UNIVERSITY OF FLORIDA



UNIVERSITY OF FLORIDA

COLLEGE OF NURSING

COURSE SYLLABUS

FALL2012

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

3468 Web-based

8428 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 (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.

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.

WEEKLY CLASS SCHEDULE

NOTES:

Assignments are in weekly increments.

Assignments are due by midnight on the respective Sundays [Weeks 1- 11].

Beginning Week 12*, assignments are due at midnight on the respective Wednesdays [Weeks 12-15]

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

| | | |READINGS |

|1 |August 22 - 26 |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 27- September 2 |Moral Theories |Lectures, Readings, Small Group Discussions |

| | |Right-based theories | |

| | |Communitarianism | |

| | |Contractarianism | |

|3 |September 3 – 9 |Theory Understanding |Open Book Quiz |

| |Labor Day | | |

|4 |September 10-16 |Moral Development |Lectures, Readings, Small Group Discussions |

| | |Moral Injunctions | |

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

|5 |September 17-23 |Formal Axiology: Respect for Autonomy and Justice |Lectures, Readings, Small Group Discussion of|

| | | |Cases |

|6 |September 24-30 |Formal Axiology: Nonmaleficence & Beneficence |Lectures, Readings, Small Group Discussion of|

| | | |Cases |

|7 |October 1-7 |Moral Principles Understanding |Open Book Quiz |

|8 |October 8-14 |Professional-Patient Relationships |Lecture |

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

| | | |OR, |

| | | |Film: Miss Evers’ Boys |

|9 |October 15-21 |Immersion Experience 1 |Ethical Issue Paper Outline DUE |

|10 |October 22-28 |Immersion Experience 2 |Student-led Case Discussions |

|11 |October 29 – November 4 |Immersion Experience 2 |Student-led Case Discussions |

| | | | |

|12 |November 5-14* |Immersion Experience 2 |Student-led Case Discussions |

| |Homecoming | | |

|13 |November 14-21* |Immersion Experience 2 |Student-led Case Discussions |

|14 |November 22-28* |Immersion Experience 3 |Ethic Issues Paper DUE |

| |Thanksgiving | | |

|15 |November 29- Dec. 3* |Clinical Ethics in the News |Class discussion |

* = Due date changes from Sunday to Wednesday

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

Faculty: 12/97, 04/07

UF Curriculum: 06/98, 05/07

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