HEAD5313: Health Ethics and Residency Final
Name: _____________________________
Please provide the BEST answer. This is open book, open discussion, open Internet, just not open to sharing and working together. Have fun!
Multiple Choice (10 worth 2 pts each = 20 pts)
1. Porter indicates that ethics are an aggregate of individuals’: ____
a. Morals
. Ethics
c. Legal positions
d. None of the above
2. Porter indicates there are three ethical decision making timelines, known as: ____
a. Quick, Short, Long
. Cheap, Moderate, Expensive
c. Short, Long, Extra Long
d. Short, Medium, Long
3. Nonmalfeasance is: _____
a. Do no good
. Do good
c. Do harm
d. Do no harm
4. The difference principle indicates that: _____
a. “society is better off only when it makes its least well off people better off.”
. “society is better off only when all have more to provide to others.”
c. “society is better off only when all individuals are rich.”
d. None of the above
5. According to nominalism, what is higher than self- actualization: _____
a. Nothing is higher than personal actualization
. Business unit actualization
c. Organizational actualization
d. Perfect actualization (social or community actualization)
6. In the Henderson matrix, the “grey area” is: _____
a. Legal and Ethical
. Illegal and Unethical
c. Legal and Unethical
d. Legal and Moral
7. According to Seth (1899), what raises the level of the actual: _____
a. Ethics
. Law
c. Morals
d. None of the above
8. If one wanted to ensure the greatest good for the greatest amount, what ethical theory would be used: _____
a. Deontology
. Normativism
c. Egalitarianism
d. Utilitarianism
9. The greatest duty in healthcare is to patients
esidents/clients, and we would follow the _____ theory to support that duty:
a. Deontology
. Nominalism
c. Positivism
d. None of the above
10. In healthcare we try to work as teams, but in emergency situations, sometimes the best theory to follow when one person must be in charge to make immediate decisions is: _____
a. Authoritarianism
. Egalitarianism
c. Nash
d. None of the above
Short Answer (10 worth 2 pts each = 20 pts). Provide an answer and a reference that is Not Porter:
i. A short term decision ethics process (name of author, year): ___________________________________
ii. A long term decision ethics process (name of author, year): ___________________________________
iii. A communitarian ethical theory: ___________________
iv. A theory based on duty: ___________________
v. A Cardinal virtue: ___________________
vi. Definition for Professional ethics: ______________________________________________________
vii. Definition for Social ethics that separates national and global levels: __________________________________________________________________________________________________________________________________________________________________________
viii. Definition for the affective domain: __________________________________________________________________________________________________________________________________________________________________________
ix. Definition for nominalism: __________________________________________________________________________________________________________________________________________________________________________
x. Definition of service orientation: (hint: there is a reference in the Porter, 202X Book): __________________________________________________________________________________________________________________________________________________________________________
The Health Ethics Typology:
Six Domains to Improve Care
(Second Edition)
DRAFT PRE-PUBLICATION MATERIAL
FOR SECOND EDITION
Russ Porte
Health Ethics Typology XXXXXXXXXX
The Health Ethics Typology:
Six Domains to Improve Care
(Second Edition)
Russell Porter, Ph.D., Ed.D.
Health Ethics Typology XXXXXXXXXX
Copyright © 202X by Russell Porter (First Edition by Socratic Publishing)
All rights reserved
No part of this publication may be reproduced, stored in a retrieval system,
or transmitted in any form or by any means, electronic, mechanical, laser,
photocopying, recording, or otherwise (except for one hard copy), without
the prior permission of Russ Porte
Li
ary of Congress Cataloging-in-Publication Data
Porter, Russell D.
The Health Ethics Typology: Six Domains to Improve Care, 2nd Ed.
Bibliography; Includes Index
1. Ethics 1. Porter, Russell D. 1962-
Topics: 1. Health 2. Healthcare 3. Ethics 4. Education 5. Typology
ISBN-13: TBD
Published in the United States of America
Health Ethics Typology XXXXXXXXXX
To My Wife, Johnnie
And My Son, Brett
You are the Wind beneath My Wings
Health Ethics Typology XXXXXXXXXX
Accolades:
A publication takes years in the making and includes input from
countless numbers of individuals, both directly and indirectly. Therefore, the
author wishes to thank those who helped make this book a reality.
First and foremost, my family has helped me make this a reality with
their love and support - thank you Johnnie and Brett. During my family
discussions and with the help of Drs. Ida Schick and Michael Chaiken in
1999 to 2002, our first article on the topic of ethics education was produced.
Ida continues to help with articles and research on the topic and is a catalyst
for change in health ethics.
