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Is Workplace Kin?

Is Workplace Kin? 836438 WHSXXX10.1177/2165079919836438Workplace Health & SafetyWorkplace Health & Safety research-article2019 Workplace Heatl H & Safety June 2019 Crreu nt t ipo Cs Deepak Gupta, MD recognizing and accepting HCWs’ workplaces about a coworker’s health, like indicators of Abstract: When health care workers as their kin may prompt occupational health drug abuse or communicable diseases, receive health care at their workplace, an nurses in health care to consider their current especially if there are elements in the ethical question arises if the workplace is workplace policies and procedures as they coworkers’ health information which can be considered kin. pertain to worker confidentiality when potentially detrimental to workplace safety receiving care in that institution, as well as (Society for Human Resource Management, issues that may adversely affect the quality of Keywords: organizational culture/ 2018; U.S. Department of Health and Human climate, safety, best practices, continuous Services, 2017). Similarly, having access to the care. sensitive health information, such as quality improvement, disruptive innovation indicators of cognitive decline that a patient/ References coworker may be experiencing, can pose an American Association of Occupational Health eing a patient is never easy, but it may ethical dilemma for the HCW evaluating and Nurses. (2019). What is occupational & become more difficult when the patient managing their care (Fleck, 2015). If there is environmental health nursing? Retrieved Bis also a health care worker (HCW). inexplicable professional-or-personal tension from http://aaohn.org/page/profession-of- Considering that a HCW is in an advantageous among the coworkers, the HCW and employer occupational-and-environmental-health- position to choose his or her own workplace may be exposing themselves to potential nursing for receiving health care, an ethical question medicolegal risks, especially when a HCW is American Medical Association. (2019). Ethics— arises whether the modern workplaces can be evaluating and managing a coworker for Treating self or family: Code of medical ethics considered kin for workers. This scenario diseases affecting those parts which are opinion 1.2.1. Retrieved from https://www. elicits the irony that, unlike attorneys who can ama-assn.org/delivering-care/treating-self-or- anatomically or psychologically considered represent their own kin in the absence of any family private (Kane, 2018). explicit conflict of interest, the HCW may not Summarily, modern workplaces have Fleck, C. (2015). Coping with cognitive declines at manage his or her kin’s health care due to evolved as round-the-clock abodes, where work. Retrieved from https://www.shrm.org/ conflicts of interests that may arise while hr-today/news/hr-magazine/pages/coping- the coworkers are attached to each other delivering care (American Medical Association with-cognitive-declines-at-work.aspx professionally and personally which ensures [AMA], 2019; Trinh, 2015). an appropriate balance of regimented Kane, L. (2018). Patients sexually harassing This situation calls to question whether physicians: Report 2018. Retrieved from professionalism and chaotic humanity at the hospitals should restrict HCWs from having https://www.medscape.com/slideshow/ workplace. Therefore, it may be safely their workplace as their health care provider patients-sexually-harassing-physicians-6010036 presumed that “unseeing the seen” to respect because of implicit conflicts of interests that patients’ privacy may be a difficult task for Society for Human Resource Management. could arise when receiving care from a HCWs, especially, when they meet their (2018). How to handle communicable coworker. During a health care encounter diseases in the workplace. Retrieved from coworkers in their workplaces as their https://www.shrm.org/resourcesandtools/ among coworkers, just like kin, there can be patients. Henceforth, to prevent even tools-and-samples/how-to-guides/pages/ personal concerns for confidentiality when unintentional impropriety or oversight by communicablediseasesinworkplace.aspx sharing health information (AMA, 2019). There coworkers, it may be better to embrace Trinh, L. E. (2015, April). Do’s and don’ts of are certain exemplary scenarios to consider. personal inconveniences when deciding to hiring a friend as your lawyer. Retrieved Secondary to being hesitant with sharing of avoid receiving personal health care at work, from https://blogs.findlaw.com/law_and_ personal, social, and sexual history with a unless suffering from clinical conditions life/2015/04/dos-and-donts-of-hiring-a-friend- coworker during a patient–provider requiring emergent management or unable to as-your-lawyer.html encounter, HCWs, as patients, may be find safer and better alternatives. U.S. Department of Health and Human Services. incompletely managed by their workplace Occupational health nurses are adept at (2017). Talking about your HIV status: Should that serves as their caregiver. The HCW, as a detecting workplace hazards warranting you tell other people about your positive test provider, may have a professional dilemma interventions to reduce risk and avoid crisis result? Retrieved from https://www.hiv.gov/ when during a patient–provider encounter, he (American Association of Occupational Health hiv-basics/hiv-testing/just-diagnosed-whats- or she becomes privy to sensitive information Nurses, 2019). Therefore, the issue of next/talking-about-your-hiv-status DOI:https://doi.org/10.1177/2165079919836438. From Wayne State University. Address correspondence to: Deepak Gupta, MD, Clinical Assistant Professor, Department of Anesthesiology, School of Medicine, Detroit Medical Center, Wayne State University, Box No. 162, 3990 John R, Detroit, MI 48201, USA; email: dgupta@med.wayne.edu. The author(s) declared no potential conflicts of interest and received no financial support with respect to the research, authorship, and/or publication of this article. For reprints and permissions queries, please visit SAGE’s Web site at http://www.sagepub.com/journalsPermissions.nav. Copyright © 2019 The Author(s) http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Workplace Health & Safety SAGE

Is Workplace Kin?

