Nicholls SG, Carroll K, Zwarenstein M, Brehaut JC, Weijer C, Hey SP, et al. J Clin Epidemiol. A nurse believes that all Americans should receive basic health care services. A Monash Bioeth Rev. Aligned with this aim for rigour, definitional clarity of key terms used within a research project is a component of research quality [10, 11]. 2020;86:34. Perspectives and solutions from clinical trainees and mentors regarding ethical challenges during global health experiences. J Med Ethics. This approach involves primarily defining ethical challenge(s) in terms of related concepts. Question: Which of the following represents the focus of the utilitarian approach to deciding an ethical dilemma? Hsieh H-F, Shannon SE. Defining ethical challenge(s) in healthcare research: a rapid review, https://doi.org/10.1186/s12910-021-00700-9, https://casp-uk.net/wp-content/uploads/2018/01/CASP-Qualitative-Checklist.pdf, https://www.equator-network.org/reporting-guidelines/coreq/, https://www.equator-network.org/reporting-guidelines/srqr/, https://doi.org/10.1017/9781139939829.006, https://www.equator-network.org/wp-content/uploads/2018/02/PRISMA-RRprotocol.pdf, https://doi.org/10.1136/bmjspcare-2020-002672, https://doi.org/10.1097/TP.0000000000001697, https://doi.org/10.18502/jmehm.v12i7.1115, https://plato.stanford.edu/archives/fall2018/entries/moral-dilemmas/, http://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=859724, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. 2008;34:2627. a. justice b. honesty c. patience Selected: d. all of the aboveThis answer is correct. Shayestefar S, Hamooleh MM, Kouhnavard M, Kadivar M. Ethical challenges in pediatrics from the viewpoints of Iranian pediatric residents. Brett, who is the manager of the company's accounting department. According to the ____ viewpoint, a management problem should be handled according to the individual and the environmental situation. The following approaches to solve an ethical dilemma were deduced: Refute the paradox (dilemma): The situation must be carefully analyzed. a. Distributive or social justice Which of the following best describes the action(s) of the nurse? Heggestad AKT, Magelssen M, Pedersen R, Gjerberg E. Ethical challenges in home-based care: a systematic literature review. Strech D, Synofzik M, Marckmann G. Systematic reviews of empirical bioethics. Larkin et al. This reflected a balance between adequately covering recent use of the term and time and resource restrictions of the rapid review. A colleague saves money for an overseas vacation every year, is a . 2020;27:154255. Draper & Jenkins offer a starting definition, adopted from Schwartz et al. AJOB Empir Bioeth. 2021;35:31534. This is best accomplished by performing interventions at the population level. BMC Med. This approach allowed for exploration of both the content of definitions and development of insights into the use of related terms. Unfortunately, nicotine is highly addictive. Quality control, quality assurance, and total quality management are all part of the _____ management viewpoint. Sun W, Wilson MG, Schreiber D, Wang RH. 2019;14:e12266. All authors read and approved the final manuscript. BMJ. Article We will address the following questions . This conceptualization occurred as a response to the technological advances in health care science and the desire of nurses to differentiate nursing practice from medical practice. Sinow C, Burgart A, Char DS. 2020;47:42835. C Which management function is the group performing? Syst Rev. The COVID-19 pandemic has created tremendous challenges for organizations' corporate social responsibility (CSR), communication, and relationship management with internal stakeholders such as employees. The intellectualist option is subjective, whereas divine command theory is supposed to be objective. The community leaders in a lesser-developed country decide not to tell the citizens of a small village about a chemical spill at a major industrial facility that could produce harmful effects. 2017;46:67887. Background Despite its ubiquity in academic research, the phrase 'ethical challenge(s)' appears to lack an agreed definition. Ethical challenges in caring for unrepresented adults: a qualitative study of key stakeholders. Gerard is responsible for only one activity in his organizationthe management of the human resources department. Violence against trainees: urgent ethical challenges for medical educators and academic leaders in perinatal medicine. PubMedGoogle Scholar. PRISMA flow diagram of record identification. Defining ethical challenge(s) in healthcare research: a rapid review. The top 10 ethical challenges in dental practice in indian scenario: dentist perspective. After discussion, the remainder were screened by GS. Nurs Ethics. Question: Which of the following represent ethical dilemmas? J Med Ethics. providing the fundamental language and categories of ethics. Caliana manages the warehouse for United Processors Inc. At the beginning of each year, she determines the department goals for the next 12 months. A The Code of Ethics for Nurses with Interpretive Statements does not address the practice setting for nursing care. A system is a set of _____ parts that operate together to achieve a common purpose. 