Utilitarian

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Transcript Utilitarian

Agenda – 10/4/05
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Culture presentation
Article presentation
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Jessica– Camphinha-Bacote Ch 5, 6
Charisse – Camphiha- Bacote Ch. 7
Vanessa – deChesnay. Ch 11
Ethics
Ethics
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Character, manners, moral, doing good
Knowledge & value; reasoning
Theories
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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
Basic Theories
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Utilitarianism – goal-based
the greatest happiness for the greatest number
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Deontology – duty based, love-based
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Autonomy – human right; self-determination
Beneficence – do good
Justice - fairness
Non-maleficence – do no harm
Veracity – telling the truth
Fidelity - keeping promise
Comparison of 2 major theories
Utilitarian
Deontology
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Consequences
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Action & motives
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Who is the majority
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Value
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What is happiness
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knowledge
Ethical theory & scientific theory
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Justify human action
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Explain phenomenon
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Acceptance of theory
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True or false
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Action
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Predict, control
Roles of the nurse
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Nurse’s fundamental responsibility- value,
concern, goals
Ethics of caring – empathy, nurturing,
commitment, being an advocate
Participation of the family in decision
making – social assessment
Ethical Issues in Nursing
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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
Methods of moral reasoning
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Deductive – code, creed, …
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Inductive – custom, cases, …
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Inflexibility, value conflict, no motivation
Static & preventing progressive social change
Intuition – combination of subjective,
objective, & relativistic aspect
Dialectical – philosophical aspect, art…
Ethical Issues - principles
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Autonomy – who’s 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
Issues of Ethical Rights
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Right to privacy - confidentiality
Right to decide what happens to one’s 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
Issues of Ethical Duties/Obligations
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Respect
Be accountable, competent -> decision
making
Participation -> contribute to
professional knowledge base
Implementation -> improve standard of
profession & prevent illegal practice
Issues of concern in life cycle
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Contraception and sterilization
Genetic engineering and embryo transfer
Abortion
Infanticide
Adolescent sexuality
Allocation of scarce resources
Lifestyle
Euthanasia
Related to Culture
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Language – communication
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Value – decision maker
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Knowledge – bill of rights
Cultural competence training
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Health care institutions
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Nursing service
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Interdisciplinary programs
Orientation – demographic data of the pop, ethical-legal
consequences, appropriate resources
In-service –
Interdisciplinary team
Nursing education
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Undergraduate level – core course
Graduate level – specialty areas
Factors to consider
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Time – past vs. present, interpretation
Circumstances – setting, knowledge
Religion – beliefs, creation vs.
revolution
Science – hard data vs. philosophy
Technology – change of nature
References
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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 Achievement’s Business Ethics Center,
www.ja.org/programs/programs_ethics.shtml
Discussion & stories
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Genetic therapy for fetus to prevent
Alzheimer
Euthanasia
Disaster – triage
Children health insurance program
Human organs for sale
Prepare for next class (10/11)
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Culture presentation
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Gisela – Russian
Charisse – Nepali
Virginia - Vietnamese
Article presentation
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Charisse
Mark
Vanessa
Patty x 3