What do you do when your values and ethical beliefs differ with your employer’s

Question

What do you do when your values and ethical beliefs differ with your employer’s values and beliefs?

Another standard of care scenario: you are working in an office, and the patient tells you that when she becomes stressed, she will have seizures. She seems to be a little “dramatic” and your plan is to proceed with her like any other patient. You treat her like any other patient and put her back in a room where she has a seizure, falls and hits her head. What are some things that you should have done to hopefully prevent this? Did you meet the standard of care?

Explanation / Answer

When my values and ethical beliefs dffer with my employer's values and beliefs, then I take a principled stand for what I believe is ethically right, if the outcome of the decision impacts me from a conscientious perspective. I will not be effectively implement a decision and do justice to neither my personal beliefs not the employer's values, if i do not personally believe in the value system of the employer. Therefore irrespective of the consequences of doing what I believe is ethically right in a situaton of conflict of values, I will standby my ethical judgement as per my personal values. There are instances when employer's values and beliefs are purely driven by economic impact of specific decisions, ignoring the human, societal or environmental impact of such decision. Therefore it is important for me, as an employee, to take a holistic view and act as a model citizen and human being, apart from just an ideal employee. I will find an optimum approach to meet the obligations of all of my roles with minimal conflict. I will have strong logical reasons of going against the employer's beliefs and and will be ready to explain to the employer the reasons why I took such a stand and why the employer's beliefs and values are wrong in particular situation.

In the present case, I would have adopted a more humanly approach and taken appropriate precautionary measures by avoiding causing stress to the patient and keeping the medicine for seizures ready to deal with eventuality of the patient having seizures. By ignoring the patient's warnings, the standard of care was not met.

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