An Analysis of Dilemmas in Health and Social Care Environments

This report delves into the critical dilemmas prevalent in health and social care (HSC) settings. The introduction highlights the significance of addressing these issues, focusing on challenges like cultural differences, confidentiality breaches, and unclear role responsibilities. The main body explores these key issues in detail, providing real-world examples and analyzing their impact on service delivery and patient care. It examines how differences in moral beliefs and culture can lead to misunderstandings and communication barriers, emphasizing the importance of effective communication and positive body language. The report also addresses the crucial issue of confidentiality, detailing the importance of data protection and the ethical considerations involved. It then discusses the issue of lack of understanding in roles and responsibilities, highlighting the need for proper training and effective communication to ensure efficient service delivery. The conclusion summarizes the findings and reiterates the importance of addressing these dilemmas to improve the quality of care. The report also includes a question and answer session and references.

Element 2: The commentary

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
CONCLUSION..............................................................................................................................11
QUESTION AND ANSWER SESSION.......................................................................................12
REFERENCES..............................................................................................................................12
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INTRODUCTION
Health and social care is the term which is related to the care provisions and
responsibilities. Dilemmas are very common in health care organizations, some times it turns
into big complex situations. Poster has covered issues related to Quandary, confidentiality,
differences in moral values and beliefs, human rights and lack of understandings. It has been
noticed in poster that many medical service providers feel unable to deliver efficient services
because of huge difference in culture, as due to this confusion takes place (Glasby and
Dickinson, 2014). Patients feel unable to make other understand regarding their health issue and
that is why doctors feel helpless to deliver quality services to them. As mental patients have
rights to do as they want to do but due to their illness, care providers has to observe their
activities. It is against their human rights but it is the morale responsibilities of care workers to
take care of all patients. These things can raise issues in the organizations. The rational behind
selecting topic of health and social care on the dilemmas is that to focus on current issues in the
HSC and to find proper solutions so that services of the care unit can be improved.
Confidentiality is very essential in every business unit, in respect to HSC it is equally important
to keep personal data of patients secure (Porter, 2014). But for providing better treatment,
doctors have to discuss case with higher authorities and other similar field firms. Here is chances
of liking the information but that is the responsibility of the employees to look upon is issue and
maintain confidential in the workplace. Present report will explore the several key issues,
conflicts and dilemmas occurred in hospitals and care homes. Key principals related to practices
for better understanding the key issues will be described in this report (Anderson, 2014).
MAIN BODY
Key issues
Difference in moral beliefs and culture:
In the health care organization key issue of dilemmas is difference in morale values and
beliefs. Each culture is differed from others, variation can be in language, norms etc. In the
health care organization people belong to different culture and they have different styles and
beliefs. In some culture use of high pitch is quit normal but in other it can be considered as rood
behaviour, by this way dilemma takes place (Jones and Kelly, 2014). It can take place within the
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firm or outside as well. Employees are the key persons of the health are organization, they have
moral responsibility to serve better to patients. Whenever medical professionals deal exchange
their views regarding any case or procedure then it may be possible language of the persons
create problem in understanding for other. For instance in Muslim it is normal to use high pitch
but in other it can be seen as offensive language (Walsh, 2015). By this way employees feel
uncomfortable and unable to make other understand about their opinion. By this service of the
care home can get decreased. This is the major reason of increasing fight in the workplace, due
to this misunderstanding take place and critical situations arise in the organizations. That impacts
negatively on the efficiency of the staff members and reduce coordination among them.
Difference in values and belief of service users and service providers can also create dilemmas in
the health care organization (Chernev and Blair, 2015). Due to this patient feels unable to make
doctors understand about individual health condition and due to lack of information, medical
professionals also feel unable to deliver excellent care services to users. Poster has shown that
due to misunderstanding complexity arises in the workplace.
Key principal of communication says that it is very necessary to have proper and
effective interaction between two persons, this can help to reduce the misunderstanding of the
workplace. As in the presence of proper and effective coordination people can understand each
other and can minimize such type of issue in the organization (Iyer and et.al, 2012). By making
proper interaction with service users doctors and other medical staff members will be able to
make patient comfortable thus, individual will easily exchange their views with them. This will
help to overcome from the cultural barriers. Theory of positive body language is very effective in
the field of health and social care. As if doctors are unable to make patients understand because
of different values and beliefs then they can use positive body gestures this will help to make
other understand about views. For instance in Japan people have culture of speak softly but in
Germany they have tendency to speak loudly (McCrae, 2012). By this way whenever other
culture patient come to the hospital then this language and pitch issue create misunderstanding.
In this situation if medical professionals use optimistic calm body gestures then it can help to
make other understand. It will enhance interaction between both and will improve efficiency of
the workplace.
