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Agenda – 10/4/05

Agenda – 10/4/05. Culture presentation Article presentation Jessica– Camphinha-Bacote Ch 5, 6 Charisse – Camphiha- Bacote Ch. 7 Vanessa – deChesnay. Ch 11 Ethics. Ethics. Character, manners, moral, doing good Knowledge & value; reasoning Theories Altruism – love others over oneself

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Agenda – 10/4/05

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  1. Agenda – 10/4/05 • Culture presentation • Article presentation • Jessica– Camphinha-Bacote Ch 5, 6 • Charisse – Camphiha- Bacote Ch. 7 • Vanessa – deChesnay. Ch 11 • Ethics

  2. Ethics Character, manners, moral, doing good Knowledge & value; reasoning Theories Altruism – love others over oneself Egoism – individual first Hedonism – pleasure over all other values Rational paternalisms - Relativism & subjectivism – each culture &/or individual decides what is right or wrong

  3. Basic Theories • Utilitarianism – goal-based the greatest happiness for the greatest number • Deontology – duty based, love-based • Autonomy – human right; self-determination • Beneficence – do good • Justice - fairness • Non-maleficence – do no harm • Veracity – telling the truth • Fidelity - keeping promise

  4. Utilitarian Consequences Who is the majority What is happiness Deontology Action & motives Value knowledge Comparison of 2 major theories

  5. Justify human action Acceptance of theory Action Explain phenomenon True or false Predict, control Ethical theory & scientific theory

  6. Roles of the nurse • Nurse’s fundamental responsibility- value, concern, goals • Ethics of caring – empathy, nurturing, commitment, being an advocate • Participation of the family in decision making – social assessment

  7. Ethical Issues in Nursing • Quantity vs. quality of life • Pro-choice vs. pro-life • Freedom vs. control • Truth-telling vs. deception • Distribution of limited resources • Empirical knowledge vs. personal belief

  8. Methods of moral reasoning • Deductive – code, creed, … • Inflexibility, value conflict, no motivation • Inductive – custom, cases, … • Static & preventing progressive social change • Intuition – combination of subjective, objective, & relativistic aspect • Dialectical – philosophical aspect, art…

  9. Ethical Issues - principles • Autonomy – who’s decision • Beneficence, Nonmaleficence • Justice, fairness –allocation of resources • Veracity (truth-telling) – white lie • Informed consent – level of knowledge • Quality of life/sanctity of life • The golden rule – time & circumstances

  10. Issues of Ethical Rights • Right to privacy - confidentiality • Right to decide what happens to one’s body • Right to health care • Right to information • Right to choose whom you care for • Right to live, right to die • Rights of children/ senior

  11. Issues of Ethical Duties/Obligations • Respect • Be accountable, competent -> decision making • Participation -> contribute to professional knowledge base • Implementation -> improve standard of profession & prevent illegal practice

  12. Issues of concern in life cycle • Contraception and sterilization • Genetic engineering and embryo transfer • Abortion • Infanticide • Adolescent sexuality • Allocation of scarce resources • Lifestyle • Euthanasia

  13. Related to Culture • Language – communication • Value – decision maker • Knowledge – bill of rights

  14. Cultural competence training • Health care institutions • Interdisciplinary programs • Nursing service • Orientation – demographic data of the pop, ethical-legal consequences, appropriate resources • In-service – • Interdisciplinary team • Nursing education • Undergraduate level – core course • Graduate level – specialty areas

  15. Factors to consider • Time – past vs. present, interpretation • Circumstances – setting, knowledge • Religion – beliefs, creation vs. revolution • Science – hard data vs. philosophy • Technology – change of nature

  16. References • Marrella, L. (2001). In search of ethics: conversations with men and women of character. D.C. Press (www.focusonethics.com) • Business ethics, www.business-ethics.com • The Ethics Resource Center, www.ethics.org • Institute of Business Ethics, www,ibe,org,uk • Junior Achievement’s Business Ethics Center, www.ja.org/programs/programs_ethics.shtml

  17. Discussion & stories • Genetic therapy for fetus to prevent Alzheimer • Euthanasia • Disaster – triage • Children health insurance program • Human organs for sale

  18. Prepare for next class (10/11) • Culture presentation • Gisela – Russian • Charisse – Nepali • Virginia - Vietnamese • Article presentation • Charisse • Mark • Vanessa • Patty x 3

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