Gupta, Deepak
Workplace Health & Safety , Volume 67 (6): 1 – Jun 1, 2019
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Publisher
SAGE
Copyright
© 2019 The Author(s)
ISSN
2165-0799
eISSN
2165-0969
DOI
10.1177/2165079919836438
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Abstract

836438 WHSXXX10.1177/2165079919836438Workplace Health & SafetyWorkplace Health & Safety research-article2019 Workplace Heatl H & Safety June 2019 Crreu nt t ipo Cs Deepak Gupta, MD recognizing and accepting HCWs’ workplaces about a coworker’s health, like indicators of Abstract: When health care workers as their kin may prompt occupational health drug abuse or communicable diseases, receive health care at their workplace, an nurses in health care to consider their current especially if there are elements in the ethical question arises if the workplace is workplace policies and procedures as they coworkers’ health information which can be considered kin. pertain to worker confidentiality when potentially detrimental to workplace safety receiving care in that institution, as well as (Society for Human Resource Management, issues that may adversely affect the quality of Keywords: organizational culture/ 2018; U.S. Department of Health and Human climate, safety, best practices, continuous Services, 2017). Similarly, having access to the care. sensitive health information, such as quality improvement, disruptive innovation indicators of cognitive decline that a patient/ References coworker may be experiencing, can pose an American Association of Occupational Health eing a patient is never easy, but it may ethical dilemma for the HCW evaluating and Nurses. (2019). What is occupational & become more difficult when the patient managing their care (Fleck, 2015). If there is environmental health nursing? Retrieved Bis also a health care worker (HCW). inexplicable professional-or-personal tension from http://aaohn.org/page/profession-of- Considering that a HCW is in an advantageous among the coworkers, the HCW and employer occupational-and-environmental-health- position to choose his or her own workplace may be exposing themselves to potential nursing for receiving health care, an ethical question medicolegal risks, especially when a HCW is American Medical Association. (2019). Ethics— arises whether the modern workplaces can be evaluating and managing a coworker for Treating self or family: Code of medical ethics considered kin for workers. This scenario diseases affecting those parts which are opinion 1.2.1. Retrieved from https://www. elicits the irony that, unlike attorneys who can ama-assn.org/delivering-care/treating-self-or- anatomically or psychologically considered represent their own kin in the absence of any family private (Kane, 2018). explicit conflict of interest, the HCW may not Summarily, modern workplaces have Fleck, C. (2015). Coping with cognitive declines at manage his or her kin’s health care due to evolved as round-the-clock abodes, where work. Retrieved from https://www.shrm.org/ conflicts of interests that may arise while hr-today/news/hr-magazine/pages/coping- the coworkers are attached to each other delivering care (American Medical Association with-cognitive-declines-at-work.aspx professionally and personally which ensures [AMA], 2019; Trinh, 2015). an appropriate balance of regimented Kane, L. (2018). Patients sexually harassing This situation calls to question whether physicians: Report 2018. Retrieved from professionalism and chaotic humanity at the hospitals should restrict HCWs from having https://www.medscape.com/slideshow/ workplace. Therefore, it may be safely their workplace as their health care provider patients-sexually-harassing-physicians-6010036 presumed that “unseeing the seen” to respect because of implicit conflicts of interests that patients’ privacy may be a difficult task for Society for Human Resource Management. could arise when receiving care from a HCWs, especially, when they meet their (2018). How to handle communicable coworker. During a health care encounter diseases in the workplace. Retrieved from coworkers in their workplaces as their https://www.shrm.org/resourcesandtools/ among coworkers, just like kin, there can be patients. Henceforth, to prevent even tools-and-samples/how-to-guides/pages/ personal concerns for confidentiality when unintentional impropriety or oversight by communicablediseasesinworkplace.aspx sharing health information (AMA, 2019). There coworkers, it may be better to embrace Trinh, L. E. (2015, April). Do’s and don’ts of are certain exemplary scenarios to consider. personal inconveniences when deciding to hiring a friend as your lawyer. Retrieved Secondary to being hesitant with sharing of avoid receiving personal health care at work, from https://blogs.findlaw.com/law_and_ personal, social, and sexual history with a unless suffering from clinical conditions life/2015/04/dos-and-donts-of-hiring-a-friend- coworker during a patient–provider requiring emergent management or unable to as-your-lawyer.html encounter, HCWs, as patients, may be find safer and better alternatives. U.S. Department of Health and Human Services. incompletely managed by their workplace Occupational health nurses are adept at (2017). Talking about your HIV status: Should that serves as their caregiver. The HCW, as a detecting workplace hazards warranting you tell other people about your positive test provider, may have a professional dilemma interventions to reduce risk and avoid crisis result? Retrieved from https://www.hiv.gov/ when during a patient–provider encounter, he (American Association of Occupational Health hiv-basics/hiv-testing/just-diagnosed-whats- or she becomes privy to sensitive information Nurses, 2019). Therefore, the issue of next/talking-about-your-hiv-status DOI:https://doi.org/10.1177/2165079919836438. From Wayne State University. Address correspondence to: Deepak Gupta, MD, Clinical Assistant Professor, Department of Anesthesiology, School of Medicine, Detroit Medical Center, Wayne State University, Box No. 162, 3990 John R, Detroit, MI 48201, USA; email: dgupta@med.wayne.edu. The author(s) declared no potential conflicts of interest and received no financial support with respect to the research, authorship, and/or publication of this article. For reprints and permissions queries, please visit SAGE’s Web site at http://www.sagepub.com/journalsPermissions.nav. Copyright © 2019 The Author(s)

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Workplace Health & Safety – SAGE

Published: Jun 1, 2019

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