Learning organization in comparison to an efficient performance organization
Why is shared information so important in a learning organization in comparison to an efficient performance organization? Discuss how an organization’s approach to sharing information may be related to other elements of organization design such as: structure, tasks, strategy, and culture.
Chapter 1: What are some differences that one might anticipate among the expectations of stakeholder for a nonprofit organization versus a for-profit business? Do you believe nonprofit managers have to pay more attention to stakeholders than business managers?
Chapter 2: How might a company’s goals for employee development be related to its goals for innovation and change? How might a company's goals for employee development be related to its goals for productivity? Explain the ways that these types of goals may conflict in an organization?
Chapter 2: Suppose you have been asked to evaluate the effectiveness of the police department in a medium-sized community. Where would you begin? How would you proceed? What effectiveness approach would you prefer?
Chapter 3: What types of organizational activities do you believe are most likely to be outsourced? What types are least likely?
Sample Solution
Ethical Principle: Autonomy
I've chosen autonomy as the ethical principle to explore, focusing on the right of patients to self-determine their own care.
Scenario 1: Disregarding Patient Autonomy:
Setting: A nursing home resident with early-stage dementia consistently expresses their desire to refuse further chemotherapy for their advanced cancer. The attending physician, however, believes the treatment offers a chance for remission and overrides the resident's wishes, proceeding with chemotherapy against their will.
Ethical Violation: In this scenario, the patient's autonomy is blatantly disregarded. Their right to informed consent and refusal of treatment is ignored, violating their dignity and agency as a medical decision-maker.
Full Answer Section
Scenario 2: Respecting Patient Autonomy: Setting: A terminally ill patient in a hospice facility expresses their wish to die peacefully at home surrounded by family. The healthcare team carefully evaluates the patient's situation, ensuring they understand the implications of their choice and providing all necessary support to manage their symptoms at home. They respect the patient's decision and facilitate their discharge, offering continuous palliative care and family support. Ethical Respect: Here, the healthcare team upholds the patient's autonomy, respecting their informed decision to forgo aggressive treatment and prioritize comfort in their final days. They empower the patient's agency and provide necessary support, adhering to their ethical and legal obligations. Discussion with Colleagues: The Right and its Basis: Patients' right to autonomy is enshrined in legal and ethical frameworks. The U.S. Patient Self-Determination Act (PSDA) and the American Nurses Association (ANA) Code of Ethics emphasize informed consent and respect for patient autonomy. This right translates into responsibilities for healthcare organizations:- Providing complete and understandable information: Healthcare professionals must ensure patients have access to all relevant information about their condition, treatment options, and potential risks and benefits, enabling informed decision-making.
- Respecting informed refusals: Patients have the right to refuse any treatment even if healthcare professionals believe it would be beneficial. Their decisions should be respected without coercion or undue influence.
- Supporting autonomous choices: Healthcare organizations should provide resources and support systems to help patients understand and carry out their decisions, including advance directives and access to alternative or home-based care options.