Course: Ethics in Nursing Care

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Course title Ethics in Nursing Care
Course code UHP/EKETŠ
Organizational form of instruction Lecture + Seminary
Level of course unspecified
Year of study not specified
Semester Winter
Number of ECTS credits 1
Language of instruction English
Status of course unspecified
Form of instruction Face-to-face
Work placements This is not an internship
Recommended optional programme components None
Course availability The course is available to visiting students
Lecturer(s)
  • Šimek Jiří, doc. MUDr. CSc.
Course content
Lectures: 1. Foundations of ethics. Ethics as the matter of human freedom. History of medical ethics. Ethics as the traditional part of medicine (Hippocrates). Raise of medical ethics as the modern branch (1969 foundation of The Hastings Centre). Reasons for emergence of medical ethics. Dehumanisation of medicine and its solution in the movement of rights if patients. New dilemmas emerging from new technologies. Problem of regulation of clinical research. 2. International and national legal norms coming from ethical consensus in EU. Convention on Human Rights and Biomedicine and its additional protocols. Good Clinical Practice (GCP) and its role in European legislation. 3. Patient's rights as the solution of dehumanisation of medicine. Implementation of the patient's rights code of ethics in legislation. Ethics of technologized medicine. Scientific and value judgements in medicine. Informed consent. 4. Informed consent as the heart of employment of self-determination right of the patient and the basis for adequate communication. 5. Ethical problems related to child delivery. Problem pf deliveries outside health care institution. Respect to woman in labour and to hers visions of te course of the labour. 6. Assisted reproduction. Prenatal and pre-implant diagnostics, genetic screening, genetic counselling. Stem cells and cloning research on embryos. Problems of surrogate motherhood. 7. End-of-life decisions. Advance directives, role of patient's family and health care team in decision making about care in patients unable to give consent. Problem of euthanasia and assisted suicide. Euthanasia vs. "letting die". Problem of futile therapy or therapy just not beneficial for the patient. Ethics of transplantation medicine. 8. Specifics of nursing ethics. Cure vs. Care. Ethics of care. 9. Virtue ethics. Helper's syndrome, burnout problem. Carol Gilligan and moral development of women. Seminars: The content of seminars follows and deepens elected issues of lectures. Debate in seminars is based on the knowledge coming from lectures and own study of literature. Theoretical knowledge refer to practices of nursing.

Learning activities and teaching methods
Monologic (reading, lecture, briefing), Dialogic (discussion, interview, brainstorming), Work with text (with textbook, with book)
Learning outcomes
The objectives of the course are to provide for fundamental knowledge of theoretical ethics, to enhance the student's comprehensive faculty with respect to ethical aspects of a decision-making process in health care, to provide for background concerning issues relating to the current health care ethics and to share knowledge and skills necessary for resolving ethical dilemmas. The course should help the student formulate their own ethical standpoints and it should teach them how to support such standpoints.
Students are able: to identify ethical problems in their work. to explain identified problem. to display arguments used for different possible solutions to understand nature of identified ethical problems to some to solutions which are in coherence with internationally recognised standards to differentiate ethical and legal aspects of decision making in medicine
Prerequisites
General knowledge of and interest in the ethical aspect of the selected occupation.

Assessment methods and criteria
Colloquium, Seminar work

Individual work with literature. Individual work will be used in writing seminar work. Seminar work is the condition for receiving credit. In the seminar work student reflects, compares and appraises different opinions found in scientific publications concerning chosen ethical issue. Finally he/she tries to formulate his/hers own stance. In colloquium student exhibits orientation in fundamental questions of health care ethics and ability to conduct dialog on scientific level.
Recommended literature
  • Annas, J. Intelligent Virtue.. Oxford Univ. Press, Oxford, 2013. ISBN 978-19-922877-5.
  • Ariely, D. The Honest Truth About Dishonesty: How We Lie to Everyone--Especially Ourselves.. Harper, New York, 2013.
  • Armstrong, A.:. Nursing Ethics: A Virtue-Based Approach. Palgrave MacMillan, Basingstoke, 2007. ISBN 9780230506886.
  • Beauchamp, T.L. and Childress, J.F. Principles of Biomedical Ethics. 8th Edition. Oxford University Press, New York, 2013.
  • Butts, JB., Karen L. Rich, KL.:. Nursing Ethics. 4th Rev. Ed. Jones and Bartlett Publ., Boston 2015, 2015. ISBN 978-1284059502.
  • de Waal, F. The Age of Empathy. Nature?s Lessons for a Kinder Society. Harmony Books New York, 2009.
  • Gilligan, C. In a different voice. Psychological theory and women?s development. 38.Ed.. Harvard University Press, 2003.
  • Leget, C., Gastmans, CH., Verkerk, M.:. Care, Compassion and Recognition: An Ethical Discussion. Peeters, Herent, 2011.
  • MacIntyre, A.:. After Virtue. A Study in Moral Theory. Duckworth, London, 1985.
  • Steven, E.:. A Principle-based Approach. Palgrave Macmillan Higher Ed, London, NY,, 2009. ISBN 9780230205901.
  • Thompson, I., Melia, K., Boyd, K., Horsburgh, D.:. Nursing Ethics. 5th Ed. Elsevier, Churchill Livingstone, 2006. ISBN 9780443101380.


Study plans that include the course
Faculty Study plan (Version) Category of Branch/Specialization Recommended year of study Recommended semester