Ethical thinking and discrimination in health care

Authors

  • Aleksander Mlinšek

DOI:

https://doi.org/10.37886/

Keywords:

ethics, discrimination, health care

Abstract

RQ: Personal excellence of nursing focusing on self-transcendence and achievements is crucial for achieving excellence in health care. The question is whether there is unequal treatment of patients despite high ethical standards placed in health care.

Purpose: Professional nurses code is a guide in assessing their ethical performance. People are different amongst each other, but have the same rights in the health system, which should be provided by health care services. The need to overcome inequalities has become a cornerstone of excellence in health care.

Method: A small quantitative survey of nurses was conducted in one of the departments in a Slovenian hospital. To analyse the results, we used frequency statistics, Spearman's rank correlation test and chi-square test.

Results: Providers of health care services are aware of the importance of ethics in its formation. Professional Code is relatively well known; 8.4 % of the respondents were not sure if they clearly define the principles of respect for equality. Discrimination, caused by providers of health care, is of a less extent. Ethical awareness among health care providers does not affect identification with the profession. The education level of nursing personnel and the perception of discrimination based on religious affiliation influenced one another. Education has no influence on the perception of discrimination based on other circumstances.

Organization: Health care organizations should integrate hygiene ethical thinking among its strategic goals. Quality is not only quantifying the data. Personal excellence of health care providers, which is difficult to measure, is the basic building block of organizational excellence and patient satisfaction.

Originality: There are not many research studies on perceptions of discrimination in health care. The article raises the sensitive issue that we should talk more about.

Limitations: The survey was conducted on a small sample size. Further research should be conducted on perception of discrimination of both sides in health care, both in terms of health care providers as patients. It may be worthwhile to compare the differences in the perception of discrimination in private and in public hospitals.

References

1. Bartzak, P. (2010). Professional Work Ethic: Strategies to Motivate Bedside Nurses to Deliver High-Quality Patient Care. Medsurg Nursing, 19(2), 85–89.

2. Brener, L., von Hippel, W., von Hippel, C., Resnick, I., & Treloar, C. (2010). Perceptions of discriminatory treatment by staff as predictors of drug treatment completion: Utility of a mixed methods approach. Drug & Alcohol Review, 29(5), 491–497. doi:10.1111/j.1465-3362.2010.00173.x

3. Deklaracija Generalne skupščine 217A(III). Universal declaration of human rights – Splošna deklaracija človekovih pravic, sprejeta 10. decembra 1948 (1948). Pridobljeno na http://www.un.org/cyberschoolbus/humanrights/resources/universal.asp

4. Fairchild, R. M. (2010). Practical ethical theory for nurses responding to complexity in care. Nursing Ethics, 17(3), 353–362. doi:10.1177/0969733010361442

5. Grbec, V. (2004). 10 let kodeksa etike medicinskih sester in zdravstvenih tehnikov: od medicinske etike do etike v zdravstveni negi. Obzornik zdravstvene nege, 38(2), 183–186.

6. Hall, L., Moore, S., & Barnsteiner, J. (2008). Quality and Nursing: Moving from A Concept to a Core Competency. Urologic Nursing, 28(6), 417–426.

7. Hudelson, P., Kolly, V., & Perneger, T. (2009). Patients’ perceptions of discrimination during hospitalization. Health Expectations, 13(1), 24–32. doi:10.1111/j.1369-7625.2009.00577.x

8. Jones, C. M. (2010). The Moral Problem of Health Disparities. American Journal Of Public Health, 100(S1), S47–S51.

9. Kim, Y., Park, J., You, M., Seo, Y., & Han, S. (2005). Sensitivity to Ethical Issues Confronted by Korean Hospital Staff Nurses. Nursing Ethics, 12(6), 595–605. doi:10.1191/0969733005ne829oa

10. Kodeks etike medicinskih sester in zdravstvenih tehnikov Slovenije – 2005 (2010, 21. maj). Uradni list RS št. 40/2010.

11. Mlinšek, A. (2010). Zadovoljstvo pacientov z bolnišnično zdravstveno obravnavo – letno poročilo 2009. Ljubljana: Klinični oddelek za travmatologijo.

12. Mlinšek, A. (2011). Zadovoljstvo pacientov z bolnišnično zdravstveno obravnavo – letno poročilo 2010. Ljubljana: Klinični oddelek za travmatologijo.

13. Rožman, M. (2011). Diskriminacija ranljivih skupin v zdravstveni negi. V B. Skela Savić (ur.), Napredna znanja za kakovostno delo s študenti zdravstvene nege – poklicna etika in profesionalni razvoj (str. 151–156). Jesenice: Visoka šola za zdravstveno nego.

14. Street Jr, R. L., & Haidet, P. (2010). How Well Do Doctors Know their Patients? Factors Affecting Physician Understanding of Patients’ Health Beliefs. Journal of General Internal Medicine, 26(1), 21–27. doi: 10.1007/s11606-010-1453-3

15. Zakon o pacientovih pravicah (2008, 11. februar). Uradni list RS št. 15/2008.

Published

2026-08-20

Issue

Section

Professional Article

How to Cite

Ethical thinking and discrimination in health care. (2026). Journal of Universal Excellence, 1(1). https://doi.org/10.37886/

Most read articles by the same author(s)