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I have gone through this issue while working in ABC hospital, one day when I was
handing one lady who was German as I was trying to understand her language but due to
language barrier, I was unable to understand what she wants to tell. Then I just examine her
without knowing actual health condition of the lady. After some day she again came and now she
was suffering from high temperature fever (Parker and Bradley, 2014). I consult with my seniors
and then I understood that she was having health problem of pneumonia. If that time I behave
clam and shown my positive body gesture then I could able to recover the health condition of
this lady easily. By this issue I learned many things, firstly I got to know about the impact of
body movement and importance of communication. Now I try to interact well with patients for
knowing their situations then I give them effective treatment accordingly. I improved my
knowledge about several principals for reducing cultural differences (Fisher and et.al, 2014).
Issue of confidentiality:
To keep secure is the basic responsibility of every organization, business units have to
keep confidential personal information of workers and customers. As a health care organization,
here also is required that doctors keep secure and safe the personal history of service users. Some
times due to critical disease or metal problems, service users do not share their condition with
medical practitioners easily. This creates problem for the staff as they do not understand the
health of the persons and without knowing it properly they provide them treatment. In the
absence of effective care, medical condition of the individual do not get improved. Thus, it
decreases reputation of the care home (Evans-Lacko and et.al, 2014). Principal of confidentiality
is very important to follow. Data protection act defines that it is compulsory for the entities to
keep secure their data, personal information of patients should not be leaked. By making people
aware that their details are safe this issue can be minimized to great extent. As if service users
feel comfortable then they will share their feeling with doctors easily this will be beneficial for
the medical professionals as they will be able to treat well to them. This will enhance reputation
of the company. If personal information of the person get leaked then it demoralizes the people
and they do not trust again on the health care firm. Here it is necessary o follow data protection
act in each organizations (Lea and Nicholls, 2016). By making it ethical firm will be able to
serve better to its service users.
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Generally basic information are taken by the care home before treating them, these are
name, age, medical history, service records etc. They also maintain records of each patients. By
maintaining records doctors can provide them effective guidance telephonic as well. But some
time medical persons has to share issues of the patients with seniors and other hospital members,
if case is too complicated (Allen and Cameron, 2012). To deliver excellent services, staff has to
discuss the issue with others, here is chances of leakage of data which is completely unethical.
Health care organizations have to follow laws and regulations strictly and should train its staff
members in such manner so that they can keep secure the personal information of them. Apart
from this it is also necessarily that case of one patient do not get discussed with other. It
demoralizes them and feel unconformable ion the hospitals. Principal of gaining trust must be
apply here, as doctors are needed to build trust of users, it can be possible by making them
understand that their personal details are very safe and will not be discussed with others. By this
way patient will be able to say about its medical problem with staff members (Toth, Messer and
Quinlivan, 2013). This will help them to understand level of disease and accordingly they will
provide them treatment.
While working in ABC health care organization, I faced the issue of leakage of data of
patients., Staff members discussed the issue related to AIDS and mental patients openly with
each h other. This was making other patients negative and they behaved different with those
suffering persons. By this way such diseased users felt uncomfortable and without taking
complete treatment they left the hospital. After some time the AIDS patient got died and media
raise the problem that ABC is not providing quality care to its diligent (Papanikolaou and
Zygiaris, 2014). It has decreased the reputation of the firm to great extent, other Diligent also
feel unsafe in the hospital. I leaned that being a health care professional, I have to understand my
responsibility and must maintain confidentiality in the workplace. I got to know about several
regulations related to protection such as data protection act, equality etc. by this way I improved
my knowledge and experience. But I also felt that these norms are not strictly followed in HSC
so being a medical professional I have to work on this, and should make patients feel
comfortable and make them realize that their details are safe they can share their feelings. It will
help me in future in gaining trust of my users thus, they will discuss their problems easily with
me and buy knowing their health condition I will be able to provide them treatment accordingly
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(Janakiram and Gardens, 2014). I should follow all regulations strictly and should other realize
importance of laws and maintaining confidentiality in the workplace. By this way I will be able
to perform well and this will improve my efficiency in the workplace.
Issue of lack of understanding in role and responsibilities:
It is the main issue in every corporations that people are not aware with their duties and
responsibilities. In context to health care it is very important that medical professionals
understand their responsibilities and fulfil those effectively (Ong, Yee and Lee, 2012). This will
be beneficial for the care home as it will help to increase trust of the patients and nursing home
will be able to deliver best quality services to them. The rationale behind this issue is improper
training, as daily new equipment and treating technologies come in the health care sector. It is
very difficult to know about all machinery. So it is the responsibility of senior doctors to provide
necessary training to lower and new staff so that they can understand about them and fulfil their
responsibilities effectively. It bis the main reason that people do not misunderstand their
responsibilities easily thus, it increases complexity in the care home as patients do not get timely
treatment because doctors are unaware with process (Clark, 2013). Another reason of occurring
this issue is that lack of communication, it is another major reason. Medical professionals do not
interrupt with each other impressively and thus, they become unable to know their shift timing
and other working duties. It some time creates non sense in the workplace as doctors think that
other senior will handle particular client and other think that that practitioner will tackle the case.
