Reflection of Ethical Self-Assessment Report

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Updated: Mar 28th, 2024

Table of Contents

Introduction
Reflection of Personal Self-Assessment
References
Attachment 1 – Ethical Self-Assessment
Attachment 2. Assessment Criteria

Introduction

Ethics is a very important part of the set of competencies a worker of healthcare should possess and review continuously since working with people in the hardest moments of their lives, during the complications with health they face requires certain skills and qualities. Even being forced to announce dreadful diagnoses to desperate people has always required strong compliance with ethical and moral standards – human health is a very delicate sphere of activity, so clinicians, nurses, and other members of any medical establishment’s staff have to be reviewed for possessing these qualities, should direct their effort at strengthening and developing these qualities and improving their ethical indicators.

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As it follows from the ACHE Code of Ethics, the medical worker has to possess a huge set of personal characteristics and skills to comply with the code. The American College of Healthcare Executives stipulates high standards for its students to assess their readiness for work in the medical sphere, as tying ethics with leadership qualities, the ability to conduct self-assessment, and identifying weak and strong sides of their ethical profile.

There are several sections in the ACHE Code of Ethics that denominate the directions of development the student should determine. For example, some important parts discuss The Healthcare Executive’s Responsibilities to the Profession of Healthcare Management, to the patients, to the organizations in which he or she works as well as to other employees (ACHE Code of Ethics, 2009). In addition, there is a separate section discussing the procedure of reporting violations of the code by other employees that can be conducted by any health executive obliged to comply with this Code of Ethics (ACHE Code of Ethics).

Reflection of Personal Self-Assessment

Judging from my self-assessment characteristics it becomes clear that there is much to be improved, though I am still showing rather high-performance standards on ethics as a future health executive. As for the first section of the self-assessment report, leadership in ethics, I see that I have rather good results, with all answers ‘Always’ – this means for me that I am self-directed in my ethical improvement and ethical education I still have in the future before becoming a real healthcare executive. I am good at managing my efforts on the way of ethical improvement and ethical conduct, I strive to achieve compliance with the accepted ethical model and I am already able to move further from egoism to professionalism in ethics (Ethics Self-Assessment, 2009).

I see the goals my organization pursues and willingly follow the common goals established for the whole organization. I support the establishment of new ethics controlling mechanisms and try to be guided by ethical considerations every time I make a decision about healthcare; this is why I can say that I have achieved considerable progress in this sphere. However, there are some spheres in which I still have to improve my ethical standards and work more on achieving much better performance standards.

As an example, I want to analyze such points as allocation of personal time to the development of ethical standards improvement programs and participation in the work of the management team with the purpose of improvement of ethical standards and their control. My answers were “Occasionally” to both questions, and I can explain such a fact only by having little free personal time to devote to extra-curriculum activities on ethical improvement.

It is hard to find time beyond the working schedule to devote it again to work matters. I know that the situation needs to be improved, and lack of initiative and additional effort for ethical improvement is a negative phenomenon that has to be changed by joint effort, but still, the fact remains that we students are unable to devote more time to solution of our ethical problems than it is prescribed by the schedule. I do hope that shortly I will find time and there will be some innovative programs or decisions on encouraging a more active interest in the issue.

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In other terms, I guess I achieved better results that allow me to speak about a strong possibility for me to become a prospectively good healthcare executive. In addition to the facts I have already discussed in the present work, I am careful and attentive to the patients and their families, I have a strong ethical basis in my relations with the board and reviewing my ethical performance for the administration in general.

My ethical views and standards concerning my relations with colleagues and staff are also strongly positive, clinicians included. My relations with third parties in the healthcare process are also strong and are built on ethical standards. So I can make a conclusion that I comply with ethical standards if relating to ethical theory, both concerning ethics of conduct and ethics of character (Ethical Theories Compared, 2001).

Taking into consideration the way the self-assessment plan is built, I can say that in all terms that do not go beyond the curriculum I comply with the ACHE Code of Ethics to the fullest extent, and I have the wish and incentive to improve my ethical standards. However, only under the conditions of periodical review of standards and compliance with them, it is possible to ensure high-performance standards for a healthcare executive.

References

ACHE Code of Ethics (2009). American College of Healthcare Executives. Web.

Ethical Theories Compared (2001). Web.

Ethics Self-Assessment (2009). American College of Healthcare Executives. Web.

