NURSING/PHILOSOPHY 330: 1 & 2

LEGAL AND ETHICAL ISSUES IN NURSING CARE

2011-12

 Professor: Dr. Scott Stewart

 Office and hours: CC273; Mondays & Wednesdays, 10:30-Noon; Wednesdays 1:30-3,

    by appointment, or drop by.

 Communication: Phone: 563-1252; e-mail, scott_stewart@cbu.ca

 Grading: All assignments this term are of equal value.

                (1) Test 1 Oct. 13/14;

    (2) Test 2 Oct. 17/18 THIS HAS BEEN CHANGED. THE 2'ND TEST WILL NOW BE WRITTEN ON NOV. 24 AND 25.

    TEST 2 STUDY QUESTIONS

    (3) Case Study: Due beginning of class, Dec 1/2  

 The two tests will question you in a variety of ways. There will be some 'fill in the blanks' and short answer questions which will request fairly straightforward information from you. There will also be some long essays (of about 4-5 pages, double-spaced).  I will hand out information of your case study assignment later in the term. It will be rather short, 4-5 typed pages, and it will not require research beyond what is contained in your texts. Next term you will have the opportunity to write a research paper.

 Text and Handouts: (1) Elisabeth Boetzkes & Wilfrid Waluchow, ed's, Readings in Health

Care Ethics (Peterborough, Ontario: Broadview Press, 2000).

         (2) Web page readings, which are listed and hotlinked below.

 

PLEASE NOTE:

 (1) I require that you attend class, and I expect you to be prepared for class by having read the assigned reading for the day.  I will take attendance irregularly throughout the term -- either at the beginning of class or after the break -- and I will deduct 2% of your term grade for every class missed without a legitimate excuse.

 (2) Make-up tests will be given only under special circumstances and with my prior knowledge. If you are unable to write a test, you must at the very least leave me a voice or e-mail message and be prepared to provide a legitimate excuse (e.g., a doctor=s note) when requested.

(3) You will be graded on your writing skills as well as on other criteria.

 (4) There is no supplementary exam for this course.

 (5) Academic dishonesty is a serious offence: please consult the CBU calendar  for a description of these offences and their penalties.

 

COURSE DESCRIPTION

 

This course is designed to introduce nursing students to ethical theory and practice with a view to enhancing both their understanding of value issues in health care and to their future practice as health care professionals. Topics to be examined include the following: relationships in health care, consent, reproduction, whether there are fetal rights, the screening and treatment of >disabled= newborns, death, dying, and euthanasia, research involving human subjects, and the use and allotment of scarce medical resources. I shall employ readings of various sorts, both theoretical and practical. The case studies in particular are intended to stimulate thought and class discussion. Indeed, since the quality of your studies in this course depends to a large extent upon the quality of our class discussions, it is especially important that you come to class having read and thought about the assigned readings.

 

(TENTATIVE) OUTLINE AND READINGS: FALL TERM

 

Class                                         Topic                            Reading

 1.     Ch. 1    Lecture 1 pp

 2.     Ch 1,  Keatings and Smith, "Ethical Principles and Feminism",  Little, "Why a Feminist Approach to Bioethics?" Lecture 1 pp

            3 & 4.     Corley, "Nurse Moral Distress," Webster and Baylis, "Moral Residue," Kelly, "Preserving

    Moral Integrity."  Stewart, "Telling Patients the Truth" Lecture 2 pp 1  Lecture 3 pp

   Case: "Choice vs the
                    Good?"
 

  5.   October 13/14 TEST 1

6.  Emanuel & Emanuel, "Four Models..." HRC, 39-49; Jecker & Self, "Separating Care and Cure..." HRC, 57-68; Case: "Nurse-Patient

        Disagreement"

7.  Sherwin, "A Relational Approach ..." HRC, , 69-87; Jecker, et. al.,  "...Cross-Cultural Settings," HRC, 88-98; Case: "Nurse-Patient

        Disagreement in a Cross Cultural Setting" 

8.     Robertson, "Class ... Procreative Liberty," HRC 169-180; Overall, "Reflections..." HRC, 181-190; Sherwin, "Feminist..." HRC, 190-198; Case: "Therapeutic Donor Insemination"

 9.     Cohen, "Give me Children..." HRC, 199-210; Berg, "Listening..." HRC, 211-229; Baker, "A Case..." HRC, 229-240; Case:

        "Surrogate Motherhood"

    10. Nov. 17/18 TEST 2   THIS TEST WILL NOW BE WRITTEN ON NOV. 24/25.

    11      Don Marquis, "Why Abortion is Immoral," HCE, 241-252

Wayne Sumner, "A Third Way," HCE, 253-269

Case: "Nursing, Conscience, and Abortion"

12    JJ Thomson, "A Defense of Abortion," ,  S. Sherwin, "Abortion Through a Feminist Ethics Lens," HCE, 283-293

            Case: Sex Selection Abortion

 

 

USEFUL LINKS

 

Advance Directives: Health law Institute, Dalhousie,  End of Life Project

                                    Canadian Nurses Association, Advance Directives: The Nurses Role

                                    Catholic Health Association of Canada, Statement on Advance directives

                               

 

WINTER OUTLINE

Professor:                     Dr. Scott Stewart

Office and hours:           CC273: Tuesdays & Thursdays, 1-3:30

by appointment or drop by.

