Moral Leadership in Medicine: Building Ethical Healthcare Organizations
Cambridge University Press, 12/22/2011
EAN 9781107006157, ISBN10: 1107006155
Hardcover, 240 pages, 24 x 16 x 1.6 cm
Language: English
What are the moral challenges that confront doctors as they manage healthcare institutions? How do we build trust in medical organisations? How do we conceptualize moral action? Based on accounts given by senior doctors from organisations throughout the UK, this book discusses the issues medical leaders find most troubling and identifies the moral tensions they face. Moral Leadership in Medicine examines in detail how doctors protect patients' interests, implement morally controversial change, manage colleagues in difficulty and rebuild trust after serious medical harm. The book discusses how leaders develop moral narratives to make sense of these situations, how they behave while balancing conflicting moral goals and how they influence those around them to do the right thing in difficult circumstances. Based on empirical ethical analysis, this volume is essential reading for clinicians in leadership roles and students and academics in the fields of healthcare management, medical law and healthcare ethics.
Preface
Acknowledgements
1. Why medicine needs moral leaders
2. Creating an organizational narrative
3. Understanding normative expectations in medical moral leadership
Prologue to chapters four and five
4. Expressing fiduciary, bureaucratic and collegial propriety
5. Expressing inquisitorial and restorative propriety
Epilogue to chapters four and five
6. Understanding organizational moral narrative
7. Moral leadership for ethical organizations
Appendix 1. How the research was done
Appendix 2. Accountability for clinical performance
individuals and organisations
Appendix 3. A brief guide to commonly used ethical frameworks
Index.
Advance praise: 'Dr Shale's book is an outstanding contribution to medical ethics. Its combination of theoretical reflection and empirical research is robust and insightful. I believe that her examination of the ways personal, organizational and situational ethics interact is profound and important for understanding real world healthcare. She writes with wit and grace. This is a superb book, which should be on the desk of anyone who thinks seriously about medical ethics and about the organisation of healthcare.' Richard Ashcroft, Queen Mary, University of London