<p> UNIVERSITY OF FLORIDA COLLEGE OF NURSING COURSE SYLLABUS FALL 2011</p><p>COURSE NUMBER NGR 7882</p><p>COURSE TITLE Ethical Theories and Rational Decision Making in Health Care</p><p>CREDITS 3</p><p>PLACEMENT Variable: Required Core Course</p><p>PREREQUISITES Admission to Doctoral Program or permission of instructor </p><p>FACULTY M. Josephine Snider, EdD, RN [email protected] HPNP 4221 (352) 273-6359 Office hours: By appointment</p><p>DEPARTMENT CHAIR M. Josephine Snider, EdD, RN [email protected] HPNP 4221 (352) 273-6359 Office hours: By appointment only</p><p>JACKSONVILLE CAMPUS DIRECTOR Andrea Gregg, DSN, RN [email protected] Jacksonville (904) 244-5172 Office hours: By appointment only</p><p>COURSE DESCRIPTION This course provides the student with the opportunity to analyze ethical theories, and evaluate the applicability of theories to nursing, health care systems, and health care policies. Emphasis is on reasoned considerations of contemporary theoretical perspectives in bioethics. The focus is on theories related to rational systems of bioethical problem solving in a culturally pluralistic society.</p><p>COURSE OBJECTIVES Upon completion of this course, the student will be able to:</p><p>1. Evaluate the conditions of adequacy of ethical theories from which to assess the deficits and strengths of theories.</p><p>2. Critique selected contemporary and post-modern ethical theories using methods of moral justification and philosophical reasoning in a culturally pluralistic society.</p><p>3. Evaluate recurrent ethical issues having relevance for national and international health policy decisions. NGR 7882 COURSE SYLLABUS PAGE 2</p><p>COURSE OBJECTIVES (continued)</p><p>4. Evaluate the effects of cultural pluralism on ethical decision making processes regarding wellness and illness.</p><p>5. Analyze nursing and health related literature for selected epistemic, metaphysical, and axiological themes related to health and illness.</p><p>COURSE SCHEDULE Section Day Time Room 8428 Tuesday 8:30am-11:30am G114 GVL 8604 Alumni JAX</p><p>Sakai is the course management system that you will use for this course. Sakai is accessed by using your Gatorlink account name and password at http://lss.at.ufl.edu. There are several tutorials and student help links on the Sakai login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to [email protected].</p><p>It is important that you regularly check your Gatorlink account email for College and University wide information and the course Sakai site for announcements and notifications.</p><p>Course websites are generally made available on the Friday before the first day of classes.</p><p>ATTENDANCE Students are expected to be present for all scheduled classes, other learning experiences, and examinations. Students who have extraordinary circumstances preventing attendance should explain these circumstances to the course instructor prior to the scheduled class or as soon as possible thereafter. Instructors will then make an effort to accommodate reasonable requests. A grade penalty may be assigned for late assignments, including tests. Students are responsible for responding to online assignments as part of their attendance. Make-up exams may not be available in all courses.</p><p>ACCOMMODATIONS DUE TO DISABILITY Each semester, students are responsible for requesting a memorandum from the Disability Resource Center to notify faculty of their requested individual accommodations. This should be done at the start of the semester. </p><p>STUDENT HANDBOOK Students are to refer to the College of Nursing Student Handbook for information about College of Nursing policies, honor code, and professional behavior.</p><p>D:\Docs\2018-04-23\04a7f2a11b88a7d23f21514130c3704f.doc NGR 7882 COURSE SYLLABUS PAGE 3</p><p>TOPICAL OUTLINE 1. Conditions of theoretical adequacy 2. Respect for autonomy as related to theoretical value systems in health care 3. Justice and the platonic ideal in modern society 4. Responsive interaction and moral principles in a culturally pluralistic society 5. Rights-based theories; duty and obligation in health care 6. Communitarianism; the community and the individual as moral agents 7. Contractarianism; the absence of arbitrary inequalities 8. Moral injunctions and the health care professional; theory of virtue 9. Rational problem-solving and ethical issues </p><p>TEACHING METHODS Lecture, class discussion, written assignments, presentations, and readings.</p><p>LEARNING ACTIVITIES Participation in discussion; readings; group work; papers</p><p>EVALUATION METHODS/COURSE GRADE CALCULATION Written assignments and class participation. Issues paper I 25% Issues paper II 25% Personhood paper 25% Preparation & Participation in class 25% TOTAL 100%</p><p>Assignments/Papers will be returned within 2 weeks.