Module title: Exploring the Theory and Application of Ethical Reasoning in Nursing Practice (Singapore/International)

SCQF level: 09:
SCQF credit value: 20.00
ECTS credit value: 10

Module code: NUR09722
Module leader: Anne Rowat
School School of Health & Social Care
Subject area group: Mental Health
Prerequisites

n/a

2017/8, Trimester 3, Blended,
Occurrence: 002
Primary mode of delivery: Blended
Location of delivery: SINGAPORE
Partner:
Member of staff responsible for delivering module: Anne Rowat
Module Organiser:


Learning, Teaching and Assessment (LTA) Approach:
This will be a blended learning module with both face-to-face teaching and learning materials presented in the VLE platform Moodle. The module will be divided into four themes:
Theme 1: Why Ethics? Will explore values and ethics and their relationship to nursing practice and wider societal and cultural determinants. (LOs 1 & 4).
Theme 2: Legislation and Healthcare: Will support you to develop knowledge and understanding of legislation governing healthcare in Singapore and explore how this influences ethical healthcare practice (LOs 1, 2 & 4).
Theme 3: Thinking Legally and Ethically: You will demonstrate an understanding of care decisions that are based in reasoned ethical context and law in Singapore (LOs 2 & 4)
Theme 4: Practicing Legally and Ethically: Will enable you to consider pertinent legislation and its application to ethical practice in the context of individual and service care provision and provide a reflective account of the learning journey you have taken (LOs 3 & 4).



Formative Assessment:
The formative assessment is the submission of a draft vignette (the first section of the summative assessment) in which you will identify the relevant legal/ethical issue. This will demonstrate whether or not sufficient understanding of healthcare legislation, ethical frameworks and ethical reasoning has been achieved, in a way that will usefully inform the remainder of the portfolio.
Feedback comments from academic staff will inform you as to whether or not your choice of vignette provides an appropriate context from which you to continue the development of the portfolio and will also provide suggestions for further learning.


Summative Assessment:
The summative assessment will build on the work you undertook in the formative assessment, and comprises of a 3500 word portfolio. This will be split into five sections - representing different aspects of the module themes, and will test your knowledge and understanding of contemporary professional, legal and ethical issues in healthcare in Singapore.

Student Activity (Notional Equivalent Study Hours (NESH))
Mode of activityLearning & Teaching ActivityNESH (Study Hours)
Face To Face Tutorial 16
Face To Face Tutorial 4
Online Tutorial 4
Online Groupwork (Independent Study) 90
Independent Learning Groupwork (Independent Study) 86
Total Study Hours200
Expected Total Study Hours for Module200


Assessment
Type of Assessment Weighting % LOs covered Week due Length in Hours/Words
Portfolio 100 1,2,3 & 4 14 HOURS= 0, WORDS= 3500
Component 1 subtotal: 100
Component 2 subtotal: 0
Module subtotal: 100
2018/9, Trimester 2, Blended,
Occurrence: 001
Primary mode of delivery: Blended
Location of delivery: SINGAPORE
Partner:
Member of staff responsible for delivering module: Gwenne McIntosh
Module Organiser:


Learning, Teaching and Assessment (LTA) Approach:
This will be a blended learning module with both face-to-face teaching and learning materials presented in the VLE platform Moodle. The module will be divided into four themes:
Theme 1: Why Ethics?: Explores values and ethics and their relationship to nursing practice and wider societal and cultural determinants. (LOs 1 & 4).
Theme 2: Legislation and Healthcare: This theme will support you to develop knowledge and understanding of legislation governing health care in Singapore and explore how this influences ethical health care practice (LOs 1,2 & 4).
Theme 3: Thinking Legally and Ethically: you will demonstrate an understanding of care decisions that are based in law in Singapore and reasoned ethical context (LOs 2 & 4).
Theme 4: Practising Legally and Ethically: will enable you to consider pertinent legislation and its application to ethical practice in the context of individual and service care provision to help provide a reflective account of the learning journey you have taken (LOs 3 & 4).




Formative Assessment:
The formative assessment is the submission of a draft vignette (the first section of the summative assessment) in which you will identify the relevant legal/ethical issue. This will demonstrate whether or not sufficient understanding of healthcare legislation, ethical frameworks and ethical reasoning has been achieved, in a way that will usefully inform the remainder of the portfolio.
Feedback comments from academic staff will inform you as to whether or not your choice of vignette provides an appropriate context from which you to continue the development of the portfolio and will also provide suggestions for further learning.


Summative Assessment:
The summative assessment will build on the work you undertook in the formative assessment and comprises a 3500 word portfolio. This will examine aspects of content of the four module themes, and will test your knowledge and understanding of contemporary professional, legal and ethical issues in healthcare in Singapore.

Student Activity (Notional Equivalent Study Hours (NESH))
Mode of activityLearning & Teaching ActivityNESH (Study Hours)
Face To Face Seminar 16
Face To Face Tutorial 8
Online Tutorial 4
Online Guided independent study 86
Independent Learning Guided independent study 86
Total Study Hours200
Expected Total Study Hours for Module200


Assessment
Type of Assessment Weighting % LOs covered Week due Length in Hours/Words
Portfolio 100 1,2,3,4,5 14 HOURS= 0, WORDS= 3500
Component 1 subtotal: 100
Component 2 subtotal: 0
Module subtotal: 100

Description of module content:

This module aims to support you to deliver competent, safe and professionally accountable, autonomous nursing practice by exploring everyday clinical situations that involve challenging ethical and legal issues. It will support you in upholding the Singapore Nursing Board’s Code for Nurses and Midwives (2018) by enhancing your knowledge and skills and extending your understanding of ethical theory and relevant Singapore legislation.
You will consider the relevance of the law, specific healthcare legislation and ethical reasoning principles, values and behaviours to supporting professional nursing practice. You will explore potential challenges and opportunities of continuing to develop professional integrity, self-awareness and reflective practice in your nursing care.
You will explore the influence of healthcare legislation and application of ethical practice in relation to cultures, sub-cultures and the wider society in Singapore. You will consider their impact on health and well-being, and explore mechanisms for supporting cultural sensitivity and diversity in all aspects of patient care in a way that reflects respect, compassion and dignity. This will be achieved by exploring specific examples of Singaporean legislation, for example, the Mental Capacity Act (2010) and the Advance Medical Directive Act (1997), and examine the implications and impact that these may have on ethical healthcare practice.
You will be encouraged to reflect on your personal ethical framework and values and how these may influence your approach to care for patients from a broad spectrum of social and cultural backgrounds. You will consider your role as patient advocate, as well as how your self-regulation, behaviour, knowledge, skills and understanding can help enhance and protect public safety.

Learning Outcomes for module:

Upon completion of this module you will be able to:
LO1: Critically examine the relationship between the law, ethics and ethical reasoning in nursing practice in Singapore
LO2: Implement and appraise a decision making process using a legal and ethical framework or code of practice
LO3: Demonstrate critical understanding of values-based practice to a population group to inform future delivery of health care services in Singapore
LO4: Critically reflect on the way in which healthcare legislation, culture and society influence ethical nursing practice and health and well-being more broadly.