business ethics report on stakeholder analysis in health sector

2. Group members
• Malik Ahmed Bilal
• Rohail Mahmood Siddique
• Rana Bilal Ahmed
• Atif Raza

3. Table of Contents
Introduction & Nursing staff Nishtar
DOCTORS &
SWOT and hospital
PATIENTS
Analysis environmental comparison
analysis

4. STAKEHOLDER ANALYSIS
W.R.T. BUSINESS ETHICS
AND CSR
• The stakeholder theory is a theory of organizational
management and business ethics that addresses morals
and values in managing an organization. A stakeholder
Approach, and identifies and models the groups which
are stakeholders of a corporation, and both describes
and recommends methods by which management can
give due regard to the interests of those group.
Types of stakeholders are:
• Primary stakeholders: are those ultimately
affected, either positively or negatively by an
organization's actions.
• Secondary stakeholders: are the ‘intermediaries’, that
is, persons or organizations who are indirectly affected
by an organization's actions.
• Key stakeholders: (who can also belong to the first two
groups) have significant influence upon or importance
within an organization.

5. The City Hospital
• The establishment of the City Hospital
Multan heralds a bright new era for the
citizens of South Punjab, especially the
residents of the Multan.
• Objectives of City Hospital are to provide
a tertiary level patient care and serve as
referral hospital also to conduct teaching/
training of doctors and other health workers
at various levels in the field of medicine
and surgery.

6. SWOT ANALYSIS

7. STRENGHTS
• Latest Facilities
• New Therapies
• Loyal to Patient
• Hygienic Environment
• Efficient Management
• Merit selection

8. WEAKNESSES
• Expensive
• Serious patients
• Emergency
• CSR
• Parking facility

9. OPPORTUNITIES
• Expansion
• Coordination of Services
• Out Patient Services
• Address local needs
• Environmental Friendly

10. THREATS
• NEW TECHNOLOGY
• highly educated doctors
• new hospitals
• cheaper rates
• chain competitors
• inflation rate

11. STAKE HOLDER ANALYSIS

12. • It is the process of identifying the individuals or groups
that are likely to affect or be affected by a proposed
action
• Primary stakeholders
• Secondary stakeholders

13. Stakeholders of HOSPITAL
• owners
• Doctors
• Patients
• Nursing staff
• Environment

14. Owners OF CITY
• Rights
• DUTY

15. DOCTORS & PATIENTS
By
Rohail Mahmood Siddique

16. Doctors
Doctors

17. List of Specialists
• Cardiac Surgeon
• Child specialties
• Eye Specialists
• Cardiologist
• Plastic Surgeon
• Ultrasound Specialist

18. List Of Specialists
• Orthopedic Surgeons
• Gynecologist
• General Surgeons
• General Physician
• Urologist

19. Doctors in city Hospitals
City Hospital has doctors in two
forms
• Consultants Doctors
• Employees Doctors

20. Consultants
• Rights of Consultants
• Duties of Consultants
• Analysis of consultants in City
Hospital

21. Employees
• Rights of Employee Doctors
• Duties of Employee Doctors
• Analysis of Employee Doctors in
City Hospital

22. Patients

23. Patients
• Rights of Patients
• Duties of Patients

24. Patients in City Hospital
• Analysis in City Hospital
• Ethical Dilemma

25. Article :Including Organizational
Ethics in Policy Review Processes
in Healthcare Institutions: A View
from Canada
• There are number of challenges
associated with transition from
clinical to organizational ethics,
especially in policy review,
Operational challenges required the
ethics committee to develop
strategies such as targeting
education and lobbying .There is
also a challenge of moving
organizational ethics from
theoretical concept to in reality. So
it is the duty of ethics committee to
strategically manage and follow the
instruction to overcome challenges
in health sector.

26. Nursing staff and
Environmental analysis
By
Rana Bilal Ahmed

27. QUALITIES of a good nurse
• Qualification&training
• Communication skills
• Watchfulness
• Emotional stability
• Stress management

28. Continued….
• Empathy& kindness
• Flexibility
• Physical endurance
• Respectful attitude
• Active& cheerful

29. A View at their work in
hospital
• Shifts of nurses
• Proper co ordination
• Training & recruitment
• Behavior of nurses

30. Continued…
Advantages given to nurses:
• Seniority based
• Special leaves
• Maternity leaves
• Half time
• Free medication & discounts

31. Continued..
• Common complaints by patients
• Responsibilities of record
keeping
• Other qualities
• conclusion

32. Environmental and health
issues in Hospital
• Environmental pollution
• Medical devices
• Hospital waste
• Occupational health and safety
issues

33. BUILDING
City hospital in MULTAN follows
guidelines to maintain a balance
between effective infection
controls and a good ecological
environment.
• Construction and renovation
activities
• Infrastructure
• Level of cleanliness

34. waste management
• Significant task
• Building designs
• EPP[environmentally preferable
purchasing]