Communication: Phone:  563-1252; e-mail: scott_stewart@cbu.ca

Grading:                        (1)  Test (Feb. 3) -- 25% TEST 1 STUDY QUESTIONS

                                    (2)  Class Presentation/Case Study (Various deadlines) -- 25%

                                   (3) Test 2 March 23

                                    (4) Research Essay (beginning of class, March 30) -- 25%  

                                    (5) Bonus 5% (by March 30) -- certificate of completion of Tricouncil Policy

                                         on-line test at  http://www.pre.ethics.gc.ca/english/tutorial/  No extensions/excuses/etc.

The tests will consist of a combination of fill in the blanks, short essays (of a paragraph or two), and long essays (of 4-5 double-spaced written pages).  The class presentation/case study will be a small group project consisting of 6 (or so) students.  You will have to:  (1) decide on a grouping of people; (2) decide, by Jan. 13, on a particular topic, case and date (refer to the outline below); (3) present the case study in class, and; (4) submit a jointly written case study (following the model of last term's case studies) one week after your class presentation.  The Research Paper will be fairly substantial -- an 8-10 page (typewritten, double-spaced) paper on topics I shall distribute shortly. It is also possible to write the research essay as a group project from 2-4 people. Doing so will require a longer essay with more secondary source research.  Topics and instructions regarding the research paper will be distributed shortly.

 Text and Handouts:       (1) Elisabeth Boetzkes & Wilfrid Waluchow, ed's, Readings in Health

                                         Care Ethics ( Peterborough , Ontario :  Broadview Press, 2000).

(2) material posted on the course web page.  

Please refer to your fall outline for general regulations regarding this course.

 

Tentative Winter Outline

Class & Date   Reading

 1:  Jan. 6           No Reading. I will discuss euthanasia laws in Canada and The Netherlands PP Slides

 2:  Jan. 13      Mahowald, "Decisions Regarding Disabled Newborns," 330-343

                        Battin, "Euthanasia:  The Fundamental Issues,"  363-384  

                                Cases: “Don't let my mother die,”

                                                “Please let me die”  

 3:  Jan. 20        Callahan, "When Self-Determination Runs Amok," 385-389

                        Keown, "Voluntary Euthanasia…," 390-394

                                    Case Presentation: Tracey Latimer Group Powerpoint

                        Further Readings "The Big Chill ..."

4: Jan. 27         Pence, "The Tuskegee Syphilis Case,” (wp) Notes on Research Ethics

Drug Trials in Africa (wp)

            Case Presentation: Haiti Case Study

5.. Feb. 3 Test 1  

6: Feb. 10    Arras & Shinnar, "Anencephalic Newborns …," 527-530

                        Jarvis, "Join the Club…," 530-536

                        Gillon, "On Giving Preference to Prior Volunteers…," 537-539

                        Caplan, "Requests, Gifts, and Obligations…," 552-558

                                    Case Presentation: "Organ Donation"

7. Feb 17     Silver, "Cloning, Ethics, and Religion," 573-576

                        Munson & Davis, "Germ-line Therapy and the Medical Imperative," 577-587

                        Cloning Powerpoint

                                    Case Presentation: "To Clone or Not to Clone"

Feb. 24 No class -- Reading Week

8. March 2   Little, “Cosmetic Surgery, Suspect Norms,…”

                        Figeroa, "Self Esteem and Cosmetic Surgery"

                        Kramer, “Makeover” from Listening to Prozac,

                                                   Case Presentation: Face Lift 

9. Mar 9      Elliott, “The Tyranny of Happiness,”

                     Stewart, "Hacking the Blues: The Construction of the Depressed Adolescent"

                    Stewart and Korol, "Designing Fat..."   pp    

10. Mar 16   Carl Elliott, “Pharma Goes to the Laundry…”

                        Stewart & Legatto, "Modern Mesmerism ... Therapeutic Touch"  PP

 11.  Mar  23  Test 2

13. Mar 30     Stingl, Equality and Efficiency 

                        RESEARCH PAPERS DUE

                        Last Day for Tri Council Policy certificate for 5% bonus.