2018;10:33740. Implement Sci. Int Health. 2020;27:52736. (Choose all that apply. What three individuals helped pioneer administrative management theory? 2018. https://casp-uk.net/wp-content/uploads/2018/01/CASP-Qualitative-Checklist.pdf. 2016;7:20917. Feminists are women and men who hold a worldview advocating economic, social, and political equality for women that is equivalent to that of men. Approach 3 involves facilitating participants to nominate something as an ethical challenge [12, 48, 50, 56]. What are the best methodologies for rapid reviews of the research evidence for evidence-informed decision making in health policy and practice: a rapid review. Woods S, Beaver K, Luker K. Users views of palliative care services: ethical implications. True or false: Ethical standards do not vary among countries or cultures. Storaker A, Nden D, Steren B. Provision 9 of the Code of Ethics for Nurses with Interpretive Statements discusses the need for the nursing profession to address national and global health concerns as well as be involved with shaping policies through political action. For example, moral distress, as conceived by Jameton and others [110, 113, 114], is linked to the after-effects of having to handle ethical challenge(s), so some researchers might view the generation of moral distress as relevant to identifying ethical challenges. Ethical tenets of policy development 2018;28:18999. don't purchase items that aren't ethically made or sourced Everyday ethical challenges of nurse-physician collaboration. Find alternative solutions: In some cases . BMC Palliat Care. Select all of the true statements regarding Gary Hamel's thoughts on management: much of management theory is dated and doesn't fit the current realities of organizational life Multiple Choice . MULTIPLE RESPONSE b. d. Government should be limited. The same ethical standards apply to all cultures. Principles of biomedical ethics. (Select all that apply.) Applying GRADE-CERQual to qualitative evidence synthesis findings: introduction to the series. work to generalize ideas with impact Wellcome Open Res. Max Weber, The behavioral management viewpoint emphasized, the importance of understanding human behavior and motivating employees to achieve, In which ways did Munsterberg suggest that psychologists could contribute to industry? Ethical challenges regarding the use of stem cells: interviews with researchers from Saudi Arabia. Finally, we did not review the theoretical literature for conceptual definitions of ethical challenge(s), hence the definitions we identified might not match completely conceptual understandings of the term. 2020;67:7683. Involve every employee. This approach anchors an ethical challenge to the requirement for an agent to make a (difficult) choice in a situation where moral principles conflict, or there is moral uncertainty as to the right way forward. Distributive justice requires that the distribution of benefits and burdens on a society be fair or equal. 2017;26:64662. Evidence-based management focuses on bringing _____ to the decision process. As the manager, Sun-Jun wants to share his personal satisfaction with the team and decides to take everyone out for lunch to celebrate their success. See Fig. Persons who ascribe to feminist ethics are passive and wish to pursue their ideals through the legislative process. 1993;68:8525. Keep the client (group, community) properly informed Which of the following describes the actions of the nurse? If Norway decided to reduce import duties for Germany, which allowed Germany to export more cars to Norway at a lower cost, it would create a stronger tie between these two countries. See Table 2 for a summary. Public health administrators in a community provide a health department to serve an indigent population of immigrants providing translators on certain days of the week. View U1- CHALLENGE 2-3.docx from STATISTICS 47 at University of the People. a. Part of Int Nurs Rev. New York: Oxford University Press; 1979. Honesty, courage, compassion, generosity, fidelity, integrity, fairness, self-control, and prudence are all examples of virtues. (Select all that apply.) Standards for reporting qualitative research: a synthesis of recommendations | The EQUATOR Network. Faced with an automated future, what moral framework should guide us? The inclusion and exclusion criteria are summarised in Table 1. Kalkman S, van Thiel GJMW, Grobbee DE, Meinecke A-K, Zuidgeest MGP, van Delden JJM, et al. Tricco AC, Antony J, Zarin W, Strifler L, Ghassemi M, Ivory J, et al. The protocol was therefore not published in advance. Bijani M, Mohammadi F. Ethical challenges of caring for burn patients: a qualitative study. Virtue demonstrates behavior showing high moral standards. Age Ageing. Which employee is the best example of a functional manager? Here are some of the main ethical issues keeping the AI experts up at night. d. Virtue. