Next Article in Journal
The role of high-grade prostatic intraepithelial neoplasia for biochemical relapse of prostate carcinoma after radical prostatectomy
Previous Article in Journal
Voluntary performance
Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Ethical dilemmas concerning decision-making within health care leadership: a systematic literature review

1
Department of Nursing Science, Faculty of Medicine, University of Tampere, Finland
2
Department of Education, Faculty of Social Sciences, Vytautas Magnus University, Lithuania
3
Examination Center, Vilnius University, Lithuania Correspondence: Department of Nursing Science, Faculty of Medicine, University of Tampere, 33014 Tampere, Finland
*
Author to whom correspondence should be addressed.
Medicina 2010, 46(9), 595; https://doi.org/10.3390/medicina46090084
Received: 15 July 2009 / Accepted: 9 September 2010 / Published: 14 September 2010
The objective was to describe the research methods and research focuses on ethical dilemmas concerning decision-making within health care leadership.
Material and methods
. The search was conducted on Medline and PubMed databases (1998–2008). The systematic review included 21 selected articles. Results. The ethical dilemmas concerning decision-making within health care leadership are related to three levels: institutional (particular organization), political and local interface (local governmental structure), and national (professional expertise and system). The terms that are used as adequate to the term of “ethical dilemma” are the following: “continuous balancing,” “result of resource allocation,” “gap between professional obligations and possibilities,” “ethically controversial situation,” “concern about interactions,” “ethical difficulty,” “outcome of medical choices,” “concern about society access to health care resources,” “ethically difficult/ challenging situation,” “(the consequence of) ethical concern/ethical issue.” In qualitative studies, a semi-structured interview and qualitative content analysis are the most commonly applied methods; in quantitative studies, questionnaire surveys are employed. In the research literature, there is a lack of specification according to professional qualification of health care professionals concerning ethical dilemmas by decision-making within health care management/administration.
Conclusions.
The research on ethical dilemmas in health care leadership, management, and administration should integrate data about levels at which ethical dilemmas occur and investigate ethical dilemmas as complex phenomena because those are attached to decision-making and specific nuances of health care management/administration. In this article, the presented scientific problem requires extensive scientific discussions and research on ethical dilemmas concerning decision-making within health care leadership at various levels.
Keywords: decision-making; ethical dilemma; health care leadership/management/administration; systematic literature review decision-making; ethical dilemma; health care leadership/management/administration; systematic literature review
MDPI and ACS Style

Žydžiūnaitė, V.; Suominen, T.; Åstedt-Kurki, P.; Lepaitė, D. Ethical dilemmas concerning decision-making within health care leadership: a systematic literature review. Medicina 2010, 46, 595.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Only visits after 24 November 2015 are recorded.
Back to TopTop