Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Mission Statement. Show all posts
Showing posts with label Mission Statement. Show all posts

Wednesday, April 22, 2020

Your Code of Conduct May Be Sending the Wrong Message

F. Gino, M, Kouchaki, & Y. Feldman
Harvard Business Review
Originally posted 13 March 20


Here is an excerpt:

We examined the relationship between the language used (personal or impersonal) in these codes and corporate illegality. Research assistants blind to our research questions and hypotheses coded each document based on the degree to which it used “we” or “member/employee” language. Next, we searched media sources for any type of illegal acts these firms may have been involved in, such as environmental violations, anticompetitive actions, false claims, and fraudulent actions. Our analysis showed that firms that used personal language in their codes of conduct were more likely to be found guilty of illegal behaviors.

We found this initial evidence to be compelling enough to dig further into the link between personal “we” language and unethical behavior. What would explain such a link? We reasoned that when language communicating ethical standards is personal, employees tend to assume they are part of a community where members are easygoing, helpful, cooperative, and forgiving. By contrast, when the language is impersonal — for example, “organizational members are expected to put customers first” — employees feel they are part of a transactional relationship in which members are more formal and distant.

Here’s the problem: When we view our organization as tolerant and forgiving, we believe we’re less likely to be punished for misconduct. Across nine different studies, using data from lab- and field-based experiments as well as a large dataset of S&P firms, we find that personal language (“we,” “us”) leads to less ethical behavior than impersonal language (“employees,” “members”) does, apparently because people encountering more personal language believe their organization is less serious about punishing wrongdoing.

The info is here.

Tuesday, March 31, 2020

How Should We Judge Whether and When Mission Statements Are Ethically Deployed?

K. Schuler & D. Stulberg
AMA J Ethics. 2020;22(3):E239-247.
doi: 10.1001/amajethics.2020.239.

Abstract

Mission statements communicate health care organizations’ fundamental purposes and can help potential patients choose where to seek care and employees where to seek employment. They offer limited benefit, however, when patients do not have meaningful choices about where to seek care, and they can be misused. Ethical implementation of mission statements requires health care organizations to be truthful and transparent about how their mission influences patient care, to create environments that help clinicians execute their professional obligations to patients, and to amplify their obligations to communities.

Ethics, Mission, Standard of Care

Mission statements have long been used to communicate an organization’s values, priorities, and goals; serve as a moral compass for an organization; guide institutional decision making; and align efforts of employees. They can also be seen as advertising to prospective patients and employees. Although health care organizations’ mission statements serve these beneficial purposes, ethical questions (especially about business practices seen as motivating profit by rewarding underutilization) arise when mission implementation conflicts with acting in the best interests of patients. Ethical questions also arise when religiously affiliated organizations deny clinically indicated care in order to uphold their religiously based mission. For example, a Catholic organization’s mission statement might include phrases such as “faithful,” “honoring our sponsor’s spirit,” or “promoting reverence for life” and likely accords the Ethical and Religious Directives for Catholic Health Care Services, which Catholic organizations’ clinicians are required to follow as a condition of employment or privileges.

When strictly followed, these directives restrict health care service delivery, such that patients—particularly those seeking contraception, pregnancy termination, miscarriage management, end-of-life care, or other services perceived as conflicting with Catholic teaching—are not given the standard of care. Federal and state laws protect conscience rights of organizations, allowing them to refuse to provide services that conflict with the deeply held beliefs and values that drive their mission.6 Recognizing the potential for conflict between mission statements and patients’ autonomy or best interests, we maintain that health care organizations have fundamental ethical and professional obligations to patients that should not be superseded by a mission statement.

The info is here.