Educate the Educator Healthcare Ethics Healthcare Ethics Module Description • This module emphasizes the use of sound ethical practices in healthcare. • Ethical practices and standards include the care of clients/individuals and interactions with peers, colleagues, team members, and family members. • Ethical frameworks are provided for discussion on understanding the types of ethical challenges in healthcare and the difficult decisions that need to be made. General Teaching Notes The curriculum for this module is broken into 2 parts, Values and Ethics. It is important to discuss with students the definition and development of values and their own personal values. General Teaching Notes The following statements can help distinguish the difference between values and ethics and provide guidance throughout the module. • All human interactions are value-based, guide our behavior, and tell us right from wrong. • Values are essential to ethics. Ethics are concerned with human actions, and the choice of those actions. • Ethics evaluates those actions, and the values which created them. It determines which values should be pursued, and which shouldn't. • Ethics is a code of values. Module Outline and Instructor Resources This module consists of 5 competencies. Each competency is divided into unit competencies with learning activities to help students master the competency. Each learning activity is explained on the Module Outline and the resources are described Choose the learning activities that best meet your classroom needs. Module Outline and Instructor Resources Find these learning activities and resources on the website or create your own. The Course Outline also has documents that the instructor can use in teaching the lesson. These competencies are listed on the following slide and will then be addressed throughout the remainder of the power point. Module Competencies 1. Describe dimensions of values as they impact healthcare. 2. Describe basic principles of professional relationships. 3. Describe aspects of ethical decision making in health care. 4. Explain how an individual’s diversity, socioeconomic or religious beliefs could lead to potential ethical differences from other health care employees. 5. Using an ethical decision making model applied to healthcare situations, describe how ethics influence the care of clients. Competency 5 Competency 5 Using an ethical decision making model applied to health care situations, describe how ethics influence the care of clients. Unit included for this competency include: • Define ethical dilemmas. • Discuss current ethical dilemmas. • Discuss problem solving as it relates to ethical decision making. Ethical Dilemmas Definition Recommended Content Ask.com defines an ethical dilemma as “a situation wherein moral precepts or ethical obligations conflict in such a way that any possible resolution to the dilemma is morally intolerable. In other words, an ethical dilemma is any situation in which guiding moral principles cannot determine which course of action is right or wrong.” Ethical Dilemmas Definition Responsible ethical reasoning is rational and systematic; should be based on ethical principles and codes rather than on emotions, intuition, fixed policies, or precedent. (Precedent is an earlier similar occurrence.) Good decision is in client’s best interest and preserves the integrity of all involved. Ethical Dilemmas Definition The healthcare worker must weigh competing factors when making ethical decisions because of the ethical obligations to clients, the employing agency, and to physicians. Because several people are involved in ethical decision-making, communication and compromise are important skills for all health professionals. Integrity-preserving compromises are likely collaborative decision-making. Current Ethical Dilemmas Over the course of time as value and ethics have changed, society continues to be presented with ever changing ethical dilemmas. For example, were abortions an ethical dilemma before Roe vs. Wade? Some of the current health care ethical dilemmas are that of end of life care , genetic testing, quality vs quantity of life, organ donation, final trimester abortions, etc. Current Ethical Dilemmas Recommended Learning Activities Assignment Location Notes HCE Competency 5 Scenarios Bioethical Case Website Studies This learning activity contains 6 scenarios with questions to answer regarding bioethical issues. Topics include DNR, HIV, Labor, Medication, Immunizations and Anorexia. Grey’s Anatomy Ethical Dilemma Class Discussion YouTube Video Problem Solving Recommended Content The problem solving process can be broken down into 10 steps. • Identify the problem • Gather information • Identify ethical issue • Is there more than one problem • Are there competing ethical claims? • • • • • Any conflict of personal values? Any conflict of professional values? Create alternative solutions Select and act on solution Evaluate and revise as needed Problem Solving Recommended Learning Activities Assignment Location Notes HCE Competency 5: Scenarios Ethical Case Study Website This learning activity contains 4 short scenarios in which students answer questions surrounding the scenarios. References College of Registered Nurses of British Columbia (CRNBC). (2011). Practice standard principles. Retrieved from https://www.crnbc.ca/Standards/ClientRelationships/Pages/Default.asp Hegner, B.R., Acello, B., & Caldwell, E. (2004). Nursing assistant: A nursing process approach (9th ed.). Clifton Park, NY: Thompson Delmar Publishing Lane, A. (2009). The importance of accountability. Retrieved from http://EzineArticles.com/3471801 References Potter, P.A. & Perry, A.G. (2009). Ethics and values. In P.A. Potter & A.G. Perry (Eds.). Fundamentals of nursing (7th ed.) (pp. 313-342). St. Louis, MO: Elsevier, Mosby Ramon, P.R. & Niedringhaus, D. M. (2008). Legal and ethical issues of nursing. Fundamental nursing care (2nd ed.) (pp. 25-44). Upper Saddle River, NJ: Person Prentice Hall Weiss, T.C. (2009, July 21). Certified Nursing Assistant Code of Ethics. Retrieved from http://www.disabled-world.com/disability/caregivers/cna-code-ethics.ph Author: Dede Carr, BS, CDA, LDA Pat Reinhart, RN “This workforce solution was funded by a grant awarded by the U.S. Department of Labor’s Employment and Training Administration. The solution was created by the grantee and does not necessarily reflect the official position of the U.S. Department of Labor. The Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability, or ownership.” This work is licensed under a Creative Commons Attribution 4.0 International License. 19