Medical Administration Challenges
1. How to navigate the needs and expectations of differing stakeholders; recognize for a win-win every time.
Every human being is unique and when they come to an environment where they work with other stakeholders with different assumptions, beliefs, value systems, objectives and behaviors, their objectivity may be filtered by their own selfish personal biases and lenses. A win-win situation is a best solution that considers all possible ways for providing the best possible solution that can satisfy all parties be it half way, my way, your way, our way or no way but not high way (Smith et al., 2020). There are four important ways of managing a team of stakeholders. The steps require activities such as ignore, address, mediate, and negotiate (Randhawa et al., 2020).
There are many stakeholders that may be involved in proving quality medical care ranging from reception all the way to a satisfied customer recovering with dignity. The patient expects quality service delivery and to leave the facility when they are recovered or on the road to recovery. The government expects that all medical PR actioners in the facility have the requisite licenses from the relevant regulatory bodies (Shesterinina, 2019). The medical staff expect a clean working environment, available testing kits, timely payment of salaries as well as allowances, and provision of protective gear (Smith et al., 2020). The process starts at the reception where they are received into the facility, then they proceed to diagnosis, then to the laboratory to be tested by a laboratory technologist, back to the clinical officer who diagnosed and pharmacist to receive the required medicine. That is good news. The challenge arises when there is need for a win for everyone. It is very important to seek for a win-win situation so that all people may feel contented (Randhawa et al., 2020).
All members should sign an agreement to work together as a team seamlessly using the available procedures and communication channels (Mirkovic et al., 2018). The management should also put in place communication channels where all the stakeholders who have issues, comments, compliments, suggestions, as well as mention their concerns without fear of victimization (Caligiuri, De Cieri, Minbaeva, Verbeke & Zimmermann, 2020). When all members of the team work together seamlessly, then it creates an environment of confidence to the members hence has high possibility of producing the best possible results (Smith et al., 2020).
2. Conflicting values and principles of different groups, what to look for, how to empathize, and adjusting your approach.
This requires the use of the principles of conflict resolution, tried and tested. It is important to understand the frame of mind of each person involved and what is their interest in the subject matter. It is important to take a look at what is underneath, what are the facts presented, know who you are. It is also important to understand if one is suffering from an internal conflict or an external conflict (Mirkovic et al., 2018). In situations where more than one person is involved, it is easy to find conflicting issues that may need to be handled appropriately (Shesterinina, 2019). Careful handling of conflicting situations is important because it enables the team members to work seamlessly. Even though universities provide universal education that seeks to impart on the learners globally accepted solutions and scientifically proven procedures, it is possible that some of these honorable staff may still seek with their mythical practices (Randhawa et al., 2020).
When giving an offer to end a conflict, the offer should be attractive enough to distract the conflicting parties from concentrating on the conflict (Caligiuri, De Cieri, Minbaeva, Verbeke & Zimmermann, 2020). It is important that a work environment should be peaceful and cohesive for all individuals to enable them give their best in the roles they have been assigned.
Recently, there have been issues concerning the coronavirus pandemic. While a certain section of the medical practioners welcomed the idea of receiving vaccination, another group was against the idea causing a lot of conflict. The group that was against the idea of vaccination wondered why it had taken long to find a vaccination for HIV/ AIDS while it took less than a year to find vaccination for the novel coronavirus. The hospital facility manager should take time and clarify the position on the subject matter with facts (Randhawa et al., 2020). The chief medical administrator should have knowledge on how to empathize and also how to adjust their approach as facts continue to unveil.
