How adaptive leadership can enhance healthcare ethics
Bibliographic record
Abstract
Ethical challenges persist throughout healthcare and, over the last 40 years, more organizations have hired ethicists or teams of ethicists to help identify and address them. Strategies and tools used by healthcare ethicists have evolved over this time. Most commonly capacity-building (education) and ethical frameworks are used to support ethical decision-making within organizations. In this article, we argue that traditional, technical tools (like frameworks and education) are insufficient for addressing ethical issues in healthcare and supporting the changes in behaviour that are required to make sustainable, widespread improvement. We maintain that many ethical issues in healthcare are inherently adaptive (rather than solely technical) issues and advocate for an ethics approach that uses adaptive leadership skills and strategies to help ethicists, clinicians, staff, and organizations to navigate complex ethical challenges and make sustainable behavioural and organizational change.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.014 | 0.032 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.004 | 0.015 |
| Scholarly communication | 0.011 | 0.008 |
| Open science | 0.001 | 0.011 |
| Research integrity | 0.003 | 0.005 |
| Insufficient payload (model declined to judge) | 0.011 | 0.003 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".