Decision Makers Interview: Ethical Conflict

Introduction: organization and the interviewees’ background; statement of the problem

Ethical conflicts play a critical role in nursing practices. Many specialists believe that managers tend to underestimate or overview these problems (Toren & Wagner, 2010). Practice shows that unjust allocation of funds, discrimination on the part of the senior management and moral distress prevent nurses from fulfilling their duties efficiently, and has a negative impact on the health care service (Huber, 2014).


In order to analyze the relevant problem, one has interviewed two representatives of the Ottawa Civic Hospital. The first interviewee takes the position of the Chief Financial Officer (CFO), and his duties include efficient budget allocation and the principal decision making. The second interviewee is an accounting manager responsible for monitoring hospital financial performance and foreseeing possible risks. Both interviewees have taken their positions for the past ten years and agreed on the fact that an ethical problem is acute in their organization. Therefore, they tried to provide a detailed description of the activity performed to resolve it.

To begin with, the interviewees pointed out a series of measures carried out to improve the ethical environment. Thus, a new Code of Ethics was introduced three years ago. The distinguishing feature of this Code is that it is a set of rules that refers to the entire workforce instead of the nursing department only like its precedent. Another step was the foundation of a formal ethics committee responsible for monitoring the level of the moral and ethical standards within the hospital. Thus, nurses can address the relevant part in case any moral conflict occurs. Finally, in order to eliminate the problem of voicelessness, the front office obliged nursing managers to participate in all the decision-making procedures and to report regularly on the current set of things in the nursing department.

The interviewees note that the lack of a connection between the financial and the nursing departments is a critical problem. One needs to note that this question is widely discussed by modern scientists. Hence, some of them believe that the lack of representatives of the nursing workforce has a negative influence on the corporate ethical climate (Pauly, Varcoe, Storch, & Newton, 2009).

Meanwhile, the interviewees claim that the activity aimed at improving the ethical environment in the organization is not finished yet. Thus, among the potential steps, the health care workers point out the increase the amount of money invested in the long-term care, the improvement of the workloads system, and the reformation of the decision-making mechanism in order to make it more decentralized. The interviewees explained that such a wide spectrum of aims is determined by a many-sided character of the ethics concept.

Their intention to decentralize the decision-making system is aimed at raising the level of equally within the personnel. One needs to note that the relevant measure is believed to be an effective tool for the equalization of the staff and the senior management (Corley, Minick, Elswick, & Jacobs, 2005).

The interviewees likewise described the potential risks they expect to meet. Thence, among the difficulties they foresee, the most problematic task is to improve the efficiency of the Code of Ethics so that its rules are equally obeyed by the nursing department and the senior management. The interviewees believe that no significant changes might occur in the department unless they start from above. One needs to note that the relevant assumption is commonly supported by various specialists who believe that the ethical behavior is to be primarily demonstrated by leaders (Gaudine & Beaton, 2002).

Another problem the interviewees predict is the transformation of the budget allocation system. The hospital representatives note that it is highly problematic to replace the quantitative financial approach by the qualitative policy, even though they agree that this measure is essential. Finally, the CFO adds that one of the potential challenges is to set a reliable connecting between the management and the nursing department so that the latter can regularly report on the current needs and problems.

Moreover, the interviewees provided some statistics regarding the measures performed throughout the past year. According to the data, the organization spent 50,000 dollars on the initiatives connected with the ethical problem resolution. The major part of the money, 35,000 dollars was contributed to the implementation of the formal ethics committee. 10,000 and 5,000 dollars were spent on the leadership training and the monitoring activity correspondingly. The relevant measures have been performed within the department of 3000 of nurses, where each nurse serves from 5-10 patients a day. The sum of the investment comprises 1/12 part of the total hospital budget.


According to the collected data, one might conclude, that the most critical aims are the reformation of the workload system, the resolution of the voicelessness problem and the strengthening of the interconnection between the departments. As well as the interviewees, many analysts suggest that the success of the problems’ resolution highly depends on the managerial approach (Dunham-Taylor & Pinczuk, 2006). Therefore, the measures described by the interviewees seem to be efficient and reasonable.

Reference List

Corley, M.C., Minick, P., Elswick, R.K., & Jacobs, M. (2005). Nurse moral distress and ethical work environment. Nursing Ethics, 12(4), 381-390.

Dunham-Taylor, J., & Pinczuk, J.Z. (2006). Health Care Financial Management for Nurse Managers: Merging the Heart with the Dollar. Sudbury, Massachusetts: Jones & Bartlett Learning.

Gaudine, A.P., & Beaton, M.R. (2002). Employed to go against one’s values: nurse managers’ accounts of ethical conflict with their organizations. Canadian Journal of Nursing Research, 34(2), 17-34.

Huber, D. (2014). Leadership and Nursing Care Management. Saint Louis, Missouri: Elsevier Health Sciences.

Pauly, B., Varcoe, C., Storch, J., & Newton, L. (2009). Registered nurses’ perceptions of moral distress and ethical climate. Nursing Ethics, 16(5), 561-573.

Toren, O., & Wagner, N. (2010). Applying an ethical decision-making tool to a nurse management dilemma. Nursing Ethics, 17(3), 393-402.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Online Academic Experts
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
It was a very long paper, but she followed all the instructions, and she even finished the paper 5 days before the due date. Will write an essay with her again, thanks!
Customer 452967, November 27th, 2021
Business Management
Awesome job, Thank you
Customer 453201, June 12th, 2022
IT, Web
Awesome paper in such a short amount of time. Was in a jam with another service who didn't deliver, but Theresa did the job correctly. I will use her again to do my essays for sure!
Customer 452967, November 27th, 2021
Looks great and appreciate the help.
Customer 452675, April 26th, 2021
Professions and Applied Sciences
Thanks. This helps a lot. Was a bit late but some cushion was given.
Customer 453015, February 10th, 2022
Criminal Justice
The paper was not accused of plagiarism and was written very well. I will let you know the grade once it is graded. Thank you
Customer 452671, April 26th, 2021
The writer was timely and proficient. I had to ask for a revision, but I got it back quickly with no other issues. Would use this essay writing service again
Customer 452441, November 14th, 2021
English 101
IThank you
Customer 452631, April 6th, 2021
Very fast response and did a excellent job.
Customer 453201, May 31st, 2022
Thank you , Excellent work
Customer 453201, June 2nd, 2022
quick and before due date/time.
Customer 453027, January 29th, 2022
Nice work
Customer 453185, May 21st, 2022
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp