Search results

In this paper, the possibility of a renewed ethics of the role of the physician is explored by appeal to the Hippocratic tradition. The Hippocratic Oath, in its many permutations, offers a unique historical example of a document that marks the boundary-crossing of the physician-in-training into the office of physician, properly speaking. In making the Oath, the physician or physician-in-training enters into a new maturity that develops out of his or her own subjective desires and constructs, through to an outlook that is bound to a transcendent ideal of both technical acumen in the chosen profession of the physician, but also in a zeal for that which is good or virtuous. In other words, the Hippocratic tradition focuses the maker of the Oath upon a moral good; both for the physician and also for the patient. It may be years of practice and reflection before the significance of the Oath is realised in any particular medical professional. The Hippocratic tradition calls physician and patient alike towards a higher, but also more realist sense of virtue – in its ordinary and everyday sense, and the manner in which the good may be perceived even in the messiest of life and death conundrums. In this sense, a Hippocratic ethics of the physician might be possible that shows how the notion of ‘dirty hands’ is misleading, but also promising, in terms of the ethical possibilities for renewed notion of the virtuous physician.

It has been suggested that the introduction of a universal code of ethics for business, similar to that of the Hippocratic Oath, would encourage business leaders to engage in ethical decisions. The aim of this study is to empirically investigate what future business leaders learn in business school ethics class and to critically examine if there is any correlation between the education that the Hippocratic Oath refers to and modern business ethics education. This quantitative study surveyed 128 academics that teach ethics to business students in 29 Australian universities in order to find out what business students learn when they study ethics in business schools.

The study found such an overall inconsistency in business ethics education that no specific conclusions can be made apart from concluding that there is no uniform and universal standard into the discipline of ethics and what it teaches. The experts are mainly split between the view that ethics education is about teaching critical thinking or that it is about learning academic and theoretical aspects of the discipline of ethics. A third of the experts also thought the purpose of ethics education was to teach ethical conduct.

This paper also argues that the laissez-faire approach about ethics education from Association for Advancement of Collegiate Schools of Business (AACSB) has marginalised business ethics education as business schools overwhelmingly tend to scattering ethics topics superficially and incoherently across the curriculum. The study argues that it is critical to establish a universal standard in business ethics education in order to ensure future ethical business leaders and that the first step is to determine a universal definition of ethics.

Despite the fundamental role of culture in an organisational setting, little is known of how organisational culture can be sometimes determined/influenced by professional culture, particularly in the global south. Using Nigeria as a research focus, this article uses critical discuss analysis to examine the link between professional and organisational culture.

This study uses qualitative research approach to establish the significance of professional culture as a determinant of organisational culture among healthcare organisations.

We found that the medical profession in Nigeria is replete with professional duties and responsibilities, such as professional values and beliefs, professional rules and regulations, professional ethics, eagerness to fulfil the Hippocratic Oath, professional language, professional symbols, medicine codes of practice and societal expectations, all of which conflate to form medical professionals' values, beliefs, assumptions and the shared perceptions and practices upon which the medical professional culture is strongly built. This makes the medical professional culture stronger and more dominant than the healthcare organisational culture.

The extent to which the findings of this research can be generalised is constrained by the limited and selected sample of the research.

The primacy of professional culture over organisational culture may have dysfunctional consequences for human resource management (HRM), as medical practitioners are obliged to stick to medical professional culture over human resources practices. Hence, human resources departments may struggle to cope with the behavioural issues that arise due to the dominant position taken by the medical practitioners. This is because the cultural system (professional culture), which is the configuration of beliefs, perceived values, code of ethics, practices and so forth. shared by medical doctors, subverts the operating system. Therefore, in the case of healthcare organisations, HRM should support and enhance the cultural system (the medical professional culture) by offering compatible operating strategies and practices.

This article provides valuable insights into the link between professional culture and organisational culture. It also enriches debates on organisational culture and professional culture. We, therefore, contend that a strong professional culture can overwhelm and eventually become an organisational culture.

