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Ethics & Professionalism

Ethics & Professionalism. Perspectives For New Respiratory Care Students. Ethics. Philosophy “Philo” love of “Sophia” wisdom. Ethics is a branch of the “love of wisdom” Wisdom: a systematic, thoughtful, reasoned, and sustained look at: “beauty” aesthetics “existence” ontology

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Ethics & Professionalism

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  1. Ethics & Professionalism Perspectives For New Respiratory Care Students

  2. Ethics • Philosophy • “Philo” love of • “Sophia” wisdom

  3. Ethics is a branch of the “love of wisdom” • Wisdom: a systematic, thoughtful, reasoned, and sustained look at: • “beauty” aesthetics • “existence” ontology • “knowing” epistemology • “right thing to do” ethics

  4. The “right thing to do” • Mainly Western thinkers, like • John Mills • utilitarianism • Immanuel Kant • Non-utilitarian, absolute, universal principles

  5. Health Care or Medical Ethics • Relatively new in the broader field of Philosophy • Is more applied, less theoretical • Began with questions regarding • Death (breathing? Heart? Brain activity?) • Technological advances, in neonatology, “open heart surgery,” the “ICU”

  6. Strategies • A competent patient (beware of definition) • “capacitated” vs “incapacitated” • Informed consent • Remember--it is a process, not a signed paper • Advance directives • Living will • Durable power of attorney for health • Best judgment cases

  7. Best judgment decision making • Children: not competent now, but will become competent • Mentally retarded: not competent now, and will never be competent

  8. Ethics and Professionalism • How should we act? • Individually? • Professionally? • Where do we look? • The Law? • Code of Ethics • Protocol manuals, lawyer’s judgment?

  9. Why the Dilemma? • Because: • We are individuals • We enter Respiratory Care with our own experiences, needs, values, expectations, and aspirations

  10. Professional • The challenge of becoming a “respiratory care professional” is: • Accepting and participating in a common (collective) behaviors • A common set of values and actions • These establish group identity that is recognized by others

  11. Professional=“profess” • To affirm, avow • What makes a professional? • On a scale of 1-10, with 10 being “most professional,” rank: Postal worker, teacher, car mechanic, computer sales person, physician, lawyer • Mastery of set of knowledge and skills that sets one apart from others

  12. With specialized knowledge and skills, society grants privileges and autonomy (self-govern) to individual and to the group • You are expected to self-regulate and police yourselves • Another word for this is accountability

  13. Other Expectations • Established standards of practice • Ensure maintenance of knowledge and skills through continuing education • Research and publish • License • Codes of ethics • Codes of behavior

  14. Professional Ethics • Common/collective behavior about the “right thing to do” • No room for individual (personal) values • Commitment is to the group-the collective behavior and common response to ethical situations • Commitment to each other first

  15. Collective • Failure of one individual to meet expectations of “professionalism” results in the condemnation of the entire profession • Now, on to the case of the Jehovah’s Witness and blood transfusion. . .

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