6/18/2019 1/6 Week 1 Ethical Theories, Dilemmas, and Decision-Making The healthcare executive needs to understand and be fully prepared to properly and effectively apply, ethical theories when confronted with ethical dilemmas. “Executives must accept their leadership responsibilities to define ethical behavior clearly into a firm's value system and to pursue it relentlessly as a top-priority goal” (Thomas, Schermerhorn, & Dienhart, 2004, p. 56). Being grounded in ethics provides the administrator with the tools for analyzing ethics-related issues that they will encounter. Four ethical principles that have remained germane to the healthcare setting are beneficence, non-maleficence, respect for autonomy, and justice (Beauchamp & Childess, 2001). Having a foundation in theory, principles, and decision-making will enhance your ability to reason and improve your role as a professional in healthcare, as well as ensure the sustainability of the organization you lead. According to Anath (2017), there are three major methodologies of ethical decision- making in clinical settings: 1. Theory School. Proponents of the theory school apply ethical theories such as deontology, utilitarianism, and virtue ethics. 2. Principal School. Those who follow this methodology apply ethical principles such as justice, beneficence, and autonomy to healthcare issues. 3. Case-Based or Casuistic School. Proponents of this school eschew the first two, believing that resolving the “complex issues in medical settings [requires focusing] on the actual details of specific cases” (Anath, 2017, p 145). https://ncuone.ncu.edu/d2l/home/143543 6/18/2019 2/6 " Launch in a separate window Ethical principles are derived from ethical theories and “provide a generalized framework within which particular ethical dilemmas can be analyzed” (Pozgar, 2016). Often times the difficult decisions that are made in healthcare involve having to choose between conflicting ethical principles. The ethical principles of healthcare are autonomy, beneficence, justice, and non-maleficence. Be sure to review this week's resources carefully. You are expected to apply the information from these resources when you prepare your assignments. Heads-Up to the Signature Assignment Your culminating Signature Assignment (due in Week 8) will be a reflection of all that you have learned within the course, and it may require that you complete some work ahead of time. Your role as a healthcare administrator is to understand and make the business case for operating an organization that is compliant with laws and regulations, and one that ensures access to high-quality health services by making ethical and transparent decisions. For your Signature Assignment, you will have the option of selecting one of three cases that have ethical and legal implications for patient outcomes and will present a solution for your chosen case to the board of your organization. To ensure you are p.

1. 6/18/2019
1/6
Week 1
Ethical Theories, Dilemmas, and Decision-Making
The healthcareexecutive needs to understand and be
fully prepared to properly and
effectively apply, ethical theories when
confronted with ethical dilemmas.“Executives
must accept their leadershipresponsibilities to define
ethical behavior clearly into a firm's
value system and to pursue it relentlessly as
a top-priority goal” (Thomas, Schermerhorn,
& Dienhart, 2004, p. 56). Being grounded in
ethics provides the administrator with the
tools for analyzing ethics-related issues that they will
encounter. Four ethical principles
that have remained germane to the healthcaresetting
are beneficence, non-maleficence,
respect for autonomy, and justice (Beauchamp &
Childess, 2001). Having a foundation in

2. theory, principles, and decision-making will
enhance your ability to reason and improve
your role as a professional in healthcare, as
well as ensure the sustainability of the
organization you lead.
According to Anath (2017), thereare threemajor
methodologies of ethical decision-
making in clinical settings:
1. Theory School. Proponents of the theory school
apply ethical theories such as
deontology, utilitarianism, and virtue ethics.
2. Principal School. Those who follow this
methodology apply ethical principles such
as justice, beneficence, and autonomy to healthcare
issues.
3. Case-Based or Casuistic School. Proponents of
this school eschew the first two,
believing that resolving the “complex issues in medical
settings [requires focusing]
on the actual details of specific cases” (Anath,
2017, p 145).
https://ncuone.ncu.edu/d2l/home/143543

3. 6/18/2019
2/6
"
Launch in a separate window
Ethical principles are derived from ethical theories
and “provide a generalized framework
within which particular ethical dilemmas can be
analyzed” (Pozgar, 2016). Often times the
difficult decisions that are made in healthcareinvolve
having to choose between
conflicting ethical principles. The ethical
principles of healthcareare autonomy,
beneficence, justice, and non-maleficence.
Be sure to review this week's resources carefully.
You are expected to apply the
information from theseresources when you prepare
your assignments.
Heads-Up to the Signature Assignment
Yourculminating Signature Assignment (due in Week
8) will be a reflection of all that you
have learned within the course, and it may require
that you complete somework ahead of

