Abraham Mansbach

Internal or external whistleblowing: Nurses’ willingness to report wrongdoing

In Israel, whistleblowing in the nursing profession has been largely ignored. This topic is neither part of the professional—ethical discourse nor a subject for research. Focusing on the divide between internal and external whistleblowing, this article presents a study that explores nurses’ willingness to disclose an act that could jeopardize the rights or safety of patients. Internal disclosure entails reporting wrongdoing to an authority within the organization. External disclosure involves reporting the offense to an outside agency, such as a professional organization or the press. The study’s findings indicate that the nurse respondents viewed both the harmful misconduct of a colleague and that of a manager as being very serious. In such dilemmas the nurses reported a desire to correct the wrongdoing and a concomitant willingness to act. They were, however, much more likely to whistleblow internally rather than externally. This study revealed a pattern of nurses’ progressive retraction as the circle of disclosure widened.

Self‐Reported Likelihood of Whistleblowing by Social Work Students

This article presents a first study on the professional–ethical dilemma of whistleblowing in social work, and suggests some lines for further research on this topic as well as ways for integrating it in the social work curriculum. The study examines the self‐reported readiness of social work students to blow the whistle, whether internally or externally. Internal disclosure entails reporting the wrongdoing to an authority within the organization. External disclosure entails reporting the offense to an outside agency, such as the police, professional organization, or press. The findings indicate that the students view the acts that are detrimental or cause injustice to the client in a very serious light. In dilemma situations such as these, the students reported a willingness to act. The students also report considerably greater likelihood of whistleblowing internally than externally.

Blowing the whistle to protect a patient: a comparison between physiotherapy students and physiotherapists.

OBJECTIVES To answer three questions: Are physiotherapists and physiotherapy students willing to take action to prevent misconduct in order to protect a patients interests? Are they willing to report the misconduct to authorities within an organisation and/or outside of it? Are they willing to report a colleagues wrongdoing as well as that of a manager? DESIGN Observational questionnaire study. PARTICIPANTS Two hundred and twenty-seven participants divided into two groups: 126 undergraduate students at the Department of Physical Therapy at Ben Gurion University, and 101 certified physiotherapists working in hospitals and rehabilitation centres in south and central regions of Israel. OUTCOME MEASURES Participants were presented with two vignettes - one describing a colleagues misconduct and the other describing a managers misconduct - and asked to make a decision about whistleblowing. RESULTS Both groups rated their own willingness to take action to change the harmful situations very highly. The physiotherapists perceived a colleagues misconduct as being more serious than the students, and were more willing to intervene internally. The students were more prepared than the physiotherapists to take such action externally. The students perceived the managers misconduct as being more serious than the physiotherapists, and also reported a greater readiness to intervene externally. CONCLUSIONS Physiotherapists consider acts that are detrimental to a patient to be very serious, and are more willing to take action when the offending individual is a colleague. Students are more willing to blow the whistle externally. This article suggests tools for handling similar situations.

Physical therapy students' willingness to report misconduct to protect the patient's interests

This article presents a study on the ethical dilemma of whistleblowing in physical therapy, and suggests some lines for further research on this topic as well as ways for integrating it in the physical therapy curriculum. The study examines the self-reported willingness of physical therapy students to report misconduct, whether internally or externally, to protect the patients interests. Internal disclosure entails reporting the wrongdoing to an authority within the organisation. External disclosure entails reporting the offence to an outside agency, such as the police, professional organisation, or press. The findings indicate that the students view the acts that are detrimental or cause injustice to the patient in a very serious light. In dilemma situations such as these, the students reported a willingness to act. The students also report considerably greater likelihood of whistleblowing internally than externally. The pattern reveals a desire to correct the misconduct coupled with a marked decline in the willingness to blow the whistle as this act moved from the workplace to an external authority.

Reporting misconduct of a coworker to protect a patient: a comparison between experienced nurses and nursing students.

Purpose. Whistleblowing is the reporting of illegal, immoral, or illegitimate practices to persons or organizations that may affect the action. The current study compares experienced nurses to nursing students regarding their willingness to blow the whistle to protect a patients interests. Methods. 165 participants were divided into two groups: 82 undergraduate nursing students and 83 experienced nurses. Participants responded to two vignettes that described a colleagues and a managers misconduct at work. Results. The nursing students perceived the severity of the misconduct significantly lower compared to the experienced nurses. The nursing students also ranked the internal and external whistleblowing indices higher than the nurses, but the differences did not reach statistical significance. For each of the examined internal and external indices, professional experience was found to be significant in multivariate regression analyses. Conclusions. Even though nursing students perceived the severity of the misconduct significantly lower than the experienced nurses, the students demonstrated a greater readiness to blow the whistle, both internally and externally. Recommendations for handling comparable situations are offered.

Overcoming Anthropocentrism: Heidegger on the Heroic Role of the Works of Art

In this paper I argue that although Heidegger’s Being and Time and ‘The Origin of the Work of Art,’ seem to deal with different topics, there is continuity between these two texts. In the latter Heidegger was trying to solve a central problem that arose in the former: how to account for authentic existence and at the same time overcome the anthropocentrism of traditional philosophy. In Being and Time Heidegger tries to overcome traditional philosophy, by redefining human existence in non-Cartesian terms. Yet, his treatment of the problem of the Self preserves one of the main tenets of that tradition: its anthropocentrism. This anthropocentrism is implicit in Dasein and further reinforced by the notion of the hero as the paradigm and channel of authentic existence. In ‘The Origin of the Work of Art,’ Heidegger solves that problem. Placing man at the periphery and the work of art at the centre of his endeavours, gives works of art a special status similar only to that of heroes. Works of art open up new horizons for generations to come by drawing in advance the paths for authentic behaviour. This shift is more than merely methodological. Heidegger overcomes not only the anthropocentrism of his previous analysis but also the instrumentality that derived from that anthropocentrism, thus revealing the essence of things.