Ethical principles

 

Gloria is a housekeeper in an independent living community. While walking through a hallway, she noticed the door of a resident’s apartment was left open, which was unusual. She stepped in to check on Louis, and quickly realized that he was on the phone in his living room. As she turned to leave, she over heard him saying that he had stopped taking all of his medications because he was ready to die. She could tell that the person that he was speaking with was trying to reason with him. Gloria knows that Louis has a very loving and involved daughter that visits him every Saturday. She left the room determined that she would tell his daughter what she heard when she saw her on Saturday.
You have to answer all the questions below

What issues are facing Gloria? Discuss the possible ethical principles at play and your recommendation to Gloria.
Hint: Confidentiality, Beneficence, Self-determination”

 

Sample Solution

oted that the concept of accountability had emerged as a form of “institutionalized accountability” in which the agents (i.e., property holders) were required to render a count of what they possessed in the realm of principal (i.e., the king). Thus, in its original meaning, ‘accountability’ was closer in meaning to the modern word “accounting” or “bookkeeping,” which suggests a record of financial information (Bovens, 2006: 6).

 

The meaning of accountability has completely changed over time. First, based on the end-means continuum, the term implies more than just a means. It has begun to become a fundamental requirement of good governance, which is closely connected to the ultimate end of government. This leads the term to encompass numerous public values such as “transparency, equity, efficiency, responsiveness, responsibility, and integrity” (Nabatchi et al., 2015: 139). Second, the accounting relationship has completely reversed from account-taking to account-giving (Bovens, 2006). Accountability now refers to “the authorities themselves who are being held accountable by their citizens” rather than “sovereigns holding their subjects to account” (Bovens, 2006: 6).

 

The conceptual shift from financial accounting to “public accountability” was aligned with the rise of the accountability movement away from the traditional public administration model to the NPM model. As a result, the actual shift was from a notion of financial accounting to a broader notion of “management accountability,” but the new concept was narrow in scope as it referred primarily to inspection, audit, evaluation, and assessment (Tilbury, 2006). This change brought about two major problems. First, “public accountability” was used interchangeably with “management accountability.” Consequently, accountability in NPM agendas was often misused as “both an instrument and a goal” (Bovens, 2006: 7). Even though the concept of management accountability was more likely to mean instruments effective at addressing the problems of public governance, it has, over time, been used to represent a norm of good governance. While the focus of NPM was mainly on accountability “mechanisms” as policy instruments and tools, its accountability was often mistakenly seen as a “virtue.” Second, the concept

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