Public health ethical conflicts – weekly discussion

Public health ethical conflicts – weekly discussion

1- How might ethics conflict with policy or legal requirements in providing health services? What’s at stake in these sorts of conflicts? As you discuss, think about such conflicts in professional situations you have encountered (nurse/healthcare employees)

Respond the following questions based on the scenario provided

2- What are the most concerning legal and policy concerns in this scenario? What policy guidelines would be helpful to us in exploring and addressing these issues? Sustainability, set realistic achievable goals.

3- Now, let’s talk about conflicts between ethics and the legal and policy concerns we are charged to address. In this scenario, does conflict exist or is the organization exempted from any responsibility toward the participants as the service/program was part of a research project? As we identify potential conflicts, elaborate on concerns in applying ethical guidelines to this situation. Contemplate how this situation might be viewed in your emphasis.

4- Given the legal and policy issues involved in this situation, which of the resources from last week would be useful here? Are there additional resources you would want to make use of? Why?

Scenario: You learn that the project was indeed a success from the services perspective. However, the overarching goal of the project, which was to gather data through a rigorous research study, has not been met. Therefore, the funding will not be renewed. At a meeting of program leadership, it became apparent that the organization does not have a clear plan to accomplish this task. Some leaders are advocating a plan to not formally inform participants that the program is ending until the last week of service; this plan proposes providing participants with a letter and a list of resources during the last week of service. Others propose informing participants right away and working with them on a transition plan. Still others are unsure as to what the organization should do. Not only will older adults and people living with disabilities be affected, but so will their adult children and other family members, professional caregivers, and volunteers. All of the proposed plans are vague and lacking in substance; they involve actions to protect the reputation of the organization.

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