2010 IW Surgical Conscience Surgical Convenience

7/28/2019 2010 IW Surgical Conscience Surgical Convenience

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Surgical Conscience or Surgical

Convenience ?Dr. Nancymarie Phillips, RN, PhD,RNFA, CNOR

Professor, Perioperative Education

Department

Lakeland Community College

Kirtland, Ohio


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Foundations for our students

Definitions

Introspection of self as the educator

Assess students status

Before

After

Teach introspection

Provide examples and scenarios

Incorporate the concept in routine lessons


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Ethics as a Branch of

PhilosophyDoes not have the same meaning for everyone

Can be influenced by the era and social setting

Family bonds (monarchy, infidelity, chastity) Tribulation (inquisition, crusades, holocaust, conquest)

Career relations (hire, fire, promotion, demotion)

Related to loss or gain

Personal stance may not be constant in all

situations


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Definitions

Professional Ethics

Expected rules of

conduct Standards

Recommended

practices

Guidelines

Moral choices

Motivational dynamics

Philosophy of moral

values

Right vs wrong

Conscience

Personal sense of conduct

Prefer one set of actionsover another

Moral awareness

Truth and fairness

Honor

Judgment and choices

Part of the superego as

relates to psychotherapy


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Confucius said.

The measure of a mans worth is what hewould do if he thought he would never be

found out.


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Why you do the things you do

Deontologist Do the right thing

regardless of theconsequences

Self-determination

Freedom

Dignity Keeping a promise

Look at both sides

Consequentialist Decision is made based on

expected consequences Utilitarianism

Happiness for self and

significant others

For the greater good


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Theory of Conscience

Motivation behind personal duty

Rewards and punishments according to

perceived right or wrong actionsDesire for justice

Fear of retribution or rejection

Reflected judgment of others Virtuous self-concept


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Conscience from two views

Subjective Elements

Set of common

values

Good or evil motives

Moral Obligation

Self-Regulation

Self-Sacrifice Fear of punishment

Sense of justice

Objective Elements

Altruistic actions

Approval from others with

same values: good or bad

Open resentment for those

who breach common values

Show self-resentment if

others observe us breaching

the values

Real emotions

Fake showing of emotions


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How does conscience relate

to me?As a human person

Values and beliefs; morals

As a family member Obligations

As a team member

RoleAs an individual caregiver

Responsibility


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The Golden Rule:

Do unto others as you would have done to

you.

Treating your patients as though they were

part of your own body.Not always theeasiest thing to do.


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The personal enemies of

conscience Sloth- Laziness

Indifference- Uncaring

Avarice (Greed)- Glory-seeking, Powerhunger

Selfishness- Inconvenience

Anger- Acting out Pleasure

Everett Idris Evans, 1950: Annals of

Surgery


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Can we force learned

conscience? Encourage personal observation of self-

action and the resultant outcomes

Observation of the actions of others

Anticipation of resultant outcomes

Favorable

Disasters

Who is really hurt?


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Teaching Conscience-

BuildingObservation of human response Evidence-based lessons by example

(Hume)

Relationship between science and realityAvoid authoritarianism

Because I Said so!

We always do it this way.

Structuring intellect in the learner Critical thinking

What if philosophy


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What we cannot do as

teachersCreate conscience by threats of

punishment

Strengthen morals by comparison toothers

Convert resentment into respect

Instill surgical conscience as inherent

second nature in our students


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Surgical Conscience

ReinforcementReality and permanence to education

Clinical experiences and post conferences

Applied critical thinking

Learning by example Clinical instructors

Preceptors

Discontent with current practices

Using science and evidence-basedpractices

Professional bravery and sparking change

Opposition from authority


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In conclusion

Summary points to ponder

Cultural and ethnic aspects

Religious influences Social constructs

Professional standards

Conveniences Free moral agent

Documents

2010 IW Surgical Conscience Surgical Convenience