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Which of the following describes why the nurse has referred to this document? 2. being ethical in practices b. Inequalities result from birth, natural endowment, and historic circumstances. Seekles W, Widdershoven G, Robben P, van Dalfsen G, Molewijk B. Inspectors ethical challenges in health care regulation: a pilot study. 2019. https://doi.org/10.18502/jmehm.v12i7.1115. 2020;34:48392. (select all that apply), Use customer and employee feedback a. Feminists include only women in their worldview. Act with integrity, behave in a trustworthy manner, elevate service to others above self-interest, and promote high standards of practice in every setting. 2021. https://doi.org/10.1136/bmjspcare-2020-002672. All three definitions using this approach defined ethical challenge(s) as a summative collection of related concepts, including ethical dilemmas, moral dilemmas, moral challenges, ethical issues, and ethical conflicts [12, 57, 66], for example: The expression ethical challenges mainly refers to ethical dilemmas and ethical conflicts as well as other scenarios where difficult choices have to be made [57] p34. what are two ways the Internet and World Wide Web give a small business the ability to go global? At a family get-together, Thom's brother has quite a bit to drink and says that his company is about to file major new patents on technology that is expected to be highly profitable. a. A rapid review reporting guideline is currently under development [25] and this review is therefore reported based on the PRISMA 2020 statement for systematic reviews, with justifications provided where our approach deviated [26]. Morley G, Ives J, Bradbury-Jones C, Irvine F. What is moral distress? Moral character: the persons selected to develop, assess, and disseminate community knowledge possess integrity Basic needs, material and social goods, liberties, rights, and entitlements answer choices. J Med Ethics Hist Med. Canario Guzmn JA, Espinal R, Bez J, Melgen RE, Rosario PAP, Mendoza ER. 2021;372:n71. 2018;7:S20718. A failure in solidarity: ethical challenges in the development and implementation of new tuberculosis technologies. Which statement is discussed in the Code of Ethics for Nurses with Interpretive Statements? Which code of ethics would have been used? In this situation, Norway is granting Germany _____ trading status. These might include a code of ethics, formal training, an ethics hotline, and employees with ethics compliance as part of their job role. Then, I shall focus on the shift from modern to postmodern forms or organizing. Some middle-level managers make more than $100,000 a year. Managers often use a(n) _____ approach when making organizational decisions - using financial performance such as profit as the best definition of what constitutes an ethical choice for the company. high costs to the organization sending their employees overseas as expatriates. Provide efficient and effective nursing care Four of the definitions involved research participants themselves defining something as an ethical challenge [12, 48, 50, 56], with three studies explicitly stating that participants would lead this definitional work [48, 50, 56]. ethical inspiration. 2005;15:127788. Nurs Ethics. c. Everyone has a right to private property. Advocacy, responsibility, and accountability are not part of the moral idea of nursing proposed by Leininger and Watson. Nurses can be an important voice in advocating for access to consistent, effective, and efficient health care for all. C Mintzberg determined that managers tend to rely more heavily on ______ communication than ______ communication when conducting business. BMC Health Serv Res. The _____ perspective on management consists of the systems, contingency, and quality-management viewpoints. a. Economic He determined their educational level and whether they continued to smoke 1 year later. See Table 4 for terms and frequencies. As such, the presence of moral distress may not be sufficient or even necessary in order to label a moral event an ethical challenge. Alahmad G, Aljohani S, Najjar MF. Naseri-Salahshour V, Sajadi M. Ethical challenges of novice nurses in clinical practice: Iranian perspective. Cyber Awareness Challenge 2022 Online Behavior 2 UNCLASSIFIED Online