UNIVERSITY OF FLORIDA
UNIVERSITY OF FLORIDA
COLLEGE OF NURSING
COURSE SYLLABUS
FALL2011
COURSE NUMBER NGR 7882
COURSE TITLE Ethical Theories and Rational Decision Making in Health Care
CREDITS 3
PLACEMENT Variable: Required Core Course
PREREQUISITES Admission to Doctoral Program or permission of instructor
FACULTY Andrea Gregg, DSN, RN
greggac@ufl.edu Jacksonville
(904) 244-5172
Office hours: Tuesdays, 10am - 12noon
DEPARTMENT CHAIR M. Josephine Snider, EdD, RN
snidemj@ufl.edu HPNP 4221 (352) 273-6359
Office hours: By appointment only
JACKSONVILLE Andrea Gregg, DSN, RN
CAMPUS DIRECTOR greggac@ufl.edu Jacksonville
(904) 244-5172
Office hours: By appointment only
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.
COURSE OBJECTIVES Upon completion of this course, the student will be able to:
1. Evaluate the conditions of adequacy of ethical theories from which to assess the deficits and strengths of theories.
2. Critique selected contemporary and post-modern ethical theories using methods of moral justification and philosophical reasoning in a culturally pluralistic society.
3. Evaluate recurrent ethical issues having relevance for national and international health policy decisions.
COURSE OBJECTIVES (continued)
4. Evaluate the effects of cultural pluralism on ethical decision making processes regarding wellness and illness.
5. Analyze nursing and health related literature for selected epistemic, metaphysical, and axiological themes related to health and illness.
COURSE SCHEDULE
Section Day Time Room
3458 Web-based
033F Web-based
E-Learning in Sakai is the course management system that you will use for this course. E-Learning in Sakai is accessed by using your Gatorlink account name and password at . There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to helpdesk@ufl.edu.
It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications.
Course websites are generally made available on the Friday before the first day of classes.
ATTENDANCE
Students may be expected to attend on-campus or synchronous classes periodically. Students are expected to participate in the activities and discussions as listed in the course syllabus and on the course web-site. Timeframes for the posting and receiving of materials are listed in the course materials on the course web-site. Make-up exams may not be available in all courses.
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.
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.
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
TOPICAL OUTLINE (continued):
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
TEACHING METHODS
Lecture, readings and interactive assignments
LEARNING ACTIVITIES
Discussion forums, case presentations, written papers, interactive dialogue
EVALUATION METHODS/COURSE GRADE CALCULATION
Case presentations, written assignments, quizzes, and informed participation.
Small Group Discussions 45%
Quiz 1 10%
Quiz 2 10%
Outline of Issues Paper 05%
Case Presentation 10%
Issues paper 20%
Feedback on all graded assignments routinely is given within five [5] working days of the due date.
GRADING SCALE/QUALITY POINTS
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)
* 74 is the minimal passing grade
REQUIRED TEXT
Beauchamp, T.L. & Childress, J.F. (2009). Principles of biomedical ethics. (6th ed.). New York:
Oxford University Press.
Jonsen, A.R., Siegler, M. & Winslade, W.J. (2010). Clinical ethics. (7th ed.) New York: McGraw
Hill.
RECOMMENDED TEXT
Beauchamp, T.L., Walters, L. Kahn, J.P. & Mastroianni, A.C. (2008). Contemporary issues in
bioethics, 7th ed. Belmont, CA: Wadworth, Cengage Learning.
WEEKLY CLASS SCHEDULE
|DATE |TOPIC/EVALUATION |ASSIGNMENTS/READINGS |
|August 22 - 28 |Course Overview |Lectures, Readings, Small Group Discussions |
| |Introduction to Ethics | |
| |Moral Norms | |
| |Normative and non-normative | |
| |Methods of Moral Justification | |
| |Conditions of Theoretical Adequacy | |
|August 29- September 4 |Moral Theories |Lectures, Readings, Small Group Discussions |
| |Right-based theories | |
| |Communitarianism | |
| |Contractarianism | |
|September 5 – 11 |QUIZ | |
|Labor Day | | |
|September 12-18 |Moral Development |Lectures, Readings, Small Group Discussions |
| |Moral Injunctions | |
| |Moral Principles in a Culturally Pluralistic Society | |
|September 19 – 25 |Formal Axiology: Respect for Autonomy and Justice |Lectures, Readings, Small Group Discussion of Cases |
|September 26 – October 2 |Formal Axiology: Nonmaleficence & Beneficence |Lectures, Readings, Small Group Discussion of Cases |
|October 3 - 9 |QUIZ | |
|October 10 - 16 |Professional-Patient Relationships |Lecture, |
| |Research Ethics |Reading: The Immortal life of Henrietta Lacks |
| | |Film: Miss Evers’ Boys |
|October 17 - 23 |Immersion Experience 1 |Ethical Issue Paper Outline DUE |
|October 24 - 30 |Immersion Experience 2 |Student-led Case Discussions |
|October 31 – November 6 |Immersion Experience 2 |Student-led Case Discussions |
|Homecoming | | |
|November 7 – 13 |Immersion Experience 2 |Student-led Case Discussions |
|November 14 - 20 |Immersion Experience 2 |Student-led Case Discussions |
|November 21 – 27 Thanksgiving |Immersion Experience 3 |Ethic Issues Paper DUE |
|November 28 – December 4 |Clinical Ethics in the News |Class discussion |
Approved: Academic Affairs Committee: 10/97, 03/07
Faculty: 12/97, 04/07
UF Curriculum: 06/98, 05/07
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