35. Waste management
strategies
City hospital emphasis on
thoughtful segregation and
guidance form the ‘3 R s’:
 Reduce
 Reuse
 recycle

36. Disposal of wastage in city
hopital
• Environment protection
department
• Incinerators
• Hospital waste baskets
– Red basket
– White basket
– Green basket

37. Environmental friendly
purchasing
• Product choices
• Health care
• EPP[environmental preferable
purchasing]

38. Article Stakeholder analysis: A
review: By Ruairi burgha and
zsuzsa
• This article basically puts emphasis on
importance of stakeholders in health
sector.as they influence decision
making processes. of late it has
become a trend that stakeholders
analysis or reference to stakeholder is
of authoritative importance before
taking an crucial decision.so one can
say that it has become a bit of a
decision making tool. The important
distinction in its use as a policy tool is
whether it seeks to facilitate the
implementation of a specific pre-
determined policy or policy direction as
used within political mapping or as an
historical and concurrent analysis to
evaluate how policies have developed
and feasibility of different other policy
options. This tool proves to be quite
handy in every single situation.

39. Atif Raza
MBE-10-60
Comparison with NISHTAR Hospital

40. Duties and rights of the
hospital
• There are three main duties of
the Nishtar hospital which are
given below:
 To serve people
 To produce new doctors and
paramedics
 To save life of the people
• Right of the hospital
– To research and developing
the new techniques of
teaching
– Providing health care facilities
– Safety and security
– Government support

41. Stakeholders of NISHTAR
hospital
The main stakeholders of
Nishtar hospital are given
below:
– Professors
– Doctors
– Administration
– Patients
– environment

42. DOCTORS
• From professor to paramedics are
all included
• In Nishtar, Doctors fulfilling their
duties well but their rights are
exploited in some issues like salary
issues by Government. And
according to the doctors they
deserve more salary due to the
increased number of patients day
by day and hospital facilitations are
not up to the mark like if we
compare with city hospital. Another
dilemma about the doctors is that
for promotions and scale raise they
have to use political reference and
influence.

43. Duties and rights of Doctors
Duties of the doctors:
 Be humble and polite toward
patients.
 Be sympathetic and polite toward
patients.
 They have duty to serve the
patients first who are in critical
conditions.
 They should be there on time.
Rights of the doctors:
 Equipment’s
 Respect
 Supported staff
 Patients all required information
 Proper environment

44. Nurses of Nishtar hospital
• Nurses of the hospital can be
classifying on the bases of their
specialties
 Students
 Staff nurses
 Sisters
 Superintendents

45. Duties and Rights of Nurses
Duties
• They should be caring for patients
• Give the required medicines to patients
on time
• They have to follow the orders of the
doctors
• They have to ensure all the duty
requirement written in description
Rights
• Cooperation by doctors and patients
• Emergency leaves.
• Proper environment
• Shift changing
• Salary
• Harassment safety rights

46. Patients
Duties
• It is a patient duty to cooperate with staff
and doctors
• They have to behave well in case of
emergency
• Follow all the instructions of the hospitals
• Provide necessary documents and fill all
the documents
Rights
• It is patient right to treat well and doctors
to check and ensure medication
• It is a patient right not to coerce them
because it is a government non-profit
organization so there is danger toward
security of patients and in case of any
mishap organizations sometimes doesn’t
take responsibility.

47. Environement and waste
disposal
– At some extent they are responsible
toward environment because most
of the government organizations
show negligence toward
environment and society
– They have a staff of incinerators
who dispose of the surgical waste
by burn it in disposal areas.
– Follow the instructions of World
Health Organization (WHO).
– Nishtar hospital have contract with
contractor of disposal or if any issue
arises with respect to the disposal
and environment basically a consult
department of waste is responsible
then according to the waste
committee.
– Pak Italian waste acid burn program
a new project coming soon.

48. Social welfare department
and bait-ul-mal
• There is social and human
development welfare department
in Nishtar hospital running by
Punjab Government.
• They morally help the needy
patients and support them in
financial issues
• Also include donors volunteers
NGO’s

49. Conclusion of analysis
• At the end we can say there is major
difference between city and nishtar
hospital because of private and
government concerns toward ethics and
stakeholders interest. But due to some
reasons they have to move the serious
patients toward Nishtar hospital
because of risk of life of patients.
• As city hospital is profit organization so
they are more toward ethics and
stakeholders interest.
• City hospital is now move toward CSR
but they have less focus on greenery
like planting in compare with Nishtar
hospital they have an edge of
government building.

50. Conclusion of analysis
• Government organizations are more
toward Social responsibilities
because most of the NGO’S work
with the Government hospitals.
• Environment in city hospital is very
excellent as compared to the Nishtar
hospital because it is private owned
hospital and they may care for that
,in Nishtar when we talk about
environment sometimes it can raise
some question like electricity
issues, obsolete equipment and
machinery etc.

51. THE END