4. time.Yourrole as a healthcareadministrator is to
understand and make the business case
for operating an organization that is compliant with
laws and regulations, and one that
ensures access to high-quality health services by
making ethical and transparent decisions.
For your Signature Assignment, you will have the option
of selecting one of threecases
that have ethical and legal implications for patient
outcomes and will present a solution
for your chosen case to the board of your
organization. To ensure you are prepared and
https://ncuone.ncu.edu/shared/Course%20Interactives/SHS/DHA
-7006/week_01_Principle_of_Ethics/index.html
6/18/2019
3/6
Books and Resources for this Week
ACHE. (2017). ACHE Codeof Ethics.
Link
ACHE. (2016). Ethical decision making for
healthcareexecutives.
Link

5. ACHE. (n.d.) About ACHE: Ethics self-
assessment.
Link
have adequate time to complete this assignment,
please review the
instructions by looking ahead to Week 8.
You can contact your professor if you have
questions.
References:
Ananth, M. (2017). Clinical decision-making: The
case against the new casuistry. Issues in
Law & Medicine, 32(2), 143–171.
Beauchamp, T. L., & Childress, J. F. (2001).
Principles of biomedical ethics. New York:
Oxford University Press.
Pozgar, G. D. (2016). Legal and ethical issues
for health professionals (4th ed.). Sudbury,
MA: Jones & Bartlett Publishers
Thomas, T., Schermerhorn Jr., J. R., & Dienhart, J.
W. (2004). Strategic leadershipof ethical
behavior in business. Academy of Management
Executive, 18(2), 56–66.

6. https://doi.org/10.5465/AME.2004.13837425
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Chonko, L. (2012). Ethical theories [PDF
document]. Washington, DC: Direct Selling
Education Foundation
Link
Duncan, P. (2010). Values, ethics, and health
care. London, UK: SAGE Publications Ltd.
Link
Johnson, J. F., & Connelly, S. (2016). Moral
disengagement and ethical decision-making:
The moderating role of trait guilt and shame.
Journal...

7. Link
Persson, E., Andersson, D., Back, L.,
Davidson, T., Johannisson, E., & Tinghög, G.
(2018). The discrepancy between health care
rationing at the...
Link
Strickling, B. L. (n.d.). A moral basisfor
the
helping professions. Paideia Archive of
Bioethics and Medical Ethics.
Link
Perry, F. (2014). Tracks we leave: Ethics
and
management dilemmas in healthcare(2nd
ed.). Chicago, IL: Health Administration Press.
Link
Thomas, J. (Director). (2005). A Guide to
Western Philosophy: Wisdom for Life [Video
file]. Macmillan Films. Academic Video
Online: Premium database.
Link

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Weber, L. J. (2001). Ethics is not neutral: A
framework for making decisions in Business
ethics in healthcare: Beyond compliance...
Link
Week 1—Assignment: Explain Decision-Making
Processes for
Ethical Dilemmas
Assignment
Due June 23 at 11:59 PM
By now, you have read about the various ethical
theories and principles, as well as ways to

9. solve ethical dilemmas through decision-making
models. You have also familiarized
yourself with the code of ethics expected to be
upheld by members of the American
College of Healthcare Executives.
The purpose of this assignment is to explain
how you might use decision-making
processes when faced with an ethical dilemma.
You will review and reflect on your own
personal values and beliefs that may influence how
you view and analyze ethical issues,
solve dilemmas,and make personal and professional
decisions. Reflecting on your
personal ethics may assist in the greater
understanding of the multitude of viewpoints
regarding ethics and their cultural and societal
influences.
You will create your video presentation by using
a video capturing tool located in
NCUOne. To access the video capturing tool, follow
the tutorial found in your Books and
Resources for this week.
Create a presentation in which you:

10. 1. Address any influencesin your life that you believe
have shaped your position on
ethics in relation to the theories of
utilitarianism, deontology, and virtue-based
ethics. Discuss each of the threeethical theories
and provide your agreementor
disagreement with the theory based on your own
value system. You may want to
describe how your background influenced your
personal value system (i.e., religion
or absence of religion, education, culture,
ethnicity, family, and community).
2. Describe a challenging ethical or moral
dilemma you have faced in the past. The
dilemma could have occurred in either a
personal or a professional environment.
3. Explainhow you would address the dilemma
differently, now that you are familiar
with various ethical theories and decision-making
strategies,and a professional
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11. https://ncuone.ncu.edu/d2l/le/content/143543/printsyllabus/Print
Syllabus 6/6
code of ethics. If you currently work in a
healthcaresetting, you may also want to
consider your employer’s corporate culture and ethical
stance.
Length: a minimum of 5 slides (not including
title page and reference page) for a Kaltura
recording/voice-over.
References: Include a minimum of 5 scholarly
resources to support the assignment.
Yourassignment should demonstrate thoughtful
consideration of the ideasand concepts
that are presented in the course and provide new
thoughts and insights relating directly to
this topic. Your response should reflect graduate-
level writing and APA standards.
Upload your presentation and recording and click the
Submit to Dropbox button.