3. Ethical dilemmas: what to do, and what not to do.
The field of medical research draws a lot of interest on many people as life is a very precious gift (Torabi, Borhani, Abbaszadeh & Atashzadeh-Shoorideh, 2018). It is the role of the hospital management to manage the competing interests in a way that do not compromise the quality of medical care (Mirkovic et al., 2018). It is important to note that a failure to provide quality medical care may impact negatively on the hospitals’ reputation and ultimately their profitability hence leading to closure Taha et al. (2019). As a leader, it is important to let the rest of the team know where the organization has come from, where it is, where it wants to go, and how it will get to where it wants to go (den Boer et al., 2018). The administrator’s role is operational, routine, as well as strategic (Shesterinina, 2019). A medical facility provides not only general services but also specialized services such as pediatrician, dental, optical, occupational therapist, speech therapist, physiotherapist, ante natal, post natal, and maternity services among others Taha et al. (2019).
Everybody faces dilemma at one time or another in life, in what economists call opportunity cost (Shesterinina, 2019). Doctors experience dilemmas most of the time in the line of duty Taha et al. (2019). There have been situations where patients are in so much pain until they ask the doctors to kill them as they think it is the end of life, in what is known mercy killing (Caligiuri, De Cieri, Minbaeva, Verbeke & Zimmermann, 2020).
There has been a debate on the level of substance abuse among the adolescent and how to effectively navigate the rehabilitation process (Shesterinina, 2019). There are many stakeholders involved for instance the adolescent child, his or her parent, a clinical psychologist, a professional counsellor, a nurse, a pharmacist, the government, the society among others who want their side of the bargain to be met (Mirkovic et al., 2018). This has caused some people from certain quarters to have a different opinion (den Boer et al., 2018). In the long run, it is important to respect other people’s wishes, objectives and values for best results (Torabi, Borhani, Abbaszadeh & Atashzadeh-Shoorideh, 2018).
Caligiuri, P., De Cieri, H., Minbaeva, D., Verbeke, A., & Zimmermann, A. (2020). International HRM insights for navigating the COVID-19 pandemic: Implications for future research and practice.
den Boer, M. C., Houtlosser, M., van Zanten, H. A., Foglia, E. E., Engberts, D. P., & Te Pas, A. B. (2018). Ethical dilemmas of recording and reviewing neonatal resuscitation. Archives of Disease in Childhood-Fetal and Neonatal Edition, 103(3), F280-F284.
Mirkovic, J., Jessen, S., Kristjansdottir, O. B., Krogseth, T., Koricho, A. T., & Ruland, C. M. (2018). Developing technology to mobilize personal strengths in people with chronic illness: positive codesign approach. JMIR formative research, 2(1), e10774.
Randhawa, K., West, J., Skellern, K., & Josserand, E. (2020). Evolving a Value Chain to an Open Innovation Ecosystem: Cognitive Engagement of Stakeholders in Customizing Medical Implants. California Management Review, 0008125620974435.
Saloner, B., McGinty, E. E., Beletsky, L., Bluthenthal, R., Beyrer, C., Botticelli, M., & Sherman, S. G. (2018). A Public Health Strategy for the Opioid Crisis. Public Health Reports, 133(1_suppl), 24S-34S. https://doi.org/10.1177/0033354918793627
Shesterinina, A. (2019). Ethics, empathy, and fear in research on violent conflict. Journal of Peace Research, 56(2), 190–202.
Smith, S., Caddell, M., Taylor-Smith, E., Smith, C., & Varey, A. (2020). Degree apprenticeships-a win-win model? A comparison of policy aims with the expectations and experiences of apprentices. Journal of Vocational Education & Training, 1–21.
Taha, S., Maloney-Hall, B., & Buxton, J. (2019). Lessons learned from the opioid crisis across the pillars of the Canadian drugs and substances strategy. Substance abuse treatment, prevention, and policy, 14(1), 32. https://doi.org/10.1186/s13011-019-0220-7
Torabi, M., Borhani, F., Abbaszadeh, A., & Atashzadeh-Shoorideh, F. (2018). Experiences of pre-hospital emergency medical personnel in ethical decision-making: a qualitative study. BMC medical ethics, 19(1), 1–9.