Misconduct Keep in mind when online: Online misconduct is inconsistent with DoD values. In a ______ culture, shared meanings are often derived from written and spoken words. b. Egalitarianism -Classified information that should be unclassified and is downgraded. In order for an organization to maintain a competitive advantage, it must stay ahead of its competition in customer responsiveness, innovation, quality, and _______. To guide professional practice related to ethics Furthermore, papers retrieved rarely defined ethical challenge(s) explicitly, which has also been noted by other researchers examining other topic areas [13,14,15]. Int J Pharm Res. Assurance Target donates millions of dollars each year in education-related grants for arts and cultural experiences, field trips, and reading programs, as well as grants to promote public safety. That is correct. In Approach 4, ethical challenges were linked to situations in which participants felt discomfort [14], emotional stress [81], moral distress or moral residue [66]. Which of the following are components of total quality management (TQM)? 831 records were retrieved, reduced to 393 after de-duplication. The Stanford Encyclopedia of Philosophy. Mertz M, Inthorn J, Renz G, Rothenberger LG, Salloch S, Schildmann J, et al. February 8, 2022. Front Med. The concept that a manager's influence extends far beyond the results that can be achieved by an individual acting alone is called the _____ effect. 2021. https://doi.org/10.3389/fmed.2021.620444. A learned predisposition toward a given object is called a(n) _____. Because of its potential large-scale impact, machine learning has been described as humankind's fourth industrial revolution and is currently having the greatest impacts in employment, workplace redesign, education, transportation, healthcare, public safety and security, the military and our entertainment areas. This should either be a priori, or, if using an approach that includes participant participation in the generation of the definition, reporting their final working definition a posteriori. A nurse is applying the ethical principle of non-maleficence. 2017;9:59. Rather than try to follow a . This speaks to an important question about who, in a research context, is permitted to define or describe the object of interest, in this case ethical challenge(s). a. The choice of definition should be justified, including the decision as to whether to include participants in this process. Issues with the classical viewpoint include that it: (select all that apply), fails to account for the importance of human needs. Chapter A company would rely on ISO 9000 to _____. Stevens A, Garritty C, Hersi M, Moher D. Developing PRISMA-RR, a reporting guideline for rapid reviews of primary studies (Protocol). c. The nurse owes duty primarily to the physician to strive to protect health, safety, and the rights of the patient. BMC Med Ethics. c. Entitlement to equal rights and equal treatment c. Feminists believe that men should not be nurses. Rapid reviews use abridged systematic review methodology to understand the evidence base on a particular topic in a time and resource efficient manner [18,19,20,21,22]. This review is the first, to our knowledge, to identify and describe definitions (and uses) of the widely-utilised concept of ethical challenge(s) within healthcare research. For example, other potential approaches would define ethical challenges as events that interact with moral principles, such as autonomy, beneficence, non-maleficence or justice, as proposed by Beauchamp and Childress [115], or as events in which those principles clash, for example as used by Klingler et al. 1 Introduction to Arguments Differentiate an argument from statements that are not arguments. A (n) _____ dilemma is a situation in which you have to decide whether to pursue a course of action that may benefit you or your organization but that is unethical or even illegal. The positive value of moral distress. Philadelphia, PA: Clarivate Analysis; 2013. Watt A, Cameron A, Sturm L, Lathlean T, Babidge W, Blamey S, et al. 2019;67:13840. 2021. https://doi.org/10.1111/dewb.12308. Conceptual clarity is a key component of research, both theoretical and empirical. b. false united states imports more than exports. 