GEORGE MASON UNIVERSITY College of Nursing and Health Science NURS 660/PHIL 510 Seminar in the Ethics of Health Care (3) Thursday, 7:20 – 10:10 P.M. Fairfax Campus Classroom –TBA Bonnie W. Duldt, Ph.D., R.N. Office: None Phone: 703- 451-5248 (H) Fax: 703-451-6378 E-mail: [email protected] NOTE: An active and current e-mail account is required of all students by the second week of class. Call (703) 993-8870 Spring Semester, 2002 1 GEORGE MASON UNIVERSITY College of Nursing and Health Science Course Number: NURS 660/PHIL 510 Course Title: Seminar in the Ethics of Health Care (3:3:0) Placement in Curriculum: Graduate Level Faculty: Bonnie Weaver Duldt, Ph.D., R.N. Catalog Description: An examination of the moral dilemmas within the health care profession, with special emphasis on patient’s rights, professional’s obligations to other professionals, and issues of social justice in health care. Methods of rational moral deliberation based on ethical theories and principles will be applied to ethical dilemmas in health care. Course Objectives: At the completion of this course, the student will be able to: 1. Discuss ethical theories, principles, and decision-making framework. 2. Analyze methods of moral deliberation by applying the preceding theories, principles, and frameworks to health care issues. 3. Discuss major concerns related to select bioethical issues in health care. 4. Evaluate the effects of bioethical issues on future trends within the health care profession. Topical Outline: 1. Introduction, key ethical terms, ethical accountability. 2. Classical and modern ethical theories and ethical principles. 3. Ethics of care, feminist ethics, moral development. 4. Ethics of decision-making frameworks. 5. Professional and ethical obligations to society. 6. Professional and ethical obligations to clients/patients. 7. Professional and ethical obligations to other professionals. 8. Future bioethical issues and trends. Teaching Strategies: 1. Lecture & discussion 2. Seminars 3. Guest speakers 4. Use of audiovisuals 5. Incorporation of the arts and humanities. 2 Week Date Topic Person(s) 1 Introduction to course Faculty 2. Key ethical concepts; Read Weston book for classes #3 & 4 Faculty 3 Classical Ethical Theories and Principles New Age Concepts Faculty 4 Kennedy Institute of Ethic & Other Ethical Organizations Faculty 5 A. Ethical Codes, Ethical Decision-Making Frameworks. ________ 6. B. Ethical Issues in Peer and Colleague Relationships ________ 7 C. Ethical Issues and Testing, Screening, and Technological Advances in Science ______ 8 D. Ethical Issues and New Methods of Reproduction ________ 9 E. Ethical Issues and Genetic Experimentation (including research ethics) ________ 10 F. Ethical Issues and Organ Donations and Transplants ________ 11 G. Ethical Issues and Death and Dying ________ 12 H. Ethical Issues and Scarce Resource Allocation ________ 13 I. Ethical Issues and Managed Care ________ ETHICS ISSUE PAPER & SELF-EVALUATION DUE 14 J. Ethical Issues and Cultural Diversity -_______ 15 Holistic Care Faculty Ethics Committees & Spiritual Care Guest Speaker Persuasion Communication Theory For Ethical Leadership Faculty Course Evaluation Students 16. Final Examination (none required) 3 Evaluation Methods: 1. Seminar presentation 1/4 of grade 2. Seminar preparation/participation 1/4 of grade 3. Ethics issue paper 1/2 of grade Required Texts: American Psychological Association (1994). Publication manual of the American Psychological Association (4th ed). Washington, DC: Author. Garrett, T. M., Baillie, H. W., & Garrett, R. M. (1998). Health care ethics: Principles and problems (3rd ed.). Englewood Cliffs, NJ: Prentice Hall. Weston, A. (1997). A practical companion to ethics. New York: Oxford University Press. Duldt, B. W. (1998). “SmartPrim: A Computer Assisted Instructional Program about Critical Thinking, Term Papers, and Speeches. Springfield, Virginia: Duldt & Associates, Inc. (Note: This consists of eight interactive lessons on two computer disks or one CD.) Duldt, B. W. (1998). SmartPrim: A Computer Assisted Instructional Program about Critical Thinking, Term Papers, and Speeches; Student Computer Tutor Handbook. Springfield, Virginia: Duldt & Associates, Inc. Recommended Readings: American Nurses Association. (1985). Code for nurses with interpretive statements. Kansas City: Mo. Beauchamp, T. L., and Children, J. F. (1994). Principles of biomedical ethics (4th ed.). New York: Oxford University Press. Davis, A.J., Aroskar, M. A., Liaschenko, J., & Drought, T. S. (1997). Ethical dilemmas and nursing practice(4th ed.). Stanford, Ct.: Appleton & Lange. Denice T., Peterfreund, S., & White, N. (Eds.). (1996). Great traditions in ethics(8th ed.). Belmont CA.: Wadsworth. Duldt, B.W. (1991). "I-Thou": Research supporting humanistic nursing communication theory. Perspectives of Psychiatric Care, 27(3), 5-12. 