Florida National University Whistle Blowing in Nursing Discussion

User Generated

pebdhrgnf

Health Medical

Florida National University

Description



Case Study, Chapter 16, Whistle-Blowing in Nursing

A student nurse asks a faculty member to explain whistle-blowing. The student nurse wants to know the work conditions that would have to be met before whistle-blowing occurs, as well as situations in which whistle-blowing is clearly indicated. The faculty member reviews key concepts with all members of the class.

1. Being a whistle-blower takes great courage and self-conviction because it requires the whistle-blower to avoid groupthink. Analyze how groupthink affects the process of whistle-blowing.

2. Discuss the pros and cons of whistle-blowing.

3. What are the key guidelines for blowing the whistle?


APA format, 2 references

Unformatted Attachment Preview

Chapter 16 Whistle-Blowing in Nursing Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins Whistle-Blowing ❖ Action by a nurse going outside organization for public’s best interest when organization is unresponsive to reporting danger through organization’s proper channels ❖ Two types: o Internal: reporting concerns via chain of command o External: reporting concerns outside organization Copyright © 2020 Wolters Kluwer • All Rights Reserved Groupthink and Whistle-Blowing ❖ Groupthink: inappropriate conformity to group norms o Going outside with significant personal, professional risks o Cases involving Enron, WorldCom, Morgan Stanley, federal prison in California, Wells Fargo Bank o Awareness of problem; ignore until crisis occurs or problem becomes public o Reality: professionals torn between what they believe they should do and what they actually do o Research by Fagan, Parker, and Jackson (2016): “speaking up” Copyright © 2020 Wolters Kluwer • All Rights Reserved Examples in Nursing #1 ❖ Multiple cases of whistle-blowing by nurses o Nursing home abuse, neglect o Inadequate, inappropriate care o Unsafe nurse staffing o Unprofessional physician conduct Copyright © 2020 Wolters Kluwer • All Rights Reserved Examples in Nursing #2 ❖ Primary reason for not raising a concern: nothing would be done ❖ Whistle-blowing never first solution; need to follow chain of command ❖ Guidelines for whistle-blowing (see Box 16.1) Copyright © 2020 Wolters Kluwer • All Rights Reserved Question #1 Is the following statement true or false? ❖ Whistle-blowing involves adhering to groupthink. Copyright © 2020 Wolters Kluwer • All Rights Reserved Answer to Question #1 False ❖ Groupthink refers to an inappropriate conformity to group norms. Whistle-blowing involves going outside the norm. Copyright © 2020 Wolters Kluwer • All Rights Reserved Cultural Background ❖ Cultural background, a possible influence—reluctant due to being raised to respect clear chain of command and hierarchy ❖ English-as-a-second-language nurses—reluctant due to problems with communication ❖ Higher stakes; fear of retaliation Copyright © 2020 Wolters Kluwer • All Rights Reserved Personal Risks #1 ❖ Negative reactions from coworkers ❖ Loss of job ❖ Employer retaliation ❖ Legal retaliation ❖ Personal effects (distress, acute anxiety, flashbacks, nightmares, disturbing thoughts) ❖ Effects on family life ❖ Reporting problems anonymously is difficult Copyright © 2020 Wolters Kluwer • All Rights Reserved Personal Risks #2 ❖ Whistle-blowers never assume doing right thing will protect from retaliation ❖ Need to determine legal duty for reporting; research specifics of protection under law; anonymous reporting if possible; preparation to defend claim ❖ Attempt to solve problems internally before going public ❖ Pros and cons (see Box 16.2) Copyright © 2020 Wolters Kluwer • All Rights Reserved Ethical Dimensions ❖ Conflict between commitments to principle and duty o Loyalty to employer versus patient protection (major reason for delay) o Advocacy, group loyalty, and “saving face” o Consequentialist view: maximize benefit; minimize harm o Deontological view: duty to keep promises or protect patients ❖ ANA Code of Ethics for Nurses and other ethical codes: role of