NCM 108

HEALTH CARE ETHICS

KATHERINE B. ARELLANO, MAN

 Course Description
This course deals with the application of
ethico-moral concepts and principles
affecting care of the individuals, family,
population group and community. It
involves discussion of issues and
concerns in varied health care situations.
The learners are expected to apply
sound ethical decision making in
varied health scenarios.
 Course Credit and
Pre-requisites

• 3 units lecture (54 hours)

• Pre-requisites
Ethics, NCM103
 Level Outcomes
At the end of third year, given a
normal high-risk mother and
newborn, child, family, population
group and community in any health
care settings, the learners
demonstrate safe, appropriate, and
holistic care utilizing the nursing
process.
 Course Outcomes
At the end of the course, the students shall:
1. Apply knowledge of physical, social, natural and
health sciences and humanities in the practice of
ethics in health care;
2. Provide safe appropriate, humanistic and holistic
care to individuals, families, population groups and
community utilizing nursing process guided by
ethic0-moral principles;
3. Apply guidelines and principles of evidenced-
based practice in health care ethics;
4. Practice nursing in accordance with existing laws,
legal, ethical and moral principles;
5. Communicate effectively and honestly in speaking
and writing using ethically and culturally
acceptable language;
 Course Outcomes
At the end of the course, the students shall:
6. Document client care accurately and
comprehensively following the guidelines and
protocol in documentation;
7. Work effectively in collaboration with inter-, intra
and multidisciplinary and multicultural teams un
nursing care practice;
8. Practice beginning management and leadership
skills in the delivery of client care and in health
program development using ethical decision-
making skills;
9. Observe ethical principles and considerations in
the conduct of research;
10. Engage in professional and advocacy activities
addressing ethico-moral issues in nursing;
 Course Outcomes
At the end of the course, the
students shall:
11. Apply ethico-moral culture and
values appropriate for the health
care needs of the Filipinos;
12. Apply appropriate technology
in the delivery of health care, and
13. Demonstrate a sense of
professional and moral values in
the practice of nursing.
 Content Outline
I. Introduction to the Course
II.Theories and Principles of Health
Ethics Ethical Theories
1.Deontology
2.Teleology
3.Utilitarianism
B. Virtue Ethics
4.Virtues Ethics in Nursing
5.Core Values of a Professional
Nurse
 Content Outline
C. Ethical Principles Autonomy
1. Confidentiality
2. Veracity
3. Fidelity
4. Justice
5. Beneficence
6. Non-maleficence

D. Other relevant ethical principles

1.Principle of double effect
2.Principle of Legitimate Cooperation
3.Principle of Common good and Subsidiarity
 Content Outline
E. Principles of Bioethics
1. Principles of Stewardship and Roel of Nurses
as Stewards
2. Principle of Totality and its Integrity
3. Principle of Ordinary and Extraordinary
measures
4. Principle of Personalized Sexuality

III. Code for Ethics for Nurses

1.International Code of Ethics
2.Code of Ethics for Filipino Nurses
 Content Outline
III. Ethical Considerations in Leadership and
Management
A. Ethical Dilemmas
B. Ethical vs. Moral Decision Making
C. Principles Involved
1. Principle of Moral Discernment
2. Principle of Well-formed Conscience
D. Strategies/ Processes
E. Medical Care
- Meaning
- Service Value
 Content Outline
IV. Bioethics and its Application in Various Health
Care Situations

A. Bioethics definitions
B. Nursing Roles and responsibilities in Bioethics
C. Sexuality and Human Reproduction
1. Human Sexuality and its Moral Evaluation
2. Marriage
3. Issues on Artificial Reproduction, its Morality
and Ethico-moral responsibility of nurses
4. Morality of Abortion, Rape and other
problems Related to Destruction of Life
 Content Outline
IV. Bioethics and its Application in Various Health
Care Situations

D. Dignity in Death and Dying

1.Euthanasia and Prolongation of Life
2. Inviolability of Human Life
3. Euthanasia and Suicide
4. Orthothanasia
5. Administration of Drugs to the Dying
6. Advance Directives
7. DNR or End of Life Care Plan
 Content Outline
V. Ethics and Research

A. Ethics in Research
i. Nuremberg Code
ii. Declaration of Helsinksi
iii.Belmont Report
 
B. Ethical Issues in Evidenced-Based Practice
 
C. Ethico-moral obligations of the Nurse in
Evidenced-Based Practices
i. Introduction to Good Clinical Practice
 Content Outline
VI. Guidelines and Protocol in Documentation and
Health Care Records
 A. Guidelines
 Joint A.O. No. 2016-0002 “Privacy Guidelines for the
Implementation of the Philippine Health Information
Exchange”
B. Protocols
VII. Ethical Issues Related to Technology in the Delivery
of Health Care

A. Data Protection and Security

B. Benefits and Challenges of Technology
C. Current Technology: Issues and Dilemma

VIII. Continuing Education Programs on Ethico-Moral

Practice in Nursing
 A. Lobbying/ Advocating for Ethical Issues Related to
Health Care
 Grading System:
Class Standing (20%) – Attendance,
Recitation/Participation/ Group Activity
Rubric

Average Quizzes (20%) Written Report,

Journal Reading, Activities, Quizzes

Performance Task (30%) – Health Care

Ethics Project

Major Examination (30%) -Preliminary

Exam, Midterm Exam, Final Exam
CLASS STANDING: ATTENDANCE
Students are reminded that this course is completed by
ATTENDANCE – virtual appearance and participation are
parameters for EVALUATION and GRADING

According to the University Handbook (page 104),

a maximum 20% of EXCUSED absences is
permitted.
If absences are deemed UNEXCUSED and exceeds 20%, a
student (after due process) is given a grade of FA – failed
due to absences anytime within the semester and
CANNOT take the FINAL EXAMS
CLASS STANDING: ATTENDANCE and
ABSENCES
 In case of absence…

Student MUST secure an ADMISSION/EXCUSE form in WRITING.

Student writes an excuse letter TEACHERS

to the DEAN through the
and
PROGRAM COORD. Student submits email to
- Specify the date and time of STUDENTS
the PROGRAM COORD -
absence and classe/s missed who issues and signs for are informed
- Sign the letter and with excuse slip/form of decision/s
countersignature from (PER PROGRAM) and action/s
parent/s or legal guardian/s. to take
- Attach MEDICAL certificate
and other pertinent
documents based on reason The DEAN countersigns
for excuse. the excuse slip/form as
- Forgeting the time, mild needed
headaches, oversleeping and
reviewing for other subjects
ARE NOT valid reasons for
seeking excuse.
 Strategies for doing well in this
course and a successful semester
✓ The night before, make sure that you will have good connection.
✓ Do the assignments [may include reading(s)] for the day.
✓ Attend and participate in the classes.
✓ Pay attention and take notes in class.
✓ Ask questions. There is no “stupid” question.
✓ Follow instructions for assignments, exams, and other class outputs.
✓ Submit assignment(s) on time.
✓ Do not hesitate to contact your instructor via email, CP or through teams for any
difficulties
✓ Be willing to critically rethink what or think you know based on various perspectives.
✓Do think ahead. The best scientists try to predict what will happen based on the
information they already have and the new facts they are learning.
> check schedules of brown out in your area
 Schedules
• Prelims – October 13-15
• Midterms – November 25-26 & 29
• Prefinals – Dec 16-17
• Finals – January 26-28
• Holidays
- Nov 1 & 2, 30
- Dec 8, 18, 19-31
- Jan 1
Thank you very much!