Organizational Ethics & Culture in Business, Corporate life

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ee:

HEALTH CARE

STA PP

Organizational Ethics

Thomas D. Maddix, CSC, D.Min.
Vice President, Mission, Ethics & Spirituality

Holy Family Hospital | Mount Saint Joseph Hospital | St. Paul's Hospital | St Vincent's Hospitals: Brock Fahmi, Langara, Heather | Youville Residence | Marion Hospice

Organizational Ethics

“We saw nothing not because there was
nothing, but because we had trained
ourselves not to see.” Richard Garry, a
character in Colm Toibin’s novel, The Story of

the Night

Any organization of work--industrial, service,
blue or white collar-can be described as a
psychostructure that selects and molds
character. Michael Maccoby, The Gamesman

HEALTH CARE

Definitions

o Has to do with the identity and the integrity of the
organization itself—with who the organization is and
becomes and with what the organization does. The
organization's character and behavior, these are the
concerns and the scope of organizational ethics.

(Ron Hamel, PhD Health Progress, Dec.2006)

. It requires that the organization's values permeate the
organization at all levels and in all areas—from
executive leadership to housekeeping; in planning,
budgeting, and all other decisions; in policies,
procedures, and practices; in internal and external
relationships. Ron Hamel, Ph.D Health Progress, Dec. 2006

Senden
WEALTHIC ARE

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Definitions

o Has to do with the identity and the integrity of the
organization itself—with who the organization is and
becomes and with what the organization does. The
organization's character and behavior, these are the
concerns and the scope of organizational ethics.

(Ron Hamel, PhD Health Progress, Dec.2006)

. It requires that the organization's values permeate the
organization at all levels and in all areas—from
executive leadership to housekeeping; in planning,
budgeting, and all other decisions; in policies,
procedures, and practices; in internal and external
relationships. Ron Hamel, Ph.D Health Progress, Dec. 2006

Senden
WEALTHIC ARE

urn c

Definitions

o Has to do with the identity and the integrity of the
organization itself—with who the organization is and
becomes and with what the organization does. The
organization's character and behavior, these are the
concerns and the scope of organizational ethics.

(Ron Hamel, PhD Health Progress, Dec.2006)

. It requires that the organization's values permeate the
organization at all levels and in all areas—from
executive leadership to housekeeping; in planning,
budgeting, and all other decisions; in policies,
procedures, and practices; in internal and external
relationships. Ron Hamel, Ph.D Health Progress, Dec. 2006

Senden
WEALTHIC ARE

urn c

Common organizational ethics
issues include:

ill

2.
3.

Business and Service Plans (mergers, partnerships,
contracts with providers, marketing etc.)

Quality and Safety Issues

Employee Rights and Responsibilities
(compensation, bargaining, diversity, harassment,
privacy)

Role inthe Community (advocacy, investment
policies)

Resource Allocation

Work Restructuring

Cue nce
WEALTH CARE

Issues continued:

10.
NE
We,

13.

Charitable fundraising

Disagreement over treatment decisions

Access to care

Business development

Disclosure of risk

Business and Professional Integrity
(performance review/management; conflicts of
interest; incentives; hiring and promotion

Other????

HEALTH CARE

Ethics Agenda requires:

6. Aculture which

* Places ethical issues on the agenda

* Provides a safe place to discuss conflicting
ethical concerns
. Has a process for handling ethics disputes

HEALTH CARE

Ethics Agenda requires:

6. Aculture which

* Places ethical issues on the agenda

* Provides a safe place to discuss conflicting
ethical concerns
. Has a process for handling ethics disputes

HEALTH CARE

Ethics Agenda requires:

6. Aculture which

* Places ethical issues on the agenda

* Provides a safe place to discuss conflicting
ethical concerns
. Has a process for handling ethics disputes

HEALTH CARE

The Root of Moral Conflict within
organizations: Where we are coming
from...

10. Stanley Hauerwas has stated, “moral

behaviour is an affair not primarily of
choice but of vision.”

11. To see is to behave

12. Morality is based on who we are as
viewers and our interpretation of what is

going on.
by ence

HEALTH CARE

The Root of Moral Conflict within
organizations: Where we are coming
from...

10. Stanley Hauerwas has stated, “moral

behaviour is an affair not primarily of
choice but of vision.”

11. To see is to behave

12. Morality is based on who we are as
viewers and our interpretation of what is

going on.
by ence

HEALTH CARE

“Explicit”

Roles” y,
“In-awareness” Skin Colour > y
Behaviour x

“Implicit”

“Out of awareness”

Invisible

Gare

HEALTH CARE

The Root of Moral Conflict within
organizations: Where we are coming
from...

