Building an Ethical Organizational Culture

Nelson, William A.; Taylor, Emily; Walsh, Thom

doi:10.1097/hcm.0000000000000008

Cited by 27 publications

(20 citation statements)

References 3 publications

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“…(45) The culture of a health care organization impacts its ability to deliver high-quality, high-value care and effect positive patient outcomes; misalignment between mission, values, and everyday practices may indicate an ethics gap in need of transformation. (46) Organizations seeking to foster a positive and ethical culture as part of their pursuit of the Triple Aim – enhanced patient experience, improved population health, and reduced costs (47) – must attend to the alignment between mission and values, decisions, and practices in a manner that honors the agency and dignity of its clinicians. Recognizing the direct threat that burnout poses to Triple Aim Care, advocates have proposed that an equal emphasis be placed on systematically assessing and improving the professional lives of clinicians.…”

Section: Interventions To Address Burnoutmentioning

confidence: 99%

Addressing Palliative Care Clinician Burnout in Organizations: A Workforce Necessity, an Ethical Imperative

Harrison

Dzeng

Ritchie

et al. 2017

Journal of Pain and Symptom Management

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Clinician burnout reduces the capacity for providers and health systems to deliver timely, high quality, patient-centered care and increases the risk that clinicians will leave practice. This is especially problematic in hospice and palliative care: patients are often frail, elderly, vulnerable and complex; access to care is often outstripped by need; and demand for clinical experts will increase as palliative care further integrates into usual care. Efforts to mitigate and prevent burnout currently focus on individual clinicians. However, analysis of the problem of burnout should be expanded to include both individual- and systems-level factors as well as solutions; comprehensive interventions must address both. As a society, we hold organizations responsible for acting ethically, especially when it relates to deployment and protection of valuable and constrained resources. We should similarly hold organizations responsible for being ethical stewards of the resource of highly trained and talented clinicians through comprehensive programs to address burnout.

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Section: Interventions To Address Burnoutmentioning

confidence: 99%

Addressing Palliative Care Clinician Burnout in Organizations: A Workforce Necessity, an Ethical Imperative

Harrison

Dzeng

Ritchie

et al. 2017

Journal of Pain and Symptom Management

View full text Add to dashboard Cite

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“…The corporate culture embodies an organization's identity (Mora, 2009), is a source of behavioral inspiration for employees (Marshall & Adamic, 2010) and helps the organization implement a unique way of working that contributes to its brand personality (Salzer-Mörling & Strannegard, 2004). In hospitals, corporate culture expresses the organization's ability to align its mission, values and professional practices every day so that, in this way, the hospital can strategically provide a health service with value added brand equity (Nelson, Taylor, & Walsh, 2014). Corporate culture supports employee engagement and encourages them to perform their jobs well (Pinho, Rodrigues, & Dibb, 2014;Whiteley, Price, & Palmer, 2013).…”

Section: Hospitals' Brand Architecturementioning

confidence: 99%

Establishing and Demonstrating US Hospital Brands Through Facebook

Medina

Buil

Heath

2016

(OBS*)

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Medical treatment, patient satisfaction, and hospital brand equity are positively related to three communication contexts: interpersonal, internal, and corporate. To integrate those contexts and expand that line of research, visceral analysis suggests that social media are transforming the impact of institutional communications conducted by hospitals. Specifically, questions continue to need answered to fill gaps in, clarify and reinforce previous research. To that end, this article analyzes the strategic impact of social media networks in spreading the brand architecture of hospitals. To this end, the Facebook profiles of 400 hospitals in the United States were analyzed. Each profile was examined to determine whether it utilized 10 indicators related to brand architecture. The results indicate that regarding the leading hospitals in the United States 94% of the surveyed hospitals have an active profile on Facebook but one that only utilized 3 to 5 of the recommended indicators. The professional management of this social media, the more widespread use of corporate video and a strategic orientation toward results have become cornerstones for the effective dissemination of hospital brands through Facebook.However, these organizations face a number of contextual factors that hinder the implementation of such communications, including the legal framework, the poor communicative tradition of hospitals and the difficulty of disseminating scientific content. This article discusses the strategic importance of spreading a hospital's brand architecture through social media. Thus, first, a review of literature is offered on hospital branding, brand architecture and brand dissemination through social media. Second, our method is introduced, and third, the results of a quantitative study on brand communication conducted on Facebook by 400 hospitals in the United States are presented. Fourth, the results of the study, its limitations and the business implications of this analysis are discussed. This paper shows those strategies of corporate communication 2.0 that hospitals should use to ensure a unique brand awareness by its stakeholders.

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“…Goals, often formulated in a mission statement or code of ethics, further state or clarify those values (Mills and Spencer 2005). The extent of alignment between organizational values and daily decisions of staff can indicate whether the organization promotes a healthy ethical culture (Nelson, Taylor, and Walsh 2014). …”

mentioning

confidence: 99%

Organizational values in the provision of access to care for the uninsured

Harrison

Taylor

2016

AJOB Empirical Bioethics

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Background For the last 20 years, health provider organizations have made efforts to align mission, values, and everyday practices to ensure high-quality, high-value, and ethical care. However, little attention has been paid to the organizational values and practices of community-based programs that organize and facilitate access to care for uninsured populations. This study aimed to identify and describe organizational values relevant to resource allocation and policy decisions that affect the services offered to members, using the case of community access programs: county-based programs that provide access to care for the uninsured working poor. Methods Comparative and qualitative case study methodology was used, including document review, observations, and key informant interviews, at two geographically diverse programs. Results Nine values were identified as relevant to decision making: stewardship, quality care, access to care, service to others, community well-being, member independence, organizational excellence, decency, and fairness. The way these values were deployed in resource allocation decisions that affected services offered to the uninsured are illustrated in one example per site. Conclusions This study addresses the previous dearth in the literature regarding an empirical description of organizational values employed in decision making of community organizations. To assess the transferability of the values identified, we compared our empirical results to prior empirical and conceptual work in the United States and internationally and found substantial alignment. Future studies can examine whether the identified organizational values are reflective of those at other health care organizations.

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Building an Ethical Organizational Culture

Cited by 27 publications

References 3 publications

Addressing Palliative Care Clinician Burnout in Organizations: A Workforce Necessity, an Ethical Imperative

Addressing Palliative Care Clinician Burnout in Organizations: A Workforce Necessity, an Ethical Imperative

Establishing and Demonstrating US Hospital Brands Through Facebook

Organizational values in the provision of access to care for the uninsured

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