Advance praise: 'Dr Shale's book is an outstanding contribution to medical ethics. Its combination of theoretical reflection and empirical research is robust and insightful. I believe that her examination of the ways personal, organizational and situational ethics interact is profound and important for understanding real world healthcare. She writes with wit and grace. This is a superb book, which should be on the desk of anyone who thinks seriously about medical ethics and about the organisation of healthcare.' Richard Ashcroft, Queen Mary, University of London 'This unique study will be of great value to those who have a leadership role at all levels in healthcare organisations. Dr Shale has drawn on the real experience of medical leaders to produce a genuinely useful framework for understanding the moral challenges that are regularly faced by both clinicians and managers. In doing so, she has opened the way for discussion about how we manage the value tensions at the heart of the business of healthcare, how we meet the moral needs of the patients and families we serve, and what it means to lead with integrity.' Dr Adrian Bull, Medical Director, Queen Victoria Hospital NHS Foundation Trust 'Suzanne Shale has achieved a rare and impressive feat in combining theoretical rigour with empirical analysis in a way that make[s] her book uniquely valuable and insightful. This is a work that skilfully bridges the gap between the abstract and its application. It is an account that illustrates how moral questions and experiences are multi-layered and nuanced encompassing the systemic, organisational and personal. Dr Shale casts analytical light on areas of clinical management and leadership that have been overlooked within bioethics. This book is an original, scholarly and engaging work in which the author's thoughtful and wise perspective shines through on every page.' Professor Deborah Bowman, St George's, University of London
