Public Health Chapter 7

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Ohio State University *

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2010

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Philosophy

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Oct 30, 2023

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Public Health Chapter 7: Application of Ethics in the Community Ethical Decision Making  Ethical dilemmas: do we do something or do we not  Ethics Committees: not a governing body; take us through the ethical decision-making process and how to portray that  Identifying and justifying moral norms  Problem-solving processes o Brainstorming o Collecting ideas o Evidence of other ways to work around thigs  Thinking independently o Thinking beyond following rules and authorities o Moral responsibility o Hard-won right  Two factors o Growing multiculturalism o Moral distress: making a decision that causes us distress  Mandatory requirement to send HIV/AIDS information to the DOH o Collect the rosters of people to do greater good for the greater amount of people  Mandating vaccines – encroaching on liberty; can’t decide what is and isn’t good for yourself Ethical Decision-Making Framework  Identify ethical issues and dilemmas  Find meaningful context: looking at similar situations and how they were resolved  Obtain all relevant facts  Reformulate, if needed  Consider appropriate options  Decide and take action  Evaluate decision and action

Ethnic Diversity and Cultural Standards  Four situations you can judge: o Someone is at direct risk of harm o Ethnic cultural standards conflict with professional standards (ex. Jehovah’s witness nurse) o The greater community’s values are jeopardized (might harm one but not everybody) o The ethnic community customs are annoying but not problematic for the greater community Handling Moral Distress  Identify situations that lead to distress  Communicate concern and examine ways to address the stressor  Seek support from colleagues Definitions, Theories, and Principles  Ethics: values, beliefs, moral norms  Values  Consequentialism  Utilitarianism: form of practice that doing the greatest good for the greatest amount of people is important  Deontology  Respect for autonomy: the right to make decisions for oneself o Including and educating them about their care o Leaving AMA  Nonmaleficence  Beneficence  Distributive justice: fair distribution of benefits and burdens in society based on societal needs and the contribution of its members o Sharing of burdens: financially supporting the elders (social security)  Egalitarianism  Libertarianism

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