UNIVERSITY OF FLORIDA COLLEGE OF NURSING COURSE SYLLABUS SUMMER 2012 COURSE NUMBER NUR 3826 COURSE TITLE Legal and Ethical Issues in Nursing CREDITS 2 PLACEMENT BSN Program: 3rd Semester Upper Division PREREQUISITES NUR 3825 Introduction to the Profession of Nursing COREQUISITES None FACULTY M. J. Snider, EdD, RN snidemj@ufl.edu (352) 273-6359 HPNP 4221 Office hours: Wed 11am – 12pm and by appointment DEPARTMENT CHAIR M. J. Snider, EdD, RN snidemj@ufl.edu (352) 273-6359 HPNP 4221 Office hours: Wed 11am – 12pm and by appointment JACKSONVILLE CAMPUS DIRECTOR Andrea Gregg, DSN greggac@ufl.edu Jacksonville (904) 244-5172 Office hours: By appointment only COURSE DESCRIPTION The purpose of this course is to examine legal issues and ethical dilemmas in nursing practice. Consequences of ethical misconduct and legal malpractice are explored. Emphasis is on ethical decision making processes and recognition of negligent practices. Focus is on case analysis of legal and ethical issues. COURSE OBJECTIVES Upon completion of this course, the student will: 1. Analyze basic legal concepts relevant to the issues of negligence in the practice of professional nursing. 2. Describe ethical principles related to decision making with clients across the lifespan. document1 COURSE OBJECTIVES (continued) 3. Use an ethical decision making model to analyze complex ethical dilemmas in diverse populations. 4. Discuss accountability for protecting confidential and private healthcare information from diverse information sources. 5. Analyze potential conflicts between personal beliefs and values and professional values on legal and ethical dilemmas in practice. 6. Evaluate professional responses to selected ethical and legal issues. COURSE SCHEDULE Section 7A62 Day Thursday Time 8:00-10:45am Room G114 E-Learning (Sakai) is the course management system that you will use for this course. ELearning is accessed by using your Gatorlink account name and password at http://lss.at.ufl.edu. There are several tutorials and student help links on the eLearning 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 eLearning site for announcements and notifications. Course websites are generally made available on the Friday before the first day of classes. ATTENDANCE Students are expected to be present for all scheduled classes, other learning experiences, and examinations. Students who have extraordinary circumstances preventing attendance should explain these circumstances to the course instructor prior to the scheduled class or as soon as possible thereafter. Instructors will then make an effort to accommodate reasonable requests. A grade penalty may be assigned for late assignments. ACCOMODATIONS 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. document1 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 Advanced legal concepts relevant to health care a. negligence b. malpractice c. intentional torts 2. Liability for actions in practice a. consequences for negligence b. privacy c. advocacy d. peer review 3. Ethical theories and principles 4. Ethical decision making process 5. Rights-based issues across the lifespan 6. Informed consent TEACHING METHODS Guided large group discussions, case analysis, and assigned readings. LEARNING ACTIVITIES Participation in group case analysis, completion of e-learning assignments, written papers, and continuing development of e-portfolio EVALUATION METHODS/COURSE GRADE CALCULATION Class attendance and participation Legal questions Values / Code paper Legal case analysis Ethical case analysis 15% 05% 15% 30% 35% 100% Assignments will be returned within 7 days. GRADING SCALE/QUALITY POINTS A AB+ B BC+ 95-100 (4.0) 93-94 (3.67) 91- 92 (3.33) 84-90 (3.0) 82-83 (2.67) 80-81 (2.33) C CD+ D DE 74-79* (2.0) 72-73 (1.67) 70-71 (1.33) 64-69 (1.0) 62-63 (0.67) 61 or below (0.0) * 74 is the minimal passing grade document1 REQUIRED TEXTS American Psychological Association. (2010). Publication manual of the American Psychological Association. (6th ed.). Washington, DC: Author. Third printing Fowler, M. ed. (2008). Guide to the code of ethics for nurses. Silver Springs, Md.: American Nurses Association Davis, A., Fowler, M. & Aroskar, M. (2010). Ethical dilemmas and nursing practice. (5th ed.). USA: Pearson. Guido, G. (2010). Legal and ethical issues in nursing. (5th ed.). USA: Pearson RECOMMENDED TEXTS None document1 WEEKLY CLASS SCHEDULE DATE TOPIC/EVALUATION ASSIGNMENTS/READINGS 5/17/12 Introduction to the course Introduction to Law Principles and concepts See course materials for weekly preparation and assignments 5/24/12 Introduction to Law (continued) As above 5/31/12 Cause of Action As above 6/7/12 Cause of Action Case analysis As above Questions due 6/14/12 Cause of Action Case analysis As above 6/21/12 Law and Ethics: The Gray Areas As above 7/5/12 Overview of selected ethical theories As above Legal Analysis due 7/12/12 Introduction to Ethical Theories: The Code of Ethics; The Four Principles As above 7/19/12 Autonomy & Informed Consent: Principle of proportionality Case analysis As above Values paper due 7/26/12 Justice and Rights based ethics Case analysis As above 8/2/12 Beneficence & Nonmaleficence; Confidentiality As above 8/9/12 Case analysis Ethical Case Analysis due Approved: document1 Academic Affairs Committee: General Faculty: UF Curriculum Committee: 07/05; 10/07; 09/09 07/05; 10/07; 09/09 08/00; 10/09 Assignments 1. Class attendance: Students are expected to attend and participate in the large group discussion. Role will be taken for each class. You are expected to be conversant with the case under review and be able to respond to questions and discourse regarding the cases. 2. Questions on legal aspects from course materials will be presented on the date assigned. You may use Sakai to submit these responses or submit a typed hard copy to your professor. (See p.1 & 2 in course materials). 3. You will be given a case to analyze for cause of action. Discuss foreseeability and provide rationale for the answers attached to the case example. Use APA format and provide two reference s other than your textbook. You may use the same method of submission as #2. 4. You will be given an ethics case to analyze using the decision-making model discussed in class. Use APA format and provide two references to support your rationale for your decision as the moral agent. 5. Retrieve your values paper from the first PS course. Note the values to which you ascribed importance in that early paper. THEN… Select two parts of the Code of Ethics that correspond to the values you selected. Write a three page paper describing examples of violations of the code that you have experienced. Do not identify the service, agency, staff or patient(s) specifically. Describe how these experiences might have been done differently so that the Code was honored. What professional nursing values that you identified in your first values paper are congruent with the parts of the Code you selected? 6. Specific directions for each paper assignment will be provided. document1