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DOÑA REMEDIOS T. ROUALDEZ MEDICAL FOUNDATION COLLEGE OF NURSING TACLOBAN CITY RESOURCE UNIT IN BIOETHICS Course Name: Course Code:
BIOETHICS Nursing 21
Course Description:
This course course deals with the the application application of ethico-moral and legal concepts concepts and and principles to issues that affect the practice of nursing. These provide the basis for appropriate decision making given varied situations, to prepare the learner to render effective, efficient and safe nursing care. Furthermore, related learning experiences provide opportunities to concretize commitment to nursing. The critical thinking process shall be used in the unit with the objective of developing the intellectual capacity to conceptualize and contextualize what students know about particular ethico-moral and legal issues.
Course Credit: 3 units lecture Contact Hours/Semester: 54 lecture hours Prerequisite: Logic, Philosophy of Man Placement: 2nd Year, First Semester Course Objectives: At the end of the course and given actual and relevant simulated situations/ conditions, the student will be able to: 1. Explain the concepts, theories and principles of bioethics in nursing and health. 2. Apply relevant bioethical principles in nursing and health related situations. LEARNING OBJECTIVE At the end of the teachinglearning sessions, the students students will be able to: 1. Identify the importance of studying bioethics. 2. Define ethics, biology, bioethics, health ethics and professional ethics. 3. Trace the history history of bioethics .
4. Describe the characteristics of a person 5. Differentiate act of human from human acts 6. Define knowledge, freedom and conscience 7. Enumerate and describe the different types of conscience. 8. Relate knowledge, freedom and conscience as a characteristic of a person.
LEARNING OBJECTIVE
CONTENT I.
Introduction to Bioethics
a. Importance of bioethics b. Definition of terms ethics biology bioethics health ethics professional ethics c. History of Ethics
II. The Human Person a. the personhood b. human acts and acts of human 1. knowledge 2. freedom 3. conscience
CONTENT
DATE/ TIME
INSTRUCTOR
June 26 3:00 – 4:30
Mr. Astilla
June 27 3:00- 4:30
July 3* 3:00 -6:00
MR. ASTILLA
DATE/ TIME
INSTRUCTOR
2 At the end of the teachinglearning sessions, the students will be able to:
III.
1. Describe the concepts of Kant, Rawl, St. Thomas Aquinas and Ross on ethics. 2. Compare the concepts of Kant, Rawl, St. Thomas Aquinas and Ross on ethics. 3. Explain the different duties as enumerated by Ross.
Types of Ethical Thoughts a. Kantian b. Rawl’s Ethics c. St. Thomas Aquinas d. Ross Ethics Actual/prima-facie duty duty of fidelity duty of reparation duty of gratitude duty of justice duty of beneficence duty of improvement duty of non maleficence
4. appreciate the health care profession as a vocation 5. describe the stages of a health care provider-client relationship
IV.
6. describe the qualities of a good health care provider to the client , society and its profession 7. enumerate the responsibilities of a health care provider to the client, society and its profession.
V.
At the end of the teachinglearning sessions, the students will be able to: 1. define the different virtues of the health care provider 2. define the different vices of health care provider 3. practice the different virtues of a health care provider
a. b. c. d.
VI.
July 4 3:00- 4:30 July 10 3:00 – 4:30
MRS. ALFONSO
July 11 3:00 – 4:30
The Calling of the Health Care Provider
July 17* 3:00 – 6:00
The health Care Profession The client The Health Care Provider Health Care Provider-Client relationship
July 18 3:00 -4:30
Qualities and Responsibilities of a Good Health Care Provider to the Client, Society and Its Profession
July 24 3:00 -4:30 July 25 3:00 -4:30
MRS. ALFONSO
July 31 3:00 -4:30
MRS. ALFONSO
Virtues, Vices and Habit of a Health Care Provider a. Virtues of Health Care Provider 1. fidelity 2. honesty 3. integrity 4. humility 5. respect 6. compassion 7. prudence 8. courage b. vices of health care provider 1. fraud 2. pride 3. greed
Aug 1 3:00 -4:30
MR. ASTILLA
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LEARNING OBJECTIVE At the end of the teaching-learning sessions, the students will be able to: 1. describe the principle of stewardship, totality, double effect, cooperation, and solidarity 2. enumerate the condition necessary for double effect application
3. apply basic ethical principles in health care setting 4. Describe justice, beneficence and a. non-maleficence b. Apply major bioethical principles in health care c. Enumerate principles on how equality could be based
At the end of the teaching-learning sessions, the students will be able to: 1. enumerate the components of an informed consent 2. enumerate the rights of a patient 3. analyze and discuss different bioethical issues 4. relate the importance of bioethics to different bioethical issues