Compares the management profession with the medical profession, in particular examining the Hippocratic oath. Suggests that as managers are the physicians of business, they should also abide by an oath, which is then proposed by the author.

The COVID-19 pandemic has had a disruptive effect on the health system. Health facility leaders were at the forefront of maintaining service delivery and were exposed to varied stressors in the early phase of the pandemic. This study aims to explore the leadership experiences of health facility leaders during the early phase of the COVID-19 pandemic in Nigeria’s epicentre.

This study conducted an exploratory descriptive qualitative study. To achieve this, 33 health facility leaders of different cadres across primary, secondary, and tertiary levels of the public health care system in Lagos, Nigeria, were remotely interviewed. The key informant interviews were transcribed verbatim and were analysed by using thematic analysis.

The health facility leaders experienced heightened levels of fear, anxiety and stressors during the early phase of the pandemic. They also had genuine concerns about exposing their family members to the virus and had to manage some health-care workers who were afraid for their lives and reluctant. Coping mechanisms included psychological and social support, innovative hygiene measures at health facility and at home, training and staff welfare in more ways than usual. They were motivated to continue rendering services during the crisis because of their passion, their calling, the Hippocratic oath and support from the State government.

The experiences of health facility leaders from different parts of the world have been documented. However, to the best of the authors’ knowledge, this is one of the first studies that specifically report multi-layer leadership experiences of health facility leaders during the early phase of the COVID-19 pandemic in sub-Saharan Africa.

Medical confidentiality derives from the Hippocratic Oath and has been affirmed in most codes of professional conduct, including the Irish Medical Council's guide to professional conduct and ethics. The Irish Data Protection Act 1988 and Amendment 2003 bring this responsibility into a legal forum. The aim of this audit is to assess how comprehensively medical tutors/consultants instilled knowledge and appreciation of confidentiality and data protection to medical students in a prominent Dublin University Hospital.

Breaches in data protection legislation by final year medical students were identified by means of a questionnaire. Changes were made to the curriculum (presentations, notices on students' e‐learning interface and induction manual) and to the exams in psychiatry, to increase awareness of data protection legislation. Students at the same point in their education were re‐assessed one year later to see if the interventions were helpful in increasing knowledge and improving adherence to data protection legislation.

Significant breaches of the data protection legislation at baseline and follow up were identified. Examples include: “Data shall be kept for one or more specified, explicit and legitimate purposes” – when asked if they would inform patients that assessments were for submission of a case report, 44 per cent at baseline and 56 per cent at follow‐up said yes. “Appropriate security measures shall be taken against unauthorised access” – 52 per cent password‐protected their computer at baseline and 59 per cent did at follow‐up. Of those that had no password protection at baseline, 70 per cent of their computers were used by others, with little change in this at follow‐up (68 per cent). At baseline 52 per cent kept a copy of reports on USB devices compared to 46 per cent at follow‐up. 26 per cent admitted to losing a USB device in the past. “Data should not be kept longer than is necessary for that purpose” – 63 per cent admitting keeping electronic copies of case reports on their computers following submission at baseline and 64 per cent at follow‐up. “Data should be made anonymous” – 96 per cent at baseline and 100 per cent at follow‐up used initials when submitting case reports to make the data anonymous.

What was disappointing was that, while knowledge and awareness of obligations under data protection legislation improved following intervention, breaches in compliance still remained.

This is the first such audit in Ireland on the provision of educational training in the area of data protection legislation to medical students. It is likely that that such breaches by medical students reflect the tip of the iceberg in relation to probable breaches amongst registered healthcare professionals. The challenge now facing the medical profession and healthcare services is to effect behavioural change to improve compliance with data protection legislation.