4 Duldt, B.W. (1994). Can nursing have its own theory of ethics? Guest Editorial. Perspectives in Psychiatric Care, 30(3), 3. Duldt, B.W. (1995). Interacting nursing theory and nursing ethics. Perspectives of Psychiatric Nursing. 31(2) (April-June), 4-10. Duldt, B. W. (1999). Teaching Communication about Human Sexuality to Nurses and other Health Care Providers. (Co-authored with Marie Pokorny, Ph.D, R.N., East Carolina University, Greenville, North Carolina) Nurse Educator, 24(5),27-32. Duldt, B. W. (2002). Spotlight on Spirituality. Journal of Nursing Administration. (In Press, due January issue.) Reich, W. T. (Ed.). (1995). Encyclopedia of bioethics. (Rev. ed., Vols. 1 and 2). New York: Simon & Schuster. (Reference section of Johnson Center Library) Silva, M.C. (1998). Organizational and administrative ethics in health care: An ethics gap. On Line Journal of Issues in Nursing. Available at http.//www.nursingworld.org/ojin/topic 8/topic8_1.htm. Walters L., & Kahn, T. J. (ongoing each year). Bibliography of bioethics. Washington, DC; National Reference Center for Bioethics Literature, Kennedy Institute of Ethics. (1-800- MED-ETHX) (Reference section of Fenwick Library) Online Office of Health Care Ethics, George Mason University College of Nursing and Health Science Center for Health Policy and Ethics. Http://www.gmu.edu/departments/chp/ethics.htm Bioethics Information Retrieval Project, Kennedy Institute of Ethics, Georgetown University, Washington, D.C. 20057-1212. Http://bioethics.georgetown.edu. Electronic Reserve http://ascr.gmu.edu/cgi-bin/ers/OSCRgen.cgi Password: “puppy.” 5 GEORGE MASON UNIVERSITY College of Nursing and Health Science SEMINAR Purpose Apply moral justification and ethical decision making to contemporary ethical issues in health care. Directions 1. You are free to plan the seminar in any manner you desire as long as you discuss a contemporary bioethical ethical issue in health care and propose viable ethical choices for its potential resolution. 2. You are to meet with faculty to prepare your seminar at least TWO WEEKS prior to the seminar (except ONE WEEK for the first one). 3. You are to review the seminar evaluation form before preparing your seminar so that you are aware of the specific areas in which you will be evaluated. 4. The richness of the seminar is the group interaction and discussion. Although the presenters have the responsibility for providing the framework for organizing the seminar, each participant is responsible for preparing and contributing to the seminar. 5. Please provide your colleagues with objectives, an outline, learner activities, and a reading list related to your seminar one week in advance of your presentation so that they may prepare adequately for your seminar. 6. Arrange for in advance and be sure all audiovisual equipment is working prior to the seminar presentation. Notes: Students are expected to attend all classes because of their participatory nature. 6 The Honor Code is in effect during self-evaluation of seminar participation and preparation, as well as the writing of the final manuscript. Since an ethical issue discussed may be personal and distressing, students may leave the classroom to regain their composure, returning when feeling comfortable to do so. 7 Student Preparation and Participation Purpose To ensure adequate preparation and participation of colleagues for each seminar so substantive knowledge is learned and critiqued. Criteria 1. Grading criteria for seminar preparation are as follows and will be self-reported as a percent. A (90-100%) Student has carefully and thoughtfully read all required readings plus several additional or recommended readings. B (80-89%) Student has carefully and thoughtfully read all required readings. C (70-79%) Student has been inconsistent in preparing for class, and all required readings are read less than 75% of the time. 2. Grading criteria for seminar participation are as follows and will be self-reported as a percent. A (90-100%) Student participates in at least 12 seminars in a constructive and thoughtful manner. B (80-89%) Student participates in at least 10 seminars in a constructive and thoughtful manner. C (70-79%) Student participates in seminars in a sporadic and superficial manner, or student is excessively talkative or quiet. Notes: Students are expected to attend all classes because of their participatory nature. The Honor Code is in effect during self-evaluation of seminar participation and preparation, as well as the writing of the final manuscript. Since an ethical issue discussed may be personal and distressing, students may leave the classroom to regain their composure, returning when feeling comfortable