To obtain an objective picture of the issue, relevant communication approaches should be observed. In particular, Louw (2016) argues that cross-cultural skills are useful attainments for gaining valuable feedback from stakeholders on a specific problem. In addition, the author notes that in addressing ethical dilemmas, verbal and non-verbal communication approaches can help by influencing different cognitive processes (Louw, 2016). Regarding the case study in question, informal communication with his CFO did not allow Mr. Losinski to obtain objective financial data related to emergency care costs. Moreover, this form of interaction is fraught with erroneous information, which is unacceptable for making responsible management decisions. Therefore, cross-cultural practices and mixed methods of communication are potentially effective practices.
To resolve the problem, Mr. Losinski reached out to the key stakeholders who could suggest options for its resolution. In general, as Aitamaa et al. (2016) state, addressing an ethical dilemma requires analyzing two undesirable alternatives, and each of them can exacerbate the situation. Concerning the case study presented by Darr (2017), solving emergency department overuse may have two potentially undesirable outcomes. First, worsening patient outcomes may occur due to reduced access to medical services to save the budget. Second, too high costs are inevitable because the state does not cover all the expenses. Each perspective has negative implications that need to be addressed.
The measures that the CEO of CGH took may be described as partially correct. The meeting with top managers is a logical solution since cost overruns require joint addressing at the highest leadership level. However, Mr. Losinski’s interaction with his CFO through friendly communication cannot be called an objective decision. The CEO began with an individual solution to the problem, which was biased in the context of the issue that arose. Healthcare professionals can learn several valuable lessons through the analysis of Darr’s (2017) case. First, organizational management issues cannot be solved by oneself to avoid crucial mistakes. Second, informal communication is unacceptable in the case of an ethical issue that affects different stakeholders. These nuances can make it possible to find a potentially adequate solution to the moral dilemma.
Deadline panic?
We're here to rescue and writea custom academic paperin just 1 hour!
To address the issue, both potential perspectives should be considered thoroughly. According to Falkenström et al. (2016), a healthcare manager needs “to take responsibility for decisions in conflicts of interest (COI) and ethical dilemmas” (p. 18). In Darr’s (2017) case, the interests of both patients and CGH are crucial to take into account. A potential solution is to increase control over the emergency department’s activities to accept patients with a real need for urgent care, excluding minor complaints. Thus, the emergency department staff will be less busy, and the clinic will allocate fewer costs. Therefore, the proposed solution will make it possible to improve the quality of professional collaboration. CGH employees will communicate more efficiently and perform their immediate responsibilities productively if financial and other aspects do not distract them. In addition, if annual costs are reduced, more opportunities for developing the clinic’s resource base will appear.
In addition to these advantages, there are also ethical benefits of this solution. First, it helps considering beneficence for those who need help the most. It also allows medical staff to work in terms of nonmaleficence because, excluding minor complaints, they do not harm people. Second, this solution helps CGH doctors working autonomously, making decisions according to the chosen strategy. Third, this way of working with people is a manifestation of justice since the hospital will help those who need it the most.
The ethical decision-making model can help define the principles for evaluating the ethical dilemma discussed in the case study in question and address specific challenges due to an objective guiding decision. The CEO of CGH made the mistake of interacting informally with his CFO, but contacting the executive board was the right step.
Order this paper