Ethique clinique et éthique organisationnelle dans les organisations de santé: une étude des dilemmes éthiques des cadres de santé

Angélique Maquart () and Laure Lavorata ()
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Angélique Maquart: REGARDS - Recherches en Économie Gestion AgroRessources Durabilité Santé- EA 6292 - URCA - Université de Reims Champagne-Ardenne - MSH-URCA - Maison des Sciences Humaines de Champagne-Ardenne - URCA - Université de Reims Champagne-Ardenne
Laure Lavorata: REGARDS - Recherches en Économie Gestion AgroRessources Durabilité Santé- EA 6292 - URCA - Université de Reims Champagne-Ardenne - MSH-URCA - Maison des Sciences Humaines de Champagne-Ardenne - URCA - Université de Reims Champagne-Ardenne

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Abstract: In a context of reforms in institutional governance and personnel management, health supervisors are faced with more and more ethical dilemmas. As intermediaries between caregivers and institutions, they have to simultaneously promote clinical and organizational ethics. The aim of this article is to clarify the links between these two concepts through a qualitative study conducted among thirty-five health supervisors and to propose avenues for improvement. This research identifies twenty ethical dilemmas related to the institution, associated with management, or resulting from the relationship with the patient or the doctor, all of which show the complexity of ethical decision-making. Several managerial implications are highlighted: the training of health supervisors in ethical decision-making and the training of caregivers in narrative ethics; better communication between supervisors; and the establishment of a benevolent ethical climate.

Keywords: Ethical dilemna; Clinical ethics; Health supervisors; Dilemne éthique; Ethique clinique; Cadres de santé; Climat éthique (search for similar items in EconPapers)
Date: 2022
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Published in @GRH, 2022, ⟨10.3917/grh.042.0115⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-03628877

DOI: 10.3917/grh.042.0115

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