Biliran Province State University: ISO 9001:2015 CERTIFIED School of Nursing and Health Sciences

Republic of the Philippines
Biliran Province State University

(formerly NAVAL STATE UNIVERSITY)
ISO 9001:2015 CERTIFIED
School of Nursing and Health Sciences
COURSE : NCM 108 HEALTHCARE ETHICS
MODULE 2 : THE ETHICS OF RESPECT FOR PERSONS

By: Mae Geraldine E. Dacer, DM
I. Introduction
The ethic of respect for persons, being type of ethnic based on duty, differs from ethics that
focus on production of good consequences and avoiding evil ones. While consequentialist ethics
determine what is morally right by examining the consequences of actions, an ethic of respect for
persons considers certain behaviors simply to be one’s duty – regardless of the consequences. If
an action includes a lie, a broken promise, or a violation of another’s autonomy, then these features
tend to make it morally wrong – even if the consequences are good. Such an ethic focuses on the
intrinsic nature of the action, its moral structure or form, and hence is sometimes called as
formalism.
II. Time Allotment: 10 hours
III. Requirements
A. Pre-Entry:
 Mastery of the following concepts:
- Logic
- Philosophy Man
- Introductory Concept on Nursing Ethics
B. Entry:
 Mastery - 70% passing percentage in Pre-Test and Post-Test
- 70% passing percentage in Modular Exam
 Completed notes related to the concept (based on objectives)
 Punctuality and attendance
 Accomplished given worksheets and case analysis
 Reaction paper for journal review
IV. Objectives
After 10 hours of varied teaching-learning activities, the Level 2 Students will be able to:
1. review the following related concepts on:
1.1 Filipino primary principles of bioethics
1.1.1 goodness
1.1.2 beneficence
1.1.3 family
1.2 the beginning of life
1.2.1 conscience: its acquisition and formation
1.2.2 the formation of education and conscience
1.2.3 conscience situation
1.3 virtues in bioethics
1.3.1 professional virtues
1.3.2 secular virtues
1.3.3 religious virtues
1.3.4 care as a virtue
1.4 problems with the virtues
1.4.1 the wrong virtue problems
1.4.2 the naked virtue problem
1.4.3 future direction in nursing ethics
2. explain and discuss the following:
2.1 the principle of fidelity
1
2.1.1 the ethics of confidentiality

2.2 the principle of autonomy and the doctrine of informed consent
2.2.1 the concept of autonomy
2.2.2 positive and negative rights
2.2.3 informed consent, autonomy and therapeutic privilege
2.2.4 standards of disclosure for consent to be adequately informed
2.3 the principle of veracity: lying and the duty to tell the truth
2.3.1 the change in physician attitudes
2.3.2 accounting in the change in attitudes
2.4 resolving conflicts among principles
2.4.1 theories of conflict resolution
2.4.1.1 single principle theory
2.4.1.2 ranking principle
2.4.1.3 balancing
2.4.1.4 combining ranking and balancing
2.4.2 translating to principles to rules
3. integrate knowledge of the ethics for respect for person when making moral judgment to achieve
ethical relativism in:
3.1 what accounts as a benefit and or harm
3.2 ways to balance benefits and harms
.
V. Enrichment activities
1. Worksheets.
2. Case analysis (with given hypothetical situation) on related concept on introductory concept on
nursing ethics
3. Journal reading on issues and trends on related concept on introductory concept on nursing
ethics
VI. References
Robert M. Veatch , “ Basics of Bioethics”. 2nd edition. Pearson Education South Asia PTE. LTD.
Philippines, 2007.
Janie B. Butts, et. Al., “Nursing Ethics: Across the Curriculum and into Practice”. Malloy Inc.
Philippines, 2006.
Atty. Rustico T. De Belen, et. Al., . “Nursing Law, Jurisprudence and Professional Ethics ” 1st
edition. C&E Publishing, Inc. Quezon City, 2007.
Kozier, Barbara; Erb, Glenora, et.al “Fundamentals of Nursing: Concepts, Process and
Practice” 7th edition
Beauchamp, Tom L. “Philosophical Ethics: An Introduction to Moral Philosophy”. 3rd edition.
New York: McGraw-Hill, 2000.
Venzon, Lydia M., et. al., Professional Nursing in the Philippines. 10th edition, C&E Publishing,
Inc. Quezon City, 2005.
Prepared by:
MAE GERALDINE E. DACER, DM

