UNIVERSITY OF FLORIDA



UNIVERSITY OF FLORIDA

COLLEGE OF NURSING

COURSE SYLLABUS

FALL 2013

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 Patricia Robinson, PhD, ARNP, CCRP

robinps@ufl.edu

(352) 514-3100 iPhone

Office hours: By appointment only

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

3459 Web

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.

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.

COUNSELING AND MENTAL HEALTH SERVICES

Students may occasionally have personal issues that arise on the course of pursuing higher education or that may interfere with their academic performance. If you find yourself facing problems affecting your coursework, you are encouraged to talk with an instructor and to seek confidential assistance at the University of Florida Counseling and Wellness Center, 352-392-1575, visit their web site for more information: .

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.

ACADEMIC HONESTY

The University of Florida Student Conduct and Honor Code may be found at

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

TEACHING METHODS

Lecture, class discussion, written assignments, presentations, and readings.

LEARNING ACTIVITIES

Discussion forums, case presentations, written papers, interactive dialogue

EVALUATION METHODS/COURSE GRADE CALCULATION

Presentations, written assignments, quizzes, and informed participation.

Small Group Discussions (5 @ 9 points each) 45%

Theory Quiz 10%

Principles Quiz 10%

Immersion Paper Outline 05%

Immersion Case Presentation 10%

Immersion Paper 20%

Feedback on all graded assignments routinely is given within five [5] working days of the due date.

MAKE UP POLICY

A grade penalty may be assigned for late assignments, including tests. Make-up quizzes may not be available.

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

For more information on grades and grading policies, please refer to University’s grading policies:

FACULTY EVALUATION

Students are expected to provide feedback on the quality of instruction in this course based on ten criteria.  These evaluations are conducted online at .  Evaluations are typically open during the last two or three weeks of the semester, but students will be given specific times when they are open.  Summary results of these assessments are available to students at .

REQUIRED TEXTBOOK

Beauchamp, T.L. & Childress, J.F. (2012).  Principles of biomedical ethics. (7th ed.). New York:

Oxford University Press.

Jonsen, A.R., Siegler, M. & Winslade, W.J. (2010). Clinical ethics. (7th ed.) New York: McGraw

Hill.

American Psychological Association (2010). Publication Manaual of the American Psychological

Association (6th Edition). Washington, DC

WEEKLY CLASS SCHEDULE

➢ Assignments are in weekly increments.

➢ Assignments are due in total by midnight on the respective Sundays; portions may be due by Thursdays @midnight.

➢ No extra credit or make-up assignments

➢ One assignment point/day is penalty for late submissions.

WEEKLY CLASS SCHEDULE (continued):

|Week |DATE |TOPIC/EVALUATION |ASSIGNMENTS/ |

| | | |READINGS |

|1 |August 21 - 25 |Course Overview |Lectures, Readings, Small Group Discussions |

| | |Introduction to Ethics | |

| | |Moral Norms | |

| | |Normative and non-normative | |

| | |Methods of Moral Justification | |

| | |Conditions of Theoretical Adequacy | |

|2 |August 26- September 1 |Moral Theories |Lectures, Readings, Small Group Discussions |

| | |Right-based theories | |

| | |Communitarianism | |

| | |Contractarianism | |

|3 |September 2 – 8 |Theory Understanding |Open Book Quiz |

| |Labor Day | | |

|4 |September 9-15 |Moral Development |Lectures, Readings, Small Group Discussions |

| | |Moral Injunctions | |

| | |Moral Principles in a Culturally Pluralistic Society | |

|5 |September 16-22 |Formal Axiology: Respect for Autonomy and Justice |Lectures, Readings, Small Group Discussion of|

| | | |Cases |

|6 |September 23-29 |Formal Axiology: Nonmaleficence & Beneficence |Lectures, Readings, Small Group Discussion of|

| | | |Cases |

|7 |September 30 -October 6 |Moral Principles Understanding |Open Book Quiz |

|8 |October 7-13 |Professional-Patient Relationships |Lecture |

| | |Research Ethics |Reading: The Immortal Life of Henrietta Lacks|

| | | |OR, |

| | | |Film: Miss Evers’ Boys |

|9 |October 14-20 |Immersion Experience 1 |Ethical Issue Paper Outline DUE |

|10 |October 21-27 |Immersion Experience 2 |Student-led Case Discussions |

| | | | |

|11 |October 28 – November 3 |Immersion Experience 2 |Student-led Case Discussions |

| | | | |

|12 |November 4-10 |Immersion Experience 2 |Student-led Case Discussions |

| |Homecoming 8-9 | | |

|13 |November 11-17 |Immersion Experience 2 |Student-led Case Discussions |

| |Veterans’ Holiday 11 | | |

|14 |November 18-24 |Immersion Experience 3 |Ethic Issues Paper DUE |

|15 |November 25- Dec. 1* |Clinical Ethics in the News |Class discussion |

| |Thanksgiving Holidays | | |

| |28-29 | | |

|16 |December 2-4 |Classes End | |

Approved: Academic Affairs Committee: 10/97, 03/07

Faculty: 12/97, 04/07

UF Curriculum: 06/98, 05/07

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