In this condition diligent do not get timely treatment. As seniors are unaware with their
responsibilities towards care users and organization. That is why this type of confusion takes
places (MacLeod, Wilson and Malpas, 2012).
From the research it is found that most of the medical persons are demotivated with the
working environment of the hospital so they do not perform their jobs effectively. That is why
they deliver poor services and do not care about their responsibilities. It is found that in health
care sectors job turn over is very high, people leave jobs frequently. Demotivate is the main
reason of lack of understanding roles and responsibilities. Principal of training needs to be
followed by the care homes, as they have to provide time to time training to its staff members, so
that people can get knowledge about new technologies and feel comfortable with this equipment.
This will help to treat well to the diligent in the health care organization (Cooke and Zhan,
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2013). Theory of motivation must be used in HSC, as by this way care home will be able to
identify the needs of its service providers. This will help to fulfil their requirements and to
motivate them. This will enhance their interest towards the organization and they will put their
best efforts for delivering excellent services to the patients. Apart from this medical professionals
have responsibilities towards society, they have to conduct health care camps to analyse the
medical condition of society (Hadziabdic and Hjelm, 2013). This will help to take p[roper action
on increasing illness among population. But as they are unaware about their roles and
responsibilities thus, they do not organize any health camp for the welfare of people.
Government should focus on giving training about necessary laws, duties of practitioner so that
they can get to know about their job profile and perform it well.
While working in ABC Ltd. I felt that there are many medical professionals those who
are not fulfilling their jobs properly. I found that lack of understanding and communication is the
main problem. As seniors do not consult with new persons of lower staff about the latest
machineries. So they feel unable to treat well to diligent, they do no take much interest their job
and ignore patients and their health many times (Parsons and et.al, 2014). By this way I got to
know about that it can be improved by giving proper training to the medical professionals. This
will increase their morale and they will take interest in their job. I should increase my knowledge
by reading news about new technologies. In addition to this I need to work upon awareness so
that I can deliver quality care services to diligent in future and fulfil my responsibilities
effectively.
Conflicts:
Difference in moral values and belief
With the differences in morale values and belief among care practitioners it results in
arising the situation of conflict within the HSC setting. For example, if the care practitioner has
belief that while rendering services within the setting they strictly follow the rules and regulation
that sometime enable strictness towards the family members of patients that might results in
arising the situation of conflict within the workplace. Along with this, there are certain etiquette
as well as medical ethics and values that need to be followed by the care practitioner while
delivering services to the service users (Glasby and Dickinson, 2014). In the situation of
emergency or police case, if professionals are not following the medical codes and practices that
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is they are not delivering the best medical care to the patient then in such situation conflict arises
within the premises.
Confidentiality
Conflict within the health and social care also arises when the care practitioner or
professionals do not engage in the confidentiality aspects. It is consider as a major aspect that
need to be consider by the care practitioners so that they may easily avoid the situation of
conflict from the HSC. For example, while treating infectious disease patient it is essential for
care practitioner to engage in maintaining proper confidentiality of personal information of the
patient. In the case if care practitioner is unable to make secrecy of patient information then other
patient would exclude him from the gathering and make them feel isolated (Ethical Conflicts in
the Workplace, 2016). This might results in arising conflict among the service users and service
provider within the HSC setting. On the other hand, confidentiality rules within the HSC also
ensure that care practitioner must share such health care information that would benefit the
community or society. In the scenario if professionals is unable to share the information then in
such situation it might results in arising conflict within the society and lead to unhealthier lives
of the individuals (Jones and Kelly, 2014).
Lack of understanding roles and responsibilities
With the lack of proper roles and responsibilities within the health and social care also
results in arising the conflict and issues. Medical practitioners have to be very efficient and
dedicated towards their roles and responsibilities. Health and social care sector is one such
industry that involves forgetting individual benefits and working for betterment of sick and
needy. When People do not follow their roles and indulge in rebellious activities, worst sufferers
are people who need care (Lack of understanding roles and responsibilities, 2013). Medical
practitioners include nurses, doctors, medical staff, voluntary organisations that indulge in care
giving like day care centres, baby sitters, etc. If these people do not perform their duties well or
violate regulations regarding their responsibilities the adverse effects will occur. Consequences
of lack of understanding towards care takers are as follows:
 Patients will face a dilemma whether they can trust their care givers or not. When a
person is in a situation of seeking help due to any sort of physical, mental or emotional
instability, he trusts his medical practitioner (Chernev and Blair, 2015). This breach of
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trust occurs if negligence is experienced in providing help. Some cases can even result to
death like situations or worsening of medical condition.