Clinical Instructor
2

CASE ANALYSIS NO. 2
Name: ______________________________________ Date: ___________ Grade: _________
INSTRUCTION: Answer the questions briefly on the space provided.
Situation: Limits on the Physician Duty to Promote Health
Jim Sullivan in his early thirties comes to Dr. Tom Wordsworth’s clinic for a routine exam in
conjunction with a new job. Dr. Wordsworth starts taking the history. It was obvious that Mr.
Sullivan was grossly overweight. He tells the physician that he does not get any exercise, smokes
two packs of cigarettes a day, and has done since he was fourteen. He drinks a lot and generally
does not take good care of himself.
Dr. Wordsworth feels that he should encourage his patient to change his lifestyle. He
realizes he is not very likely to change anything simply by telling the patient that he should not drink
as much and should quit smoking. This is a man who is likely to take up an exercise routine simply
because this physician says so.
Dr. Wordsworth contemplates another approach. He decides to do a chest x-ray, suspecting
that opacity will appear that will do the trick. He sees nothing terribly alarming on the chest x-ray
result, but notices some spots that would serve his purpose: to shock his patient into changing his
lifestyle. With an air of great alarm, he brings the x-ray film to his patient saying that the spots
indicate precancerous developments. He says further that if Mr. Sullivan stops smoking now, there
is a good chance he can stop this development. But if he keeps smoking, he is headed for lung
cancer. Intentionally over stating, Dr. Wordsworth rationalizes that is true that Mr. Sullivan’s
chances of developing lung cancer are higher if he continues to smoke and that it is an innocent,
benevolent stretching of the truth to point to the meaningless spots and exaggerate the probability
that the smoking would cause cancer. He believes that overstating the risk will benefit his patient. It
is the only thing he can think of that will shock him into a new lifestyle.
Given the following data, Mr. Sullivan was obviously been a victim of unethical deed of Dr.
Wordsworth. There was an apparent intention of lying by Dr. Wordsworth and his duty to tell the
truth to his patient. With this, the following salient points are addressed:
1. Do you consider the actions of Dr. Wordsworth a part of consequentialism in which he believed
that this would benefit his patient and will protect him from harm? Why or why not? Justify your
answer.
3
2. What is your stand to this famous Hippocratic oath line: …that the physician should benefit the
patient according to his ability and judgment. Decisions are made as to what should benefit the
patient, based on the physician’s ability and judgment, not the patient. Briefly explain.
3. Compare and contrast the degree of estimates between the benefits and harm considering the
principle of veracity. Be specific.
4. Given an equal chance to resolve such ethical dilemma, how are you going to address this type
of concern in as much as the level of moral discourse is concerned?
4

WORKSHEET NO. 2
Name: ______________________________________ Date: ___________ Grade: _________
INSTRUCTION: Answer the questions briefly on the space provided.
I. Theoriesof Conflict Resolution. List down the advantages and disadvantages of the following
theories of conflict resolution .
Theories of
Conflict Advantage Disadvantage
Resolution
Single-Principle
Theories
Ranking
Balancing
Ranking and
Balancing
5
II. Ethical Principles of Respect for Persons. Briefly fill-in the brief description and the
corresponding example scenario of each ethical principles of respect for persons.
Ethical
Brief Description Example Scenario
Principles
Fidelity
Autonomy
Veracity
III. Concepts of Duty. Define the different concepts of duty. Answer briefly.
1. Absolute duties –
2. Prima facie duties –
3. Duty proper –
Signature of Student: _______________________

Signature of Faculty: _______________________
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JOURNAL REVIEW NO. 2
Name: ____________________________________________ Date: _________________ Grade: _________
I. Title of the Journal : ____________________________________________________________________

II. Name of the Author : ____________________________________________________________________
III. Date Issued /Published : ____________________________________________________________________
IV. Title of the Article : ____________________________________________________________________
7
V. Reaction:
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Remarks:
Student’s Signature : _________________________________ Date Submitted: ______________
Instructor’s Name and Signature : _________________________________ Date Submitted: ______________

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Republic of the Philippines

Biliran Province State University

COURSE : NCM 108 HEALTHCARE ETHICS

MODULE 2 : THE ETHICS OF RESPECT FOR PERSONS

II. Time Allotment: 10 hours

2.1.1 the ethics of confidentiality

MAE GERALDINE E. DACER, DM

COURSE : NCM 108 HEALTHCARE ETHICS

MODULE 2 : THE ETHICS OF RESPECT FOR PERSONS

CASE ANALYSIS NO. 2

Name: ______________________________________ Date: ___________ Grade: _________

INSTRUCTION: Answer the questions briefly on the space provided.

Situation: Limits on the Physician Duty to Promote Health

COURSE : NCM 108 HEALTHCARE ETHICS

MODULE 2 : THE ETHICS OF RESPECT FOR PERSONS

Name: ______________________________________ Date: ___________ Grade: _________

INSTRUCTION: Answer the questions briefly on the space provided.

2. Prima facie duties –

Signature of Student: _______________________

COURSE : NCM 108 HEALTHCARE ETHICS

MODULE 2 : THE ETHICS OF RESPECT FOR PERSONS

JOURNAL REVIEW NO. 2

Name: ____________________________________________ Date: _________________ Grade: _________

I. Title of the Journal : ____________________________________________________________________

Student’s Signature : _________________________________ Date Submitted: ______________

Instructor’s Name and Signature : _________________________________ Date Submitted: ______________

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