CONTENT
DATE/ TIME
INSTRUCTOR
Aug 7 3:00 -4:30
MR. ASTILLA
VII. a. b. c. d. e.
Basic Ethical Principles Stewardship Totality Double effect Cooperation Solidarity
VIII. a. b. c.
Major Bioethical Principles respect for person and justice non-maleficence beneficence
Aug 14 3:00 -4:30
MIDTERM EXAMINATION
Aug 18-23
Application of Bioethical Principles to the Care of the Sick
Aug. 28 3:00 -4:30
IX.
a. functions of Informed Consent b. Rights of a Patient c.
MRS. ALFONSO
Aug 15 3:00 -4:30
MR. ASTILLA
Aug 29 3:00 -4:30
Prevalence of Bioethical Issues
A. The Moral Issue of Abortion 1. 2. 3. 4. 5. 6. 7. 8.
Meaning and Types of Abortion’ The Moral Issue Immediate Hominization Delayed Animation Pre-Implantation /period Cell Division Process Curettage Three General Viewpoints of Abortion 9. Pro-life Movement 10. Effects of Abortion 11. Pro-choice Movement
B. The Moral Issue of Euthanasia 1. 2. 3. 4.
Aug 8 3:00 -4:30
Meaning and Cases of Euthanasia The Problem of Human Dignity Different Views Application of Ethical Theories
Sept 4 3:00 -4:30
MRS. ALFONSO
Sept 5 3:00 -4:30
Sept 11 3:00 -4:30 Sept 12 3:00 -4:30
MR. ASTILLA
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LEARNING OBJECTIVE
CONTENT C. The Moral Issue of Suicide
At the end of the teaching-learning sessions, the students will be able to: 1. analyze and discuss different bioethical issues 2. relate the importance of bioethics to different bioethical issues
1. 2. 3. 4.
DATE/ TIME
INSTRUCTOR
Sept 18* 3:00 – 6:00
MRS. ALFONSO
Meaning and Causes of Suicide The Cons of Suicide The Pros of Suicide Application of Ethical Theories
D. The Moral Issue of Birth Deformities
Sept 25 3:00 – 4:30
1. Meaning and Common Cause of Birth Deformities 2. Types of Deformities 3. Retrospect 4. Application of Ethical Theories
E. Redefinition and Determination of Death 1. 2. 3. 4. 5. 6. F.
Sept. 26 3:00-4:30
The Need to Redefine Death Several Definitions of Death In the Medical Context Attitude Towards Death Several Views of Death Application of Ethical Theories The Moral Issue of Patient’s Rights
1. Meaning of Patient’s Rights 2. Types of Patient’s Rights 3. Four Major Elements of Informed Consent 4. Limitations of a Patient’s Rights 5. In the Medical Context 6. The Rights of Patients G. The Moral Issue of Paternalism and Truth-Telling 1. Definition and Types of Paternalism 2. In the Medical Context 3. Justifications for Personal Paternalism 4. Justifications for State Paternalism 5. Application of Ethical Theories 6. Truth-telling 7. Justifications for Truth-telling 8. Confidentiality 9. Application of Ethical Theories
Oct. 2* 3:00 – 6:00
MR. ASTILLA
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LEARNING OBJECTIVE
CONTENT H. The Moral issues of Contraception and Sterilization
At the end of the teachinglearning sessions, the students will be able to: 1. analyze and discuss different bioethical issues 2. relate the importance of bioethics to different bioethical issues
DATE/ TIME
INSTRUCTOR
Oct 3 3:00- 4:30
MRS. ALFONSO
1. 2. 3. 4. 5.