A major portion of this book was peer-reviewed by Drs. Newsom,
Lumsden, Altekruse, Keller and Te
ell from Denton, Texas. Their
contributions are significant, especially during the creation of the 270
objectives that are most helpful for improving healthcare. Final reviewers
include Drs. Stiles, Fitzpatrick, Broussard, Aligeti and Dr. Gritzmacher who
all found those “last minute” changes that make the reading more “user
friendly.” Also, my graduate and undergraduate students contributed in
countless ways to co
ect the “trees” within the forest. And a final thank you
goes to my editor – Dorothy Silvers. She makes the complex simplistic.
Health Ethics Typology XXXXXXXXXX
Prelude - Author:
This typology is based on the author's previous publications, academic
and operational practitioners input, the literature, and accreditation
equirements for ethics education in healthcare. The book focuses on a
typology of ethics education in healthcare due to the need for a focused
manuscript that uses content validity to illustrate the hierarchy of ethical
easoning in healthcare. No other manuscript
ings together the six ethics
education domains identified here as required for appropriate ethics
education in healthcare, and it uses an “Applied Ethics” framework.
Within the context of the two Bloom et al XXXXXXXXXXcognitive and
affective educational domains, the typology presents six ethics domains: 1.
Decision ethics, 2. Professional ethics, 3. Clinical ethics, 4. Business ethics,
5. Organizational ethics, and 6. Social ethics. After first presenting the issues
involved in the six domains, there are 270 ethics educational objectives
presented for use in healthcare instruction and operations.
A discussion is provided on how healthcare can be improved by
including more specific ethics education objectives within healthcare
programs. The final chapter provides recommendations on creating a
taxonomy based on the typology developed here.
Health Ethics Typology XXXXXXXXXX
Prelude – Medical Perspective:
From a physician’s perspective, this book is the most comprehensive
compilation of information on health ethics in the literature. While most of
the researched areas in health ethics focus on the very important domain of
clinical ethics, the other domains are ever so often left to be circumscribed to
the clinical domain. This excellent typology is a much needed compilation,
filling in the void for an exhaustive text on health ethics.
This pioneering book begins with a succinct introduction to the
numerous issues su
ounding health ethics, capturing the reader’s fascination
with a myriad of information and numerous tidbits; highly relevant in both
professional and personal settings.
Without a doubt, this book is a must read for all cu
ent and future
providers, and others who are interested in improving healthcare spanning
local, national, and global perspectives. This book will serve as a
comprehensive reference for healthcare improvement while also being a
worthy guide to enhance your personal health.
Manish Aligeti, M.D., M.H.A.
Health Ethics Typology XXXXXXXXXX
Note for Reading Style and Copyright Laws in the E-book era:
This book is intended to be read using a computer. Although one may
make a printed version and read from “hard copy,” it is the intent of Russ
Porter to decrease the amount of paper used by publishers. That goal is
important to keep the earth more “green.”
The publisher has intentionally created a double space between lines
to help make your reading more pleasurable (except for the contents and
index pages). With only one space between lines in an E-book, readers have
indicated their eyes become weary quicker than the two space medium.
The author hopes you enjoy this book and that you will try the
Socratic Publishing Inc, way of reading. Readers indicate that keeping the
“Zoom” in your documents at 75% (or 69% with “two pages”) allows for the
closest type of “traditional” reading as possible.
If you must print your book, please follow all copyright laws. With an
E-book, you are allowed to make one hard copy for your use, and you can
make additional copies up to one chapter of this book for educational
purposes. Additional copying of the book beyond one chapter is prohibited
and would require the additional purchase of another copy of this E-book.
Russ Porte
Health Ethics Typology XXXXXXXXXX
TABLE OF CONTENTS
Page
LIST OF TABLES and GRAPHS ……………………………….....11
I. INTRODUCTION TO THE HEALTH ETHICS TYPOLOGY…….12
Why We Need the Typology: Cu
ent Healthcare Outcomes ……. .13
Defining Morals, Ethics, Laws and Other Ethics Issues …………....24
Six Ethics Domains to Improve Care ……………………………….36
II. DECISION ETHICS: BASICS FOR PROVIDERS ………………..43
Normative, Teleologic, Relativistic & Communitarian Ethics ……..47
Ethical Decision Making: Short, Medium and Long Term ………...68
III. PROFESSIONAL ETHICS ...………………………………………83
Professionalism in Healthcare ………………………………………85
Ethics Codes: Concrete Statements for a Profession ……………….94
IV. CLINICAL ETHICS………………………………………………...99