patient advocacy Copyright © 2020 Wolters Kluwer • All Rights Reserved Question #2 Is the following statement true or false? ❖ A consequentialist views whistle-blowing in terms of maximizing the benefit while minimizing the harm. Copyright © 2020 Wolters Kluwer • All Rights Reserved Answer to Question #2 True ❖ Whistle-blowing is viewed by a consequentialist as focusing on changing a situation for the better, that is, maximizing the benefit while minimizing the harm. Copyright © 2020 Wolters Kluwer • All Rights Reserved Whistle-Blowing as Failure of Organizational Ethics #1 ❖ Organization failing to address accountability for patients’ safety and welfare ❖ Nurses encouraged to speak up and be supported when doing so ❖ Reality: if person willing to go to the trouble and risk repercussions, then concerns need to be taken seriously Copyright © 2020 Wolters Kluwer • All Rights Reserved Whistle-Blowing as Failure of Organizational Ethics #2 ❖ Suggestions o Ethical committee chaired by nurse with biomedical issue experience o Nurse manager promotes values of patient advocacy o Organizational support of individuals willing to take risk Copyright © 2020 Wolters Kluwer • All Rights Reserved Legal Protection #1 ❖ No universal legal protection for whistle-blowers ❖ Federal protection o 1st, 14th Amendments to the U.S. Constitution o Title VII of Civil Rights Act or Fair Labor Standards Act o President Donald Trump’s 2017 executive order establishing an Office of Accountability and Whistleblower Protection ❖ State protection ❖ Variable standards for proving retaliation Copyright © 2020 Wolters Kluwer • All Rights Reserved Legal Protection #2 ❖ False Claims Act: for fraud committed against federal government o Exhaust internal chain of command o File complaint with DHHS o If considered valid, litigation proceeds o Whistle-blower receives percentage of damages awarded o As of 2016, False Claims Acts had been adopted by 29 states, District of Columbia, NY city, and Chicago Copyright © 2020 Wolters Kluwer • All Rights Reserved Legal Protection #3 ❖ Other federal legislation o Whistleblower Protection Act of 1989 o Whistleblower Protection Enhancement Act of 2007 o National Labor Relations Act o Sarbanes-Oxley Act of 2002 (best protection for nongovernmental employees) Copyright © 2020 Wolters Kluwer • All Rights Reserved Question #3 Is the following statement true or false? ❖ The False Claims Act provides protection for fraud committed against the state. Copyright © 2020 Wolters Kluwer • All Rights Reserved Answer to Question #3 False ❖ Although there are state versions of the False Claims Act, the Act was passed to encourage whistle-blowers to come forward regarding fraud committed against the federal government. Copyright © 2020 Wolters Kluwer • All Rights Reserved Whistle-Blowing as an International Issue ❖ 2014 Annual Report to Congress on the Dodd-Frank Whistleblower Program ❖ Highest numbers of international reports came from the UK, Canada, Australia, China, and India ❖ In 2017, the British National Health Services published draft regulations to give legal protection to NHS whistleblowers Copyright © 2020 Wolters Kluwer • All Rights Reserved End of Presentation Copyright © 2020 Wolters Kluwer • All Rights Reserved
Purchase answer to see full attachment
User generated content is uploaded by users for the purposes of learning and should be used following Studypool's honor code & terms of service.

Explanation & Answer

check this

Running head: ASSIGNMENT

1

Assignment
Instructor name
Student name
Date

ASSIGNMENT

2

Groupthink affects the process of whistle-blowing
Groupthink affects the process of whistleblowing as individuals have the capability to
understand the actions resulting in ethical or unethical situations. Group members reach a
consensus because of peer pressure. The group always prefers to have a safe option which
can be ethical or unethical. The members assist each other in making effective decisions but
this is not app...


Anonymous
Really helped me to better understand my coursework. Super recommended.

Studypool
4.7
Trustpilot
4.5
Sitejabber
4.4

Related Tags