Lukich Nikolija
Department of Clinical and Organizational Ethics, Champlain Centre for Health Care Ethics, 27337The Ottawa Hospital, Ottawa, Ontario, Canada.
Healthc Manage Forum. 2020 Nov;33(6):293-295. doi: 10.1177/0840470420943406. Epub 2020 Jul 28.
Organizations possess a moral agency that affects all aspects of the care they provide and reflects the perception of morality within the organization. In practice, the method in which moral agency is applied and maintained within an organization directly influences its moral culture. Organizations function through a series of systems that work dynamically to achieve success. In order to implement the systems effectively, all employees, at every level, are responsible for cooperating and working together to uphold the mission, vision, and values of an organization, thereby contributing to a positive moral culture. Considerations must be made at a high organizational level, as well as at each individual level within an institution. This ensures that at its core, a healthcare organization is considered ethical, and all staff, students, and volunteers within it are acting in accordance with the established moral belief system. By creating and maintaining a positive moral culture, everyone benefits: patients receive effective and compassionate care, employees experience a feeling of pride in their work, and the community being served develops a relationship of trust with their local healthcare institution.
组织拥有一种道德能动性,它会影响组织所提供护理的各个方面,并反映组织内部的道德观念。在实践中,道德能动性在组织内的应用和维持方式直接影响其道德文化。组织通过一系列动态运作以实现成功的系统来发挥作用。为了有效实施这些系统,各级所有员工都有责任共同协作,维护组织的使命、愿景和价值观,从而营造积极的道德文化。组织高层以及机构内的每个个体层面都必须进行考量。这确保了医疗保健组织在其核心层面被视为符合伦理道德,并且其中的所有员工、学生和志愿者都按照既定的道德信仰体系行事。通过创建和维持积极的道德文化,每个人都会受益:患者得到有效且富有同情心的护理,员工对自己的工作感到自豪,而所服务的社区与当地医疗保健机构建立起信任关系。