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Developing ethical competence in healthcare management
Stockholm Univ, S-10691 Stockholm, Sweden..
Stockholm Univ, S-10691 Stockholm, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics.
2016 (English)In: Journal of Workplace Learning, ISSN 1366-5626, E-ISSN 1758-7859, Vol. 28, no 1, 17-32 p.Article in journal (Refereed) PublishedText
Abstract [en]

Purpose - The purpose of this paper was to explore what kind of ethical competence healthcare managers need in handling conflicts of interest (COI). The aim is also to highlight essential learning processes to develop healthcare managers' ethical competence. Design/methodology/approach - A qualitative study was performed. Semi-structured interviews with ten Swedish healthcare managers from different care providers were carried out twice and analysed through step-wise categorisation. Findings - Four categories of COI were revealed and two ways (passive and active) in which COI were handled. Ethical guidelines did not help the healthcare managers to handle the COI, and none of the managers made use of any sort of systematic ethical analysis. However, certain ethical competence was of great importance to identify and handle COI, consisting of contextual understanding, rational emotions, some theoretical knowledge and a suitable language. Organising work so that ethical analysis can be carried out is of great importance, and top management needs to clearly express the importance of ethical competence and allocate resources to allow adequate learning processes. Originality/value - This paper highlights the management level and focuses on how work-integrated learning-processes can enable ethical competence. Ethical competence at the management level is essential both to comply with the constitution and legal requirements regarding healthcare, and so that managers are able to analyse COI and justify their decisions.

Place, publisher, year, edition, pages
2016. Vol. 28, no 1, 17-32 p.
Keyword [en]
Workplace learning, Healthcare managers, Conflicts of interest, Rational emotions, Ethical competence
National Category
Medical Ethics
URN: urn:nbn:se:uu:diva-296879DOI: 10.1108/JWL-04-2015-0033ISI: 000374168300002OAI: oai:DiVA.org:uu-296879DiVA: diva2:940038
Available from: 2016-06-20 Created: 2016-06-20 Last updated: 2016-06-20Bibliographically approved

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Höglund, Anna T.
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