4. making profit, What are two potential rewards of being an exceptional manager? For example, some terms, such as moral dilemma, have relatively well understood specific meanings for some readers, particularly those with philosophical training [104,105,106]. b. advocacy. Of the remaining studies, all but one were single-country studies: Botswana [75], Canada [41, 65], China [57], Denmark [39, 43], Dominican Republic [44], Germany [51, 84], India [61], Iran [38, 46, 49, 68, 70,71,72, 78, 82, 98], Italy [45], Mexico [87], the Netherlands [76], New Zealand [47], Norway [42, 52, 56, 64, 80, 81, 83], Saudi Arabia [34,35,36,37], Tanzania [69, 74], Uganda [67], UK [86], and USA [50, 53, 59, 62, 66, 77, 79, 85, 85]. A lack of a definition risks introducing confusion or avoidable bias. Khangura S, Konnyu K, Cushman R, Grimshaw J, Moher D. Evidence summaries: the evolution of a rapid review approach. Fall 2018. Governments and intergovernmental organizations have redoubled their efforts to combat the perceived increase in international business corruption. In this context, ethical challenge refers to the situation whereby every alternative is morally wrong and still one has to make a choice [69] p676, An ethical challenge occurs when one does not know how to behave and act in the best way [14] p93. Singh I. 2017;6:24. We used a 5-year timeframe as a date restriction. The definitions identified were found in qualitative studies and systematic reviews and were evenly distributed geographically across high-, middle- and low-income settings. Scand J Caring Sci. Nurs Ethics. Ethical Challenges and Dilemmas in Organizations 5 01-May-4850.qxd 1/16/2006 11:38 AM Page 5. among them Lynn Sharp Paine (2003), a noted Harvard professor of business ethics. The intellectualist option places a false dichotomy between ethics and religion, thereby saying God has no ethical authority. Nurses can demonstrate advocacy when providing efficient and effective nursing care. 2018;25:92110. d. Women's thinking and moral experiences are important and should be taken into account. Ann Palliat Med. There is evidence that although clinicians can be sensitive to major ethical dilemmas, they can be less sensitive to small everyday ethical elements in clinical practice, and that ethical awareness varies between individuals [107, 108]. Act in the health care provider's best interest The ability to move goods and services among nations without any political or economic obstruction is called _____. Haby MM, Chapman E, Clark R, Barreto J, Reveiz L, Lavis JN. these statements tell you what the company wants to achieve over time c. Society will dictate the ethical principles to which nurses must adhere. The EQUATOR Network | Enhancing the QUAlity and Transparency of Health Research. Saarni SI, Halila R, Palmu P, Vnsk J. Ethically problematic treatment decisions in different medical specialties. Zeynep decided to buy the parts from Indonesia even though her company had a policy of only purchasing from U.S. suppliers Zeynep decided to buy the parts from Indonesia even though her company had a policy of only purchasing from U.S. suppliers 64. Segal AG, Frasso R, Sisti DA. d.) The intellectualist option requires that we know divine command about every possible action. BMC Nephrol. Assurance refers to the role of public health in making sure that essential community-oriented health services are available, which may include providing essential personal health services for those who would otherwise not receive them. Correspondence to A ______ organization's purpose is to make money by offering products or services. d. accountability. MacDonald S, Shemie S. Ethical challenges and the donation physician specialist: a scoping review. Ethical challenges of the healthcare transition to adult antiretroviral therapy (ART) clinics for adolescents and young people with HIV in Uganda. Accessed 2 Apr 2020. Conflicting rationales: leaders experienced ethical challenges in community health care for older people. b. Globalization is the trend of the world economy becoming a more _______ system. Based on the description that follows, how many potential insider threat indicator (s) are displayed? An organization's ethical _____ represents employees' perceptions about the extent to which the work environment supports ethical behavior. Quality The four approaches indicate the diverse approaches to understanding ethical challenge(s). An ethical climate significantly affects the frequency of ethical behavior. job-specific knowledge for the position in retailing. 68/72 (94%) included studies used terms closely related to synonymously refer to ethical challenge(s) within their manuscript text, with 32 different terms identified and between one and eight different terms mentioned per study. Ann Glob Health. Management science is sometimes known as _____. Alahmad G, AlSaqabi M, Alkamli H, Aleidan M. Ethical challenges in consent procedures involving pediatric cancer patients in Saudi Arabia: an exploratory survey. Compassion fatigue, moral distress, and work engagement in surgical intensive care unit trauma nurses: a pilot study. b. Cambridge: Cambridge University Press; 2016. p. 6783. Additionally, if a definition references other conceptual terms, then consideration should be given to defining these as well.

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