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Ethical Leadership

Keselman, David RN, MN, CHE, STTI, DHA(c)

doi: 10.1097/HNP.0b013e318263f2da

In today's climate and environment, the conventional relationship between caring, economic, and administrative practices no longer serves the interest of patients, clinicians, or systems. A shift toward human caring values and an ethic of authentic healing relationships is required as systems now have to value human resources and life purposes, inner meaning, and processes for providers and patients alike. The costs of unethical behavior can be even greater for followers. When we assume the benefits of leadership, we also assume ethical burdens. It is the assertion and experience of the author that the triangle of ethics and ethical behavior, followers, and patient's outcomes are closely interrelated and affect each other in a very intimate and direct way. Unethical leadership may lead to follower disappointment and distrust, leading to lack of interest and commitment, consequently negatively impacting patient outcomes and organizational effectiveness.

VP Ambulatory Care and Medical Affairs, Stanton Territorial Health Authority, Yellowknife, Canada.

Correspondence: David Keselman, RN, MN, CHE, STTI, DHA(c), VP Ambulatory Care and Medical Affairs, Stanton Territorial Health Authority, 550 Byrne Road, PO Box 10. Yellowknife, NWT X1A 2N1, Canada (

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2012 Lippincott Williams & Wilkins, Inc.