Stegall M Scott
Health Care Administration and Informatics Program, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.
Clin Leadersh Manag Rev. 2002 Mar-Apr;16(2):85-9.
Health-care professionals are accustomed to struggling with ethical considerations brought about by advances in the medical sciences. How aware are these professionals of the ethical dilemmas created by advances in the management sciences? Deeply embedded in organizational and departmental changes are theories, paradigms, and philosophies that often are understood poorly even by their promoters. Although these system changes can occur at glacial speed, they also can be glacial in their effects on an organization's culture. Are individuals aware that the latest implemented management fad is changing their behaviors? By becoming mindful of the potential ramifications of change, individuals increase their ability to behave in a civil manner--that is, ethically choosing to embrace or resist the change. By acting within their own sphere of influence, civil individuals at all levels of the organization collectively instill a soul in their organization rather than losing their own souls to it. This article is adapted from a commencement speech presented to graduates of an executive health-care administration program. Most of these graduates were a mixture of hospital department heads, middle managers, and a few medical and hospital executives. Each year, I distribute my current version of this teaching note or mini-lecture to students completing my leadership class in hope that it will help them put in perspective the appropriate use of the management sciences they intensely study.
医疗保健专业人员已习惯于应对医学科学进步所带来的伦理考量。这些专业人员对管理科学进步所造成的伦理困境有多了解呢？组织和部门变革中深深嵌入的理论、范式和理念，往往即便其倡导者也理解得并不透彻。尽管这些系统变革可能以极慢的速度发生，但它们对组织文化的影响也可能十分迟缓。人们是否意识到最新实施的管理风尚正在改变他们的行为呢？通过留意变革的潜在影响，人们能够提升以文明方式行事的能力，也就是说，从伦理角度选择接受或抵制变革。通过在自身影响力范围内采取行动，组织各级的文明个体共同为组织注入灵魂，而非在其中迷失自我。本文改编自一篇面向医疗保健行政高级管理项目毕业生的毕业典礼演讲。这些毕业生大多是医院各科室主任、中层管理人员，以及少数医疗和医院管理人员的混合群体。每年，我都会将这份教学笔记或小型讲座的最新版本分发给修读我领导力课程的学生，希望它能帮助他们正确看待他们深入学习的管理科学的合理应用。