 A major result of such irresponsible behaviour will be development of abuse and harm
towards vulnerable people. Predators will gain a chance to attack patients and vulnerable
groups without getting caught (Evans-Lacko and et.al, 2014). Negligence of medical practitioners will also result in ineffective monitoring of patients.
Dilemmas
Difference in moral values and belief
Difference in the moral values and belief of care practitioner sometime results in arising
the situation of dilemmas that directly impact their services within the setting. For instance, care
practitioner have values that they get emotionally attracted toward the patients that is good for
the well-being and health of patients (Chernev and Blair, 2015). But at the same time code of
practices within the HSC setting states that practitioners are required to render proper medical
services without getting emotionally attached with the services users. In this case care
practitioner faces dilemma regarding getting attached with the patient or not. On the other hand,
care practitioner within the setting have moral value related with following the codes and
practices within the residential care home. But the mental patient that he serve need to go out of
the care home. Thus, in this situation care worker face ethical dilemmas related with allowing the
patient to go out or not (McCrae, 2012).
Confidentiality
Dilemma within the HSC setting also arises with maintaining the confidentiality. It is
required by the setting to have proper storage of the database of patient with different diseases so
that they may have confidentiality of the information. In order to have privacy the authorization
for reviewing the patient database power has given only to manager. They have responsibility to
not to give power of authorizing the database or system to the other individual. In the situation
when senior level ask for reviewing the database of patient in this circumstance manager faces
certain ethical dilemmas related with disclosing the information (Evans-Lacko and et.al, 2014).
Along with this, another dilemma that often arises with respect of maintaining privacy
and confidentiality is related with caring for the patient. In order to deliver care or medical
treatment to infectious disease patient care practitioner faces dilemma regarding disclosing their
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names or not as disclosing the names would results in isolating the service users within the
healthcare (Chernev and Blair, 2015).
Lack of understanding roles and responsibilities
With the lack of understanding roles and responsibilities of care practitioner within the
setting also results in arising the dilemma situation that directly impact their service quality. For
instance, care worker within the HSC is not aware regarding their daily activities and
responsibilities that they need to attend the dementia patient in this case it would results in
attaining the dilemma related with treating which patient within the setting (Glasby and
Dickinson, 2014). Along with this, lack of understanding in the roles may also results in
affecting their services that results in attaining negative impact on the health and well-being of
service users.
CONCLUSION
From the above report it can be concluded that health care organizations are responsible
for the welfare of the society. They have to work for improving health condition of the
populations. So it is very necessary that they understand their responsibilities and fulfil their job
effectively. It can be possible only when people will coordinate with each other well. By this
way care homes will be able to reduce misunderstandings in the workplace this will help in
improving quality services of the organization. By this way patients will trust the medical
professional and will discuss their health problems openly with them. As this can aid deliver
quality services to the diligent (Jones and Kelly, 2014).
Report has also discussed about the conflicts and dilemmas, as due to lack of
understanding about the responsibilities, confusion takes place in HSC. Some times it turns into
big conflict situations. So for reducing such conditions, medical professionals need to train its
staff members well so that they get to know about their duties and perform well to their jobs . By
this way conflict situations can be minimized to great extent. From the assignment it can be
stated that for improving the services care homes need to focus on government regulations and
laws. It is very necessary to follow these acts strictly in the hospitals. Confidentiality is the
important part, medical professionals have to keep secure the personal information of patients
because many times persons those who are suffering from AIDS, mental issue they do not share
their feelings with doctors. This why practitioner become unable to serve them best. By
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maintaining confidentiality in workplace, medical professional will be able to gain trust of
service users and they will be able to discuss their health problem effectively with care
providers . By this way right person will be bale to treat the suffering persons. So individual will
get good treatment and thus, health condition of persons will get improved. This will also
enhance reputation of the hospital to great extent.
QUESTION AND ANSWER SESSION
There are various questions which may get come out while delivering verbal presentation
to live audience. It can be asked by the audience about other issues related to dilemmas. They
can raise quarry about how to address quandary in health care organization. It can be the major
focus points because people will take interest in this topic that how they will be able to address
these issues and can overcome from this. They can ask upon is there any acts or government
legislation which can help to reduce such type of problems in HSC. Live audience can also raise
quarry about human rights in this respect. This is burning issue in the society and while giving
presentation there may be presence of many health professionals, media and public of the city.
So they all have different interest in the topic, medical practitioner can ask about reducing
methods of dilemmas, media can ask about reaction of doctors if any critical case arise in the
hospital due to mistakes of doctors, public can ask about their rights.
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