10. Stanley Hauerwas has stated, “moral

behaviour is an affair not primarily of
choice but of vision.”

11. To see is to behave

12. Morality is based on who we are as
viewers and our interpretation of what is

going on.
by ence

HEALTH CARE

The Root of Moral Conflict within
organizations: Where we are coming
from...

10. Stanley Hauerwas has stated, “moral

behaviour is an affair not primarily of
choice but of vision.”

11. To see is to behave

12. Morality is based on who we are as
viewers and our interpretation of what is

going on.
by ence

HEALTH CARE

Institutional Contexts of Doing
Ethics

3. The organizations/institutions provide us with
places
- to be
= to see
- points of contact with ethical questions
- points of view for moral/ethical insight
- context by which we live our ethical vision

Institutional Contexts of Doing
Ethics

3. The organizations/institutions provide us with
places
- to be
= to see
- points of contact with ethical questions
- points of view for moral/ethical insight
- context by which we live our ethical vision

Leaders and Culture - What’s
important

« What leaders pay attention to, measure
and control on a regular basis.

¢ How leaders react to critical incidents and
organizational crises

* Observed criteria by which leaders
allocated resources.

HEALTH CARE

Leaders and Culture continued

« Deliberate role modeling, teaching and
coaching.

« Observed criteria by which leaders allocate
rewards and status.

* Observed criteria by which leaders recruit,
select, promote, retire and ostracize
organizational members. x Hanoi quoting rom work done bythe VA

in the USA.

HEALTH CARE

Fear and the impact on
Organizations and Ethical Dialogue

Fear of:
i failing
ia being misunderstood
ds losing our position

HEALTH CARE

Fear continued

* looking foolish in front of our
peers...results in a paralysis of self,
others and organization

* our ignorance and prejudices exposed

« People disengage and ‘deferential

thinking’ becomes the norm (Gordon self,
ibid)

Fear continued

* looking foolish in front of our
peers...results in a paralysis of self,
others and organization

* our ignorance and prejudices exposed

« People disengage and ‘deferential

thinking’ becomes the norm (Gordon self,
ibid)

Fear continued

* looking foolish in front of our
peers...results in a paralysis of self,
others and organization

* our ignorance and prejudices exposed

« People disengage and ‘deferential

thinking’ becomes the norm (Gordon self,
ibid)

Roles in organizations can:

via Keep us in line and prompt us to
discharge obligations that we might
otherwise neglect.

ts Facilitate communication, helpfulness
and productivity.

za Ethical Responsibility in institutional
life...requires paying attention to the

implications of ethical behaviours for specific
roles.

HEALTH CARE

Roles in organizations can:

via Keep us in line and prompt us to
discharge obligations that we might
otherwise neglect.

ts Facilitate communication, helpfulness
and productivity.

za Ethical Responsibility in institutional
life...requires paying attention to the

implications of ethical behaviours for specific
roles.

HEALTH CARE

Moral Character in Organizations:

4. Decisions made within the context of the
organization impacts the lives of many people.

5. The Boeing Company says, “Ethics should be
approached as a system issue and not as a
problem of ‘bad individuals.”

6. Yet, there are individuals around the table
making decisions...

HEALTH CARE

Moral Character in Organizations:

4. Decisions made within the context of the
organization impacts the lives of many people.

5. The Boeing Company says, “Ethics should be
approached as a system issue and not as a
problem of ‘bad individuals.”

6. Yet, there are individuals around the table
making decisions...

HEALTH CARE

Key Points for us to consider:

6. For us to “do ethics,”---to reflect critically
on the character and action of ourselves and
our communities—we must recognize ‘where
we are” and “where we come from.”

Bion ence
ne

H CARE

Key Points for us to consider:

6. For us to “do ethics,”---to reflect critically
on the character and action of ourselves and
our communities—we must recognize ‘where
we are” and “where we come from.”

Bion ence
ne

H CARE

Key Points for us to consider:

6. For us to “do ethics,”---to reflect critically
on the character and action of ourselves and
our communities—we must recognize ‘where
we are” and “where we come from.”

Bion ence
ne

H CARE

Concluding Considerations:

Authenticity and integrity or inner harmony are
related to the choices
made on the basis of who we are and what we
love.
Jean S. Bolen, MD, The Ring of Power

Concluding Considerations:

Authenticity and integrity or inner harmony are
related to the choices
made on the basis of who we are and what we
love.
Jean S. Bolen, MD, The Ring of Power
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