As an administrator of a home-based care facility, there are numerous decisions that one has to make daily. While most decisions are administrative and easy to make due to their visible effect on healthcare, others touch on one's moral standards. Hence, it is paramount that one practices the highest level of moral and ethical standards to make sure that they offer quality services. In making decisions that threaten the moral standing of a person, it is prudent to carry out a personal moral integrity cost-benefit analysis.
A nurse who is not compassionate with patients and keeps shouting and humiliating them may taint the facility’s image. However, if the nurse is the most performing and most qualified at the facility, an administrator would be put into a moral dilemma of either sacking them or not. As such, reflecting on one’s moral integrity by carrying out a personal moral integrity cost/benefit analysis is prudent. The moral cost of deciding to sack the nurse is that the services of the highly qualified and experienced nurse will be lost. The decision will also lead to an increase in the workload, which may compromise the quality of care before a replacement is done. On the other hand, the moral benefits of making the decision will be reduced complaints from patients, increase in the number of customers due to better care and treatment, and low risks of litigation and related compensations.
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In making the personal moral integrity cost/benefit analysis, one also need to look at the moral cost of not making the decisions as well as its benefits. The price of not making the decision includes letting the nurse stay and continue with his malpractices. This could lead to the loss of customers by tainting the image of the facility as well as being a bad influence on other good nurses. Complaints could still go on. On the other hand, the benefits of retaining the nurse include less workload and benefits from his vast experience in the nursing profession. From the above analysis, it benefits the morality of the administrator to make the decision. It is more beneficial to make the moral decision and act against the said nurse than not. This is because the benefits of making the moral decision are more than the benefits of not taking action, while the cost of not taking action is also higher than the cost of taking action.
