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Letter to the Editor

  • We would like to thank the author of the Letter to the Editor in response to our OJIN article “Calling Nursing Informatics Leaders: Opportunities for Personal and Professional Growth”. Reading their comments and experiences regarding their growth as an emerging NI leader highlighted to us the importance of proactive work to support the NI leadership pipeline.

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Reply by Aroskar to Wightman on "Administrative Ethics: Perspectives on Patients..."

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May 4, 1999

Reply by Author to letter to the editor by Wightman on Administrative Ethics: Perspectives on Patients and Community-Based Care by Mila Ann Aroskar (Dec. 31, 1998)

Dr. Aroskar's response:

Thanks for your response. You bring up the important problem of the "revolving door" that affects patient population groups in different ways and for different reasons, e.g., respect for patient/family autonomy and decision making, short in-patient stays based more on consideration of financial costs than patient needs. In response to the letter writer's proposal, I suggest the development of forums in senior centers, adult day care, nursing home residents' councils, and assisted living settings with patients/residents, family members, and staff for the purpose of discussion and suggestions about how to handle this issue - practice of "preventive ethics". This is a broader issue of organizational ethics, including institutional and public policies about healthcare funding and service delivery in which a hospital ethics committee could be involved.

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