The significance of investing in healthcare has been recognised during the COVID-19 period more than ever before across the globe. The COVID-19 pandemic has revealed inefficiency in the healthcare systems of many African countries which have resulted in the death of many people including healthcare workers who contracted the virus due to lack of protective equipment. Many African countries have not adequately invested in healthcare systems to prevent and urgently tackle the outbreaks of pandemics. This explains their unpreparedness to immediately address the COVID-19 pandemic that has ravaged many leading to the loss of lives. These challenges, therefore, have created the need to reflect and rethink concerted approaches to tackle this health hiccup. Consequently, this chapter discusses healthcare system challenges that have inhibited the delivery of good healthcare as well as issues of inequality in the provision of healthcare. The chapter explores the solutions to the identified challenges that can be adopted for better functioning of the healthcare system and provision of good healthcare. The chapter discusses how it costs the governments when they don't improve the healthcare systems. These costs are in form of increased strikes over demand for better remunerations, loss of manpower due to brain drain, loss of foreign currency that would come from medical tourism as well as loss of money in form of medical expenses abroad. It also highlights the benefits that accrue from improved healthcare systems. The chapter debates issues of morality about operations of private healthcare facilities and recommends appropriate measures that should be taken for better performance. The chapter recommends to the developing countries with meager resources the best model that can be adapted to better manage future pandemics, taking into account the environmental, cultural and demographic differences. The lessons that readers will pick from this chapter will go a long way in building healthcare systems that protect and shield the population against any future epidemics.

The prime objective of this article is related to dignified human beings as patients in clinical interventions. The main attention of such a perception focuses on observance of humaneness in relationships among physicians, patients, family members, and community at large. This paper aims to address these issues.

The paper examines in depth, analytical deliberations concerning traditional and modern values of medical care and healthcare knowledge and practices.

Therefore, we need to attest that we live in a global village in which multicultural people must live side‐by‐side, if they desire to peacefully coexist. We must assume that human values are based upon general agreements about ethical issues. Such agreements rely on a framework of equitable treatments of all mankind. Medical ethics is about committed codes and oaths of professional medical authorities to protect natural rights, human rights, and civil rights of patients in clinical interventions. It strives to achieve professional objectives to facilitate patients to be recovered from pain and suffering and regain their health in order to live the good life.

This paper is devoted to define the notions relevant to the philosophies of quality of life, ethical, and moral problems concerning clinical medicine, and preventive care systems. It analyzes certain ethical and moral distinctions between medical care and healthcare services, and indicates that cautions should be observed in discussing these notions within the context of preventive care and clinical care systems.

This paper explores the following questions: What is the meaning of a psychosomatic normal life? How life should be respected? What are the meta‐medical practices? What should be the logical and philosophical foundations for medical care and healthcare ethics? How should clinicians and practitioners respect not only cost‐benefit analysis but also consider cost‐effectiveness analysis in providing and promoting medical care and healthcare services for patients?

To provide a concept for a different policing organizational model, founded upon democratic policing principles and a victim‐centered philosophy, which may be more useful for a postmodernist society.

The paper presents an alternative model of policing; based upon a literature review of authoritative material concerning the postmodernist environment, the historical background of policing, police organizational research, and the philosophy of victim‐centered policing.

The paper presents a literature review, which identifies that the bureaucratic model of policing may no longer be functional for policing post‐modern society and inconsistent with modern governance principles. A more democratic heteronomous model of policing, where management determines the broad philosophical principles and co‐ordination of tasks while the policing practitioner makes localized decisions, may improve organizational effectiveness. A philosophy of victim‐centered policing may assist in achieving a policing legitimacy and the development of a new administrative approach. An existing model of this new approach may be found in the community beat officer, which is currently operating in many jurisdictions.

The implementation of the principles espoused in this paper may improve the policing legitimacy in heavily fragmented societies, reduce deviant behavior by police officers while increasing job satisfaction, support restorative justice issues for victims, and assist the maintenance of public order.

The paper may be of value of policy‐makers, police administrators, police union officials, anti‐corruption units, and criminal justice academics/practitioners.