Abstract
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Managerial decisions must always be considered both from the perspective of known ethical systems and from the society perspective (economic activity, legislation in force), of subordinate staff, trying to equilibrate the balance between economic and social performance. Ethical requirements must be individualized in accordance with public organization standards.
If in the private environment, the ethical principles are not of major importance in making managerial decisions, in public institutions their application is mandatory, the ethics of decisions in the management of public organization being a priority.
Objective
Quantification of relevance of ethical principles in the management decisions of hospital executives, respectively determination of the impact of external factors (age, gender, seniority in work, executives seniority) on the relevance of ethical principles.
Materials and methods
We have conducted a retrospective, exploratory, quantitative study, realized through an exhaustive survey applied to the executives of the Clinical Rehabilitation Hospital, Iasi, held between 01.03.2018-31.03.2018. The inclusion criteria in the study was the function held within the hospital. The ethical principles were divided into 5 categories according to the decisional method, and they were quantified in order to be statistically analyzed. The obtained data was processed in SPSS.
Results and discussions
The study was applied on 29 subjects with managerial positions, with a response rate of 100%. Of the total number of respondents, 41.4% occupy the position of head of the department, 34.5% occupy the position of nurse executive, 13.8% are heads of administrative service, the other up to 100% being medical director, economic executive, CEO. There is a statistically significant difference between the percentage of heads of department and heads of service, respectively the executive board. In terms of age group distribution, the maximum number of head departments is 41-50 years old (58.6%), followed by age group> 50 years (34.4%) and group 30-40 years (3.4%). There is a statistically significant difference (p <0.05) between younger heads of the departments (<40 years) and the rest of the age groups. Distribution by gender shows predominantly women subjects (62.1%) in executive positions. There is a strong positive and statistically significant correlation between seniority in leadership and seniority in hospital management, correlated with the Gamma test result (Gamma = 0.906, sig <0.05). Ethical principles were considered more relevant for the age group of 41-50 years, with a direct proportional relationship between age and relevance. It has also been observed that the value of ethical principles prevails in female sex, the value obtained by the Gamma test confirming the above mentioned.
Conclusions
In our study, the subjects surveyed were mostly women, 41-50 years of age, head of the department, who occupied for the first time an executive position in the hospital, a position that is still occupied. The relevance of the principles was especially noted in females, grouped in the age group of 41-50 years. The management of hospital units is a complex area due to the vulnerability of the direct beneficiaries of the public hospital, the complexity of the care process and the advanced nature of the technologies, the ethical principles prevail in the decision making.
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