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Proceedings in a disciplinary action at the Malaysian Medical Council.

Members of the medical profession are expected to be well aware and abide by the revised code of ethics adopted by the Malaysian Medical Council on 9th December 1986. Under the Act Council may, in the exercise of its disciplinary jurisdiction, impose punishments related to misconduct or malpractices. When a complaint or information is made against any practitioner, the President shall forward such complaint to the Chairman of the Preliminary Investigation Committee. The procedure of the disciplinary inquiry is not exactly like those in the court of law but the same principle of justice is adhered to and all evidence used to make a decision must only be those that are admissible in accordance with the rule of evidence.

Codes of Ethics↗

When staff members sexually abuse children in residential care.

When an agency staff member is accused of sexually abusing a client, the administration is faced with the Solomonic task of balancing the necessity of protecting the child, supporting the staff, and maintaining the integrity and reputation of the agency. This article presents practical suggestions for managing the agency through such a crisis.

Child↗

Do the ends justify the means? Nursing and the dilemma of whistleblowing.

BACKGROUND: Patient advocacy and a desire to rectify misconduct in the clinical setting are frequently cited reasons for whistleblowing in nursing and healthcare. AIM: This paper explores current knowledge about whistleblowing in nursing and critiques current definitions of whistleblowing. The authors draw on published perspectives of whistleblowing including the media, to reflect on the role of the media in health related whistleblowing. CONCLUSION: Whistleblowing represents a dilemma for nurses. It strikes at the heart of professional values and raises questions about the responsibilities nurses have to communities and clients, the profession, and themselves. In its most damaging forms, whistleblowing necessarily involves a breach of ethical standards, particularly confidentiality. Despite the pain that can be associated with whistleblowing, if the ends are improved professional standards, enhanced outcomes, rectification of wrongdoings, and, increased safety for patients and staff in our health services, then the ends definitely justify the means.

Australia↗

[White-collar criminals--a homogenous offender population? Reflections on typical and atypical "white-collar criminals"].

Little has been written in German scientific literature on the personality structure of white-collar criminals. Often, the relevance of this level of investigation has downright been denied. Conventional psychopathology does not seem to be an appropriate approach to these character problems since there are not only deficits but also competences to be found which are useful while making a professional career. The author points out the inhomogeneity of this offender population and presents a case report of an atypical white-collar criminal. Over and above that, he introduces two psychological concepts which are apt to better describe the peculiarities of these individuals: Machiavellian intelligence is often the core competence when it comes to rising in hierarchies, whereas the newly defined psychopathy concept according to R. D. Hare makes plausible the moral and ethical failure of these offenders in their professional settings.

Adult↗

Overcoming barriers to patient safety.

Creating a culture of patient safety is a critical goal of all patient care unit staff. An analysis of the key barriers to patient safety on a typical inpatient unit in an acute care hospital (unclear unit values), the fear of punishment for errors, the lack of systematic analysis of mistakes, the complexity of the nurses' work, and inadequate teamwork are presented. Nine practices to overcome these barriers and achieve patient safety are discussed.

Attitude of Health Personnel↗