Attachment 1 – Ethical Self-Assessment

Leadership
I take courageous, consistent, and appropriate management actions to overcome barriers to achieving my organization’s mission.
Almost Never	Occasionally	Usually	Always	N/A


I place community/patient benefit over my personal gain.
Almost Never	Occasionally	Usually	Always	N/A


I strive to be a role model for ethical behavior.
Almost Never	Occasionally	Usually	Always	N/A


I work to ensure that decisions about access to care are based primarily on medical necessity, not only on the ability to pay.
Almost Never	Occasionally	Usually	Always	N/A


My statements and actions are consistent with professional ethical standards, including the ACHE Code of Ethics.
Almost Never	Occasionally	Usually	Always	N/A


My statements and actions are honest even when circumstances would allow me to confuse the issues.
Almost Never	Occasionally	Usually	Always	N/A


I advocate ethical decision-making by the board, management team, and medical staff.
Almost Never	Occasionally	Usually	Always	N/A


I use an ethical approach to conflict resolution.
Almost Never	Occasionally	Usually	Always	N/A


I initiate and encourage discussion of the ethical aspects of management/financial issues.
Almost Never	Occasionally	Usually	Always	N/A


I initiate and promote discussion of controversial issues affecting community/patient health (e.g., domestic and community violence and decisions near the end of life).
Almost Never	Occasionally	Usually	Always	N/A


I promptly and candidly explain to internal and external stakeholders negative economic trends and encourage appropriate action.
Almost Never	Occasionally	Usually	Always	N/A


I use my authority solely to fulfill my responsibilities and not for self-interest or to further the interests of family, friends, or associates.
Almost Never	Occasionally	Usually	Always	N/A


When an ethical conflict confronts my organization or me, I am successful in finding an effective resolution process and ensuring it is followed.
Almost Never	Occasionally	Usually	Always	N/A


I demonstrate respect for my colleagues, superiors, and staff.
Almost Never	Occasionally	Usually	Always	N/A


I demonstrate my organization’s vision, mission, and value statements in my actions.
Almost Never	Occasionally	Usually	Always	N/A


I make timely decisions rather than delaying them to avoid difficult or politically risky choices.
Almost Never	Occasionally	Usually	Always	N/A


I seek the advice of the ethics committee when making ethically challenging decisions.
Almost Never	Occasionally	Usually	Always	N/A

My personal expense reports are accurate and are only billed to a single organization.
Almost Never	Occasionally	Usually	Always	N/A


I openly support establishing and monitoring internal mechanisms (e.g., an ethics committee or program) to support ethical decision-making.
Almost Never	Occasionally	Usually	Always	N/A


I thoughtfully consider decisions when making a promise on behalf of the organization to a person or a group of people.
Almost Never	Occasionally	Usually	Always	N/A


Relationships
Community
I promote community health status improvement as a guiding goal of my organization and as a cornerstone of my efforts on behalf of my organization.
Almost Never	Occasionally	Usually	Always	N/A


I personally devote time to developing solutions to community health problems.
Almost Never	Occasionally	Usually	Always	N/A


I participate in and encourage my management team to devote personal time to community service.
Almost Never	Occasionally	Usually	Always	N/A

Patients and Their Families
I use a patient- and family-centered approach to patient care.
Almost Never	Occasionally	Usually	Always	N/A


I am a patient advocate on both clinical and financial matters.
Almost Never	Occasionally	Usually	Always	N/A


I ensure equitable treatment of patients regardless of socio-economic group or payor category.
Almost Never	Occasionally	Usually	Always	N/A


I respect the practices and customs of a diverse patient population while maintaining the organization’s mission.
Almost Never	Occasionally	Usually	Always	N/A


I demonstrate through organizational policies and personal actions that overtreatment and undertreatment of patients are unacceptable.
Almost Never	Occasionally	Usually	Always	N/A


I protect patients’ rights to autonomy, clinical efficacy, and full information about their illnesses, treatment options, and related costs.
Almost Never	Occasionally	Usually	Always	N/A


I promote medical record confidentiality and do not tolerate breaches of this confidentiality.
Almost Never	Occasionally	Usually	Always	N/A


Board
I have a routine system in place for board members to make full disclosure and reveal potential conflicts of interest.
Almost Never	Occasionally	Usually	Always	N/A


I ensure that reports to the board, my own or others, appropriately convey risks of decisions or proposed projects.
Almost Never	Occasionally	Usually	Always	N/A


I work to keep the board focused on ethical issues of importance to the organization, community, and other stakeholders.
Almost Never	Occasionally	Usually	Always	N/A


I keep the board appropriately informed of patient safety and quality indicators.
Almost Never	Occasionally	Usually	Always	N/A


I promote board discussion of resource allocation issues, particularly those where organizational and community interests may appear to be incompatible.
Almost Never	Occasionally	Usually	Always	N/A


I keep the board appropriately informed about issues of alleged financial malfeasance, clinical malpractice, and potentially litigious situations involving employees.
Almost Never	Occasionally	Usually	Always	N/A


Colleagues and Staff
I foster discussions about ethical concerns when they arise.
Almost Never	Occasionally	Usually	Always	N/A


I maintain the confidences entrusted to me.
Almost Never	Occasionally	Usually	Always	N/A


I demonstrate through personal actions and organizational policies zero tolerance for any form of staff harassment.
Almost Never	Occasionally	Usually	Always	N/A


I encourage discussions about and advocate for the implementation of the organization’s code of ethics and value statements.
Almost Never	Occasionally	Usually	Always	N/A


I fulfill the promises I make.
Almost Never	Occasionally	Usually	Always	N/A


I am respectful of views different from mine.
Almost Never	Occasionally	Usually	Always	N/A


I am respectful of individuals who differ from me in ethnicity, gender, education, or job position.
Almost Never	Occasionally	Usually	Always	N/A