Meaning of Contraception Meaning of Sterilization Types of Sterilization Justifications of Contraception Methods of Contraception or Family Planning 6. Application of Ethical Theories I.
The Moral Issue of Artificial Insemination
Oct 9* 3:00 – 6:00
1. Definition and Types of Artificial Insemination 2. Justification for AIH 3. Justification for AID 4. Application of Ethical Theories J.
The Moral Issue of Human Experimentation
1. The Nuremberg Code 2. Justifications of Human Experimentation 3. Medical Therapy and Medical Research 4. Informed Voluntary Consent 5. Drug Testing and the Use of Placebos 6. Single-bind and Double-bind Test Design 7. Justifications of the Use of Placebos 8. Criticisms 9. Researches Involving Children, Prisoners, the Poor, and Fetuses 10. Application of Ethical Theories K. The Moral Issue of Genetic Engineering 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.
Genetic Engineering Chromosomes, DNA, and Genes Genetic Testing Prenatal Diagnosis Genetic Screening Genetic Intervention In Vitro Fertilization Embryo Transfer Surrogate Motherhood Sperm and Zygote Banking Sex Selection Sex Change Operations Organic Transplants Cloning Application of Ethical Theories
Oct 16 * 3:00 -6:00
MR. ASTILLA
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LEARNING OBJECTIVE
CONTENT L.
At the end of the teachinglearning sessions, the students will be able to: 1. analyze and discuss different bioethical issues 2. relate the importance of bioethics to different bioethical issues
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.
DATE/ TIME
The Moral Issue of Behavior Control and Claim to Health Care Lobotomy Types of Psychosurgical Operations Chemotherapy Psychotherapy Electrical Stimulation of the Brain Aversion Therapy Application of Ethical Theories The Individual’s Inherent Dignity Medical Individualism Social Commitment Allocation of Scarce Resources Application of Ethical Theories
M. The Morality of Human Sexuality
INSTRUCTOR MR. ASTILLA
Oct 17 3:00 – 4:30
MRS. ALFONSO
1. Meaning of Sex to the Individual 2. Mutual Experience of Each Other’s Worth 3. An Appeal for Mutual Care 4. Sharing Each Other’s Being 5. Self-discovery as Persons 6. Making Each be Truly Himself 7. Pain of Unrequited Love 8. Affirmation of Situated Freedom 9. Moral Discipline 10. One’s Inhumanity to Another 11. Commitment and Responsibility 12. Safeguarding the Other’s Value 13. Responsibility to and for One Another 14. Humanizing and Dehumanizing 15. Types of Sexual Deviation 16. In the Medical Context 17. Preventive Measures of Sex Deviation 18. Pornography and Prostitution 19. In the Moral Context 20. Sexual Anomalies and Ailments 21. Sexually Transmitted Diseases 22. Application of Ethical Theories
FINAL EXAMINATION
Oct 20-25
NOTE: TOTAL OF 54 hrs ( 3 hours pe r week except those where * (4.5 hours: 3:00 – 6:00 PM instead of 3:00 – 4:30pm) is indicated to complete the total number of hours [ 54hours] in 18 weeks. )
SCHEDULE:
THURSDAYS: FRIDAYS:
3:00 PM – 4:30 PM 3:00 PM – 4:30 PM
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REFERENCES: 1. Estoesta, R. D., Javines, R.R. (2009). Bioethics: Contemporary Readings and Issues. 1st Ed. Manila, Philippines: Educational Publishing House. 2. Timbreza, F. T. (2007). Bioethics and Moral Decisions. Quezon City, Philippines: C & E Publishing. Inc. 3. Megan-Jane Johnstone. Bioethics: A Nursing Perspective. 5th Ed. 2008 4. Kath M Melia. Ethics for Nursing and Healthcare Practice. 2013 5. Raymond S. Edge (Author), John Randall Groves. Ethics of Health Care: A Guide for Clinical Practice. 3rd Ed. LECTURERS: LOURADEL U. ALFONSO, MAN, RN
JEREMY ASTILLA, MAN, RN
PREPARED BY:
APPROVED BY:
LOURADEL U. ALFONSO, MAN, RN INSTRUCTOR
DR. SOCORRO S. GASCO, RN, DMHRM DEAN, COLLEGE OF NURSING
