The workers opinions have a value in the Code of Ethics: Analysis of the contributions of workers in virtual Forum Catalan Institute of Health

Abstract

BackgroundThe Catalan Institute of Health (CIH) is the largest health services public provider in Catalonia. “CIH Code of Ethics Virtual Forum” (CEVF), was created within the Intranet of the CIH to facilitate participation among their employees. The current study aims to: a) Analyse the CIH workers’ assessment of their own, their colleagues’ and the organization’s observance of ethical values; b) Identify the opinions, attitudes, experiences and practices related to the ethical values from the discourse of the workers that contributed voluntarily to the CEVF.MethodsMixed methods study with convergent parallel design:Cross sectional study by means of a self-administered, ad hoc, anonymous questionnaire to assess the observance of the ethical values of the CIH according to the participants. A total of 712 workers responded to the questionnaire. A descriptive, bivariate analysis of the results was carried out.Qualitative study to determine the meaning for the workers of the ethical values put forward by the organization. Their individual opinions and experiences were explored by means of a thematic contents analysis of 225 comments posted in the CEVF.The study was conducted between May and December 2008.ResultsThe average score for observance of the CE by the respondents themselves was high (over 4/5), between 3.5-4/5 for the observance by their colleagues and close to 3/5 for the CIH management. These results do not change when we compare by gender, age group and professional discipline. The comments on the values are information-rich, they mirror the ethical environment of the institution and show various ethical dilemmas and suggestions.ConclusionsResults show that it is feasible for a publicly funded health care organization to develop a CE with the participation of employees and the support of the management. Results underscore the relevance of this strategy for the implementation, improvement and update of the CE as a responsibility shared by all workers. Practices consistent with ethical values are rewarded by social approval, enhance employee’s confidence and coherence in decision-making and improve public engagement and institutional policies.

A Cross-Sectional Study: Patient Privacy According to Doctors and Nurses

“…Such studies, including the ones by Zincir and Kaya (2009) and Korkmaz, Arikan, and Savaskan (2018), determined that in terms of the protection of privacy, doctors display higher awareness and have higher mean scores than the other healthcare staff. Protecting the confidentiality of information depends on the sensitivity, professionalism, and respect displayed during the act of providing medical assistance to the patient (Peguero et al, 2015; Shahriari, Mohammadi, Abbaszadeh, Bahrami, & Fooladi, 2012). It is clear that large amounts of medical data may be identified, addressed, transferred, and managed during the clinical services; however, there is a key difference between disclosure of information considered as acceptable and the information identified as unacceptable (Zhang et al, 2015).…”

A ética nos serviços de saúde: uma revisão de escopo

“…A ética não é simplesmente um esforço e uma decisão individual; escolhas éticas são feitas em contextos sociais e estruturais sob influências organizacionais, profissionais e pessoais 20,22,23 . Valores como competência, respeito ao paciente e a seus familiares e aos colegas, responsabilidade e transparência nos atendimentos, confidencialidade das informações pessoais, trabalho em equipe, integridade, equidade e qualidade constituem a base para a tomada de decisões no cotidiano do trabalho 25 Uma organização de saúde não deve se organizar estrutural ou funcionalmente como qualquer outra organização que oferece serviços, pois estas lidam com a saúde, a vulnerabilidades e o sofrimento humano. Ademais, para oferecer um bom serviço não basta preocupar-se apenas com o instrumental, mas deve-se também priorizar a ética 20,23 .…”

Phenomenon of moral distress through the aspect of interpretive interactionism

“…13 For medical treatment, nurses' values are correlated with patients' medical decision, safety, and happiness; moreover, they cover the respect to patients' autonomy, the protection of patients' optimum benefits, and nurses' accountability. [13][14][15] Nurses' values comprise personal values, occupational values, and culture values, which are combined to form nurses' moral value system in clinical medical care. 13,16 If the treatment for patients fails to be consistent with what nurses believe is the optimum benefit for patients, then it would go against and have an impact on nurses' values.…”