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This presentation delves into key ethical theories relevant to nursing practice, including Utilitarianism, Deontology, and Autonomy. It examines the ethical obligations of nurses, such as beneficence and justice, alongside the importance of cultural competence in healthcare. Through various case studies and discussions on pressing ethical issues like euthanasia, abortion, and resource allocation, participants are encouraged to critically assess moral reasoning and the participation of families in decision-making. The session aims to enhance understanding of ethical responsibilities while promoting a multicultural approach to patient care.
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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 Egoism – individual first Hedonism – pleasure over all other values Rational paternalisms - Relativism & subjectivism – each culture &/or individual decides what is right or wrong
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
Utilitarian Consequences Who is the majority What is happiness Deontology Action & motives Value knowledge Comparison of 2 major theories
Justify human action Acceptance of theory Action Explain phenomenon True or false Predict, control Ethical theory & scientific theory
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
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
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…
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
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
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
Issues of concern in life cycle • Contraception and sterilization • Genetic engineering and embryo transfer • Abortion • Infanticide • Adolescent sexuality • Allocation of scarce resources • Lifestyle • Euthanasia
Related to Culture • Language – communication • Value – decision maker • Knowledge – bill of rights
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
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
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
Discussion & stories • Genetic therapy for fetus to prevent Alzheimer • Euthanasia • Disaster – triage • Children health insurance program • Human organs for sale
Prepare for next class (10/11) • Culture presentation • Gisela – Russian • Charisse – Nepali • Virginia - Vietnamese • Article presentation • Charisse • Mark • Vanessa • Patty x 3