“Morality
is a code of conduct” (Progaz, 2012).
The word morality is sometimes used interchangeably with ethics.
Morality is the behaviors and beliefs about human decency, good and evil, proper
and improper, whereas ethics is a philosophical reflection on moral beliefs and
behaviors (Highfield, n.d.). In other words, Ethics is the ideology behind
morality. Therefore, ethics committees’ ultimate mission is to make moral
decisions and to facilitate others to reach morality.
James Davison Hunter, a professor of
religion, culture and social theory at the University of Virginia believed that
the definition of morality has changed over time. Morality used to be not only emotional,
it was also social, and the need for doing the right thing was imperative to
people. As the time change, the idea behind morality also changed. Morality is
now seen as a choice, that it can be changed as situation and circumstances
changed. Hunter believed that “we’ve moved from a culture of character to a
culture of personality” (Rowe, 2013), and we personalize our ideas of the good
and the right.
Complicated and complex ethical issues
occur in the health care setting on a regular basis, and the issues surrounding
morality happen every single day in the field. It is extremely difficult even
for health care professional to face death, let alone having to contribute to
end-of-life decision making processes, especially when technology improves
every moment, and people’s perception of morality and ethics change over time. Conflict
related to morality is often brought to the ethics committees within a health
care organization. The ethics committee serves as a portal in resolving many of
these conflicts.
The responsibilities of ethics committee
are to provide educational, consultation and supportive measures to patients
and health care professionals, and to enhance decision-making process of the
organization. It also takes the role of analyze and elucidate confusions and
dilemmas in the health care setting (Moeller, 2012). When dealing with cases, Young’s strategy
suggested five steps. The Committees should define the problem first, and then
collect as much information as possible, follow by identification of the
important values and principles. The final two steps involves in the reflection
of motives and intentions and to prioritize the conflicting values and make the
ethical and most responsible decision (Rowe, 2013).
Resource
Highfield, M. (n.d.). Ethical
Decision-making & Influencing Factors. California State University
Northridge. Retrieved
from http://www.csun.edu/~meh20426/303/6EthicsIntro.pdf
Moeller, J., Albanese, T., Garchar, K.,
Aultman, J., Radwany, S., & Frate, D. (2012). Functions
and Outcomes of a Clinical Medical Ethics Committee:
A Review of 100 Consults. HEC Forum, 24(2), 99-114.
doi:10.1007/s10730-011-9170-9
Pozgar,
George (2012). Legal Aspects of Health
Care Administration 11th Edition. Sudbury, MA:
Jones & Bartlett Learning.
Rowe, R. (2013). Understanding the
Context of Moral Dilemmas in Health Care Organizations:
Perspectives for Employee Training and Continuing
Education. Home Health Care Management & Practice, 25(4),
141-146. doi:10.1177/1084822312473830
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