◽  
Vol 57 (5) ◽  
pp. 813-814
Author(s):  
Robert D. Burnett ◽  
Keyword(s):  
Health Care ◽  
Child Health ◽  
American Academy ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Child Health Care ◽  
Pediatric Nurse ◽  
The Past ◽  
American Academy Of Pediatrics

During the past several years as Chairman of the American Academy of Pediatrics' Committee on Pediatric Manpower I have witnessed the development of the concept of the pediatric nurse associate (PNA) within the specialty of pediatrics. In addition, I have also been aware of the controversies within the AAP membership regarding the role of the PNA in child health care delivery. Many of you will recall the concern of the mid-1960's which widely publicized an impending catastrophic shortage of pediatricians.

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