</p><p>GRADING SCALE/QUALITY POINTS </p><p>A 95-100 (4.0) C 74-79* (2.0) A- 93-94 (3.67) C- 72-73 (1.67) B+ 91- 92 (3.33) D+ 70-71 (1.33) B 84-90 (3.0) D 64-69 (1.0) B- 82-83 (2.67) D- 62-63 (0.67) C+ 80-81 (2.33) E 61 or below (0.0)</p><p>* 74 is the minimal passing grade</p><p>REQUIRED TEXT</p><p>Beauchamp, T.L., Walters, L. Kahn, J.P. & Mastroianni, A.C. (2008). Contemporary issues in </p><p>Bioethics. (7th ed.). Belmont, CA: Wadworth, Cengage Learning.</p><p>D:\Docs\2018-04-23\04a7f2a11b88a7d23f21514130c3704f.doc NGR 7882 COURSE SYLLABUS PAGE 4</p><p>Shamoo, A., & Resnick, D. (2009). Responsible conduct of research (2nd ed.). Oxford: University </p><p>Press.</p><p>RECOMMENDED TEXT </p><p>Beauchamp, T. L., & Childress, J. F. (2009). Principles of biomedical ethics (6th ed.). Oxford: </p><p>University Press.</p><p>Skloot, R. (2011). The immortal life of Henrietta Lacks. New York, NY. Random House, Inc.</p><p>ISBN (paperback): 978-1-4000-5218-9.</p><p>D:\Docs\2018-04-23\04a7f2a11b88a7d23f21514130c3704f.doc NGR 7882 COURSE SYLLABUS PAGE 5</p><p>WEEKLY CLASS SCHEDULE DATE TOPIC/EVALUATION ASSIGNMENTS/READINGS August 23 Introduction to course; overview Read Shamoo & Resnick, intro and Of course requirements; chapter 1 & 2; theoretical adequacy Read Beauchamp & Walters, Ch. 1 Professional values; axiology; Selected readings: Arras & Fenton Codes of ethics; conscientious Objections in practice & research QUERY 1: To what extent is it ethical to put one’s own values in a superior position to the needs of the patient or the rigor of the research study?</p><p>August 30 Introduction to ethical models and Read B & W, Ch. 1 and ethical theory: Rights-based Read Shamoo, Ch. 2 September 6 Utilitarian, Deontology Virtue, Feminist, Caring Communitarian </p><p>Query 2: Can one’s use of a particular model or theory change one’s approach to an ethical dilemma? How so?</p><p>September 13 The history of informed consent; Read B & W, Ch. 2 and vulnerable groups; clinical Read Shamoo, Ch. 8,12,13 September 20 equipoise; Consider Harlow’s research in this context; consider military exemptions; consider subjects with psychiatric disorders; consider prisoners; research in other lands Read Brudney Read Streiffer</p><p>Query 3: What does the literature say about these issues and, when supported, what is the basis for the support?</p><p>September 27 Bioethical principles from Consider paternalism; consider the and Beauchamp historical transition from a October 4 & Childress (principlism) beneficence model to autonomy Autonomy Justice, Beneficence model and Nonmaleficence Consider the history of artificial hearts, liver transplant; consider the justice model and the death penalty Read Ulrich Read Miller & Wertheimer Read B & W, Ch. 7</p><p>DATE TOPIC/EVALUATION ASSIGNMENTS/READINGS</p><p>D:\Docs\2018-04-23\04a7f2a11b88a7d23f21514130c3704f.doc NGR 7882 COURSE SYLLABUS PAGE 6</p><p>Query 4: What, if any, use may be made of scientific materials produced in an unethical manner?</p><p>October 11 Application of ethical models to Read reports of each of these and Schiavo exemplars; discuss the principles October 18 Cruzan embedded in each; in a perfect Dax Cowart ethical world, argue Angela Carder outcomes Stem cells for Huntington’s Read Shamoo, Ch. 11,12 Gennarelli’s baboon head Read B & W, Ch. 3 experiments Military experimentation October 25 The particulars of research Read Shamoo, Ch.8 and misconduct Read an account of the David November 1 Begin discussion of Henrietta Baltimore case Lacks Read an account of Pernkopf’s atlas Read B & W, Ch. 4 & 5</p><p>November 8 Passing On; how many ways to Read Ulrich and say it Read Wolf November 15 Read Battin Consider compassion</p><p>November 22 Issues presentations November 29 Issues presentations</p><p>December 6 Issues presentations and summary</p><p>Approved: Academic Affairs Committee: 10/97, 03/07 Faculty: 12/97, 04/07 UF Curriculum: 06/98, 05/07</p><p>D:\Docs\2018-04-23\04a7f2a11b88a7d23f21514130c3704f.doc NGR 7882 COURSE SYLLABUS PAGE 7</p><p>Additional Readings</p><p>Arras, J. & Fenton, E. (2009). Bioethics and human rights: Access to health-related goods. HCR,39, (5), 27-38.</p><p>Battin, M. (2008). Terminal sedation: Pulling the sheet over our eyes. HCT, 38, (5), 27-30.</p><p>Brudney, D. (2007). Are alcoholics less deserving of liver transplants? HCR, 37, (1), 41-47.</p><p>Miller, F. & Wertheimer, A. (2007). Facing up to paternalism in research ethics. HCR, 37, (3), 24-34</p><p>Streiffer, R. (2008). Informed consent and federal funding for stem cell research. HCR, 38, (3), </p><p>40-47.</p><p>Ulrich, C., Hamric, A. & Grady, C. (2010). Moral distress: A growing problem in the health </p><p> profession? HCR, 40, (1), 20-22.</p><p>Wolf, S. (2008). Confronting physician-assisted suicide and euthanasia: My father’s death. HCR, 38, </p><p>(5), 23-26.</p><p>D:\Docs\2018-04-23\04a7f2a11b88a7d23f21514130c3704f.doc</p>