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Are Workarounds Ethical? Managing Moral Problems in Health Care Systems

Online ISBN:
9780190269326
Print ISBN:
9780190269296
Publisher:
Oxford University Press
Book

Are Workarounds Ethical? Managing Moral Problems in Health Care Systems

Nancy Berlinger
Nancy Berlinger

Research Scholar

Research Scholar, The Hastings Center
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Published online:
February 2016
Published in print:
December 2015
Online ISBN:
9780190269326
Print ISBN:
9780190269296
Publisher:
Oxford University Press

Abstract

How work gets done in complex health care systems is ethically important. When health care professionals and other staff experience moral uncertainty or distress in their own work and improvise remedies to manage these problems, this has potential consequences for patients, families, colleagues, and the system itself. This book argues that health care ethics in complex and changing health care systems should reflect the moral complexity of health care work, analyze common ethical challenges with reference to behaviors and pressures driven by the system itself, and support opportunities for health care workers at all levels to reflect on the problems they face and to take part in social change. The book’s chapters include frameworks for looking at ethical challenges in health care as problems of safety and harm with consequences for patients. The book is designed to support clinician education in medicine, nursing, and interdisciplinary contexts and to be accessible to readers without formal training in health care ethics. It includes extensive practical suggestions, including a full chapter on recommended practices, and is supported by an index.

Disclaimer
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always … More Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.
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