Course Title: HEALTH CARE ETHICS

Course No. : NCM 108

Course Description: This course deals with the application of ethico-moral concepts and principles affecting care of the individuals,
families, population groups, and community. It involves discussion of issues and concerns in varied health care
situations. The learners are expected to apply sound ethical decision-making in varied health scenarios.

Course Credit: Theory: 3 units (54 hours)

Placement: Second Year, First Semester

Pre-Requisite: Ethics, NCM 103

Course Title: HEALTH CARE ETHICS

Course No: NCM 108
Course Description:
This course deals with the application of ethico-moral concepts and principles affecting care of the individuals,
families, population groups, and community. It involves discussion of issues and concerns in varied health care
situations. The learners are expected to apply sound ethical decision-making in varied health scenarios.

Course Credit: Theory 3 units (54 hours)

Placement: Second Year, First Semester
Pre-requisites: GEC 6, NCM 103

Program Outcomes:
1. Apply knowledge of physical, social, natural and health sciences, and humanities in the practice of nursing. 
2. Provide safe, appropriate, and holistic care to individuals, families, population group, and community utilizing
nursing process.
 3. Apply guidelines and principles of evidence-based practice in the delivery of care.
4. Practice nursing in accordance with existing laws, legal, ethical and moral principles.
5. Communicate effectively in speaking, writing, and presenting using culturally appropriate language.
6. Document to include reporting up-to-date client care accurately and comprehensively.  
7. Work effectively in collaboration with inter-, intra- and multi-disciplinary and multi-cultural teams.
8. Practice beginning management and leadership skills in the delivery of client care using a systems approach.
9. Conduct research with an expert researcher.
10. Engage in lifelong learning with a passion to keep current with national and global developments in general, and
nursing and health developments in particular. 
11. Demonstrate responsible citizenship and pride of being a Filipino.
12. Apply techno-intelligent care systems and processes in health care delivery.
13. Adopt the nursing core values in the practice of the profession.

Level Outcomes: At the end of the second year, given a normal