Agenda

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Agenda 10/4/05

• Culture presentation
• Article presentation
• Jessica Camphinha-Bacote Ch 5, 6
• Charisse Camphiha- Bacote Ch. 7
• Vanessa deChesnay. Ch 11
• Ethics

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Ethics

• Character, manners, moral, doing good
• Knowledge value reasoning
• Theories
• Altruism love others over oneself
• Egoism individual first
• Hedonism pleasure over all other values
• Rational paternalisms -
• Relativism subjectivism each culture /or
  individual decides what is right or wrong

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Basic Theories

• Utilitarianism goal-based
• the greatest happiness for the greatest number
• Deontology duty based, love-based
• Autonomy human right self-determination
• Beneficence do good
• Justice - fairness
• Non-maleficence do no harm
• Veracity telling the truth
• Fidelity - keeping promise

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Comparison of 2 major theories

• Utilitarian
• Consequences
• Who is the majority
• What is happiness

• Deontology
• Action motives
• Value
• knowledge

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Ethical theory scientific theory

• Justify human action
• Acceptance of theory
• Action

• Explain phenomenon
• True or false
• Predict, control

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Roles of the nurse

• Nurses fundamental responsibility- value,
  concern, goals
• Ethics of caring empathy, nurturing,
  commitment, being an advocate
• Participation of the family in decision making
  social assessment

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Ethical Issues in Nursing

• Quantity vs. quality of life
• Pro-choice vs. pro-life
• Freedom vs. control
• Truth-telling vs. deception
• Distribution of limited resources
• Empirical knowledge vs. personal belief

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Methods of moral reasoning

• Deductive code, creed,
• Inflexibility, value conflict, no motivation
• Inductive custom, cases,
• Static preventing progressive social change
• Intuition combination of subjective, objective,
  relativistic aspect
• Dialectical philosophical aspect, art

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Ethical Issues - principles

• Autonomy whos decision
• Beneficence, Nonmaleficence
• Justice, fairness allocation of resources
• Veracity (truth-telling) white lie
• Informed consent level of knowledge
• Quality of life/sanctity of life
• The golden rule time circumstances

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Issues of Ethical Rights

• Right to privacy - confidentiality
• Right to decide what happens to ones body
• Right to health care
• Right to information
• Right to choose whom you care for
• Right to live, right to die
• Rights of children/ senior

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Issues of Ethical Duties/Obligations

• Respect
• Be accountable, competent -gt decision making
• Participation -gt contribute to professional
  knowledge base
• Implementation -gt improve standard of profession
  prevent illegal practice

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Issues of concern in life cycle

• Contraception and sterilization
• Genetic engineering and embryo transfer
• Abortion
• Infanticide
• Adolescent sexuality
• Allocation of scarce resources
• Lifestyle
• Euthanasia

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Related to Culture

• Language communication
• Value decision maker
• Knowledge bill of rights

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Cultural competence training

• Health care institutions
• Interdisciplinary programs
• Nursing service
• Orientation demographic data of the pop,
  ethical-legal consequences, appropriate resources
• In-service
• Interdisciplinary team
• Nursing education
• Undergraduate level core course
• Graduate level specialty areas

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Factors to consider

• Time past vs. present, interpretation
• Circumstances setting, knowledge
• Religion beliefs, creation vs. revolution
• Science hard data vs. philosophy
• Technology change of nature

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References

• Marrella, L. (2001). In search of ethics
  conversations with men and women of character.
  D.C. Press (www.focusonethics.com)
• Business ethics, www.business-ethics.com
• The Ethics Resource Center, www.ethics.org
• Institute of Business Ethics, www,ibe,org,uk
• Junior Achievements Business Ethics Center,
  www.ja.org/programs/programs_ethics.shtml

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Discussion stories

• Genetic therapy for fetus to prevent Alzheimer
• Euthanasia
• Disaster triage
• Children health insurance program
• Human organs for sale

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Prepare for next class (10/11)

• Culture presentation
• Gisela Russian
• Charisse Nepali
• Virginia - Vietnamese
• Article presentation
• Charisse
• Mark
• Vanessa
• Patty x 3

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