I convey negative news promptly and openly, not allowing employees or others to be misled.
Almost Never	Occasionally	Usually	Always	N/A


I expect and hold staff accountable for adherence to our organization’s ethical standards (e.g., performance reviews).
Almost Never	Occasionally	Usually	Always	N/A


I demonstrate that incompetent supervision is not tolerated and make timely decisions regarding marginally performing managers.
Almost Never	Occasionally	Usually	Always	N/A


I ensure adherence to ethics-related policies and practices affecting patients and staff.
Almost Never	Occasionally	Usually	Always	N/A


I am sensitive to employees who have ethical concerns and facilitate the resolution of these concerns.
Almost Never	Occasionally	Usually	Always	N/A


I encourage the use of organizational mechanisms (e.g., an ethics committee or program) and other ethics resources to address ethical issues.
Almost Never	Occasionally	Usually	Always	N/A


I act quickly and decisively when employees are not treated fairly in their relationships with other employees.
Almost Never	Occasionally	Usually	Always	N/A


I assign staff only to official duties and do not ask them to assist me with work on behalf of my family, friends, or associates.
Almost Never	Occasionally	Usually	Always	N/A


I hold all staff and clinical/business partners accountable for compliance with professional standards, including ethical behavior.
Almost Never	Occasionally	Usually	Always	N/A


Clinicians
When problems arise with clinical care, I ensure that the problems receive prompt attention and resolution by the responsible parties.
Almost Never	Occasionally	Usually	Always	N/A


I insist that my organization’s clinical practice guidelines are consistent with our vision, mission, value statements, and ethical standards of practice.
Almost Never	Occasionally	Usually	Always	N/A


When practice variations in care suggest the quality of care is at stake, I encourage timely actions that serve patients’ interests.
Almost Never	Occasionally	Usually	Always	N/A


I insist that participating clinicians and staff live up to the terms of managed care contracts.
Almost Never	Occasionally	Usually	Always	N/A


I encourage clinicians to access ethics resources when ethical conflicts occur.
Almost Never	Occasionally	Usually	Always	N/A


I encourage resource allocation that is equitable, is based on clinical needs, and appropriately balances patient needs and organizational/clinical resources.
Almost Never	Occasionally	Usually	Always	N/A


I expeditiously and forthrightly deal with impaired clinicians and take necessary action when I believe a clinician is not competent to perform his/her clinical duties.
Almost Never	Occasionally	Usually	Always	N/A


I expect and hold clinicians accountable for adhering to their professional and the organization’s ethical practices.
Almost Never	Occasionally	Usually	Always	N/A


Buyers, Payors, and Suppliers
I negotiate and expect my management team to negotiate in good faith.
Almost Never	Occasionally	Usually	Always	N/A


I am mindful of the importance of avoiding even the appearance of wrongdoing, conflict of interest, or interference with free competition.
Almost Never	Occasionally	Usually	Always	N/A


I personally disclose and expect board members, staff members, and clinicians to disclose any possible conflicts of interest before pursuing or entering into relationships with potential business partners.
Almost Never	Occasionally	Usually	Always	N/A


I promote familiarity and compliance with organizational policies governing relationships with buyers, payors, and suppliers.
Almost Never	Occasionally	Usually	Always	N/A


I set an example for others in my organization by not accepting personal gifts from suppliers.
Almost Never	Occasionally	Usually	Always	N/A

Attachment 2. Assessment Criteria

Content 60 Percent	Points Available 6	Points Earned X/6	Additional Comments:
complete self-assessment Identify theory and how it applies to self What was learned from the assessment?
Organization / Development 20Percent	Points Available 2	Points Earned X/2	Additional Comments:
Paperludes is 700 – 1,050 words in length The introduction provides sufficient background on the topic and previews major points The conclusion is logical, flows from the body of the paper, and reviews the major points
Mechanics 20Percent	Points Available 2	Points Earned X/2	Additional Comments:
inc a minimum of three scholarly references with a minimum of one in-text citation for each reference in APA format The paper, including the title page, reference page, tables, and/or appendices, follows APA guidelines for format as directed by the instructor. (No abstract needed) The paper is laid out with effective use of headings, font styles, and white space Rules of grammar, usage and punctuation are followed, and spelling is correct
	Total Available	Total Earned
	10

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IvyPanda. (2024) 'Reflection of Ethical Self-Assessment'. 28 March.

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IvyPanda. 2024. "Reflection of Ethical Self-Assessment." March 28, 2024. https://ivypanda.com/essays/reflection-of-ethical-self-assessment/.

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IvyPanda. "Reflection of Ethical Self-Assessment." March 28, 2024. https://ivypanda.com/essays/reflection-of-ethical-self-assessment/.

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Reading time	3 min
Type	Report
Pages	3
Words	873
Subjects	Health & Medicine Medical Ethics
Topics	Ethics
Language	🇺🇸 English

Introduction

Reflection of Personal Self-Assessment

References

Attachment 1 – Ethical Self-Assessment

Leadership

Relationships

Attachment 2. Assessment Criteria