Ethics in Health Care
Module Seven
In Need of a map! Concepts and Frameworks in Ethical Decision Making
Video Presenter: Paddy Rodney and Michael McDonald
Patricia (Paddy) Rodney is an Associate professor and Undergraduate Program Coordinator with the University of British Columbia (UBC) School of Nursing. She is also a Faculty Associate with the Maurice Young Centre for Applied Ethics at UBC, a Research Associate with Providence Health Care Ethics Services, and Past-President of the Canadian Bioethics Society. Paddy is currently a member of the ethics committee at BC Women’s Hospital in Vancouver, BC, and she is an ethics consultant on the BC Provincial Advisory Panel on Cardiac Health.
Michael McDonald is the Maurice Young Chair of Applied Ethics at the W. Maurice Young Centre for Applied Ethics at the University of British Columbia; he was the Centre’s founding Director from1990-2002. Michael McDonald has served as an ethicist on the Vancouver General Hospital’s Ethics Committee, the Ethics Committee for the British Columbia Transplant Society, British Columbia Cancer Agency’s Ethics Council, and the Provincial Advisory Committee on Access to Care. Since 2001 he has served as Chair of the Standing Committee on Ethics for the Canadian Institutes for Health Research.
Overview:
This presentation aims to provide a clear framework with which to bring the theoretical material that has been considered in the course, to practical application in a clear and organized way. In the only video featuring co-presenters, Paddy Rodney and Michael McDonald engage in a dialogue about what good health care decision-making explicitly from an ethics perspective might look like and what features are crucial to the success of such a process.
Paddy Rodney will present a case taken form her research experience and ill provide some comments about the concept of moral distress. Michael McDonald then goes on to describe five basic questions of a decision-making framework.
The Health Sciences North Ethical Decision-making framework will be further explored by applying it to a case study.
Readings:
Bailey, S. (2006). Decision making in acute care: a practical framework supporting the ‘best interests’ principle. Nursing Ethics, 13(3), 284-291.
http://web.ebscohost.com/ehost/detail?vid=3&hid=123&sid=17351c8b-4ab0-476e-b764-3be79bbc5f6e%40sessionmgr111&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=c8h&AN=2009190024
Note: HSN – HSL Online Journal Collection
Bloch, S. Green, S.A. (2006). An ethical framework for psychiatry. British Journal of Psychiatry, 188, 7-12.
http://bjp.rcpsych.org/content/188/1/7.full
Note: HSN – HSL Online Journal Collection
Jiwani, B. (2001). The 3 questions approach to decision-making in health ethics. In An Introduction to health ethics committees (pp.54-55). Edmonton: The Provincial Health Ethics Network.
Note: HSN – HSL Library Collection: W 50 J59 2001
Jiwani, B. (2001). The 3 question approach applied: The case of Mrs. O’Sullivan. In An Introduction to health ethics committees (pp 86-93). Edmonton: The Provincial Health Ethics Network.
Note: HSN – HSL Library Collection: W 50 J59 2001
Taylor, C. (1995). Medical futility and nursing. Image, 27(4), 301-306.
Note1: Not available online at HSN – HSL.
Note 2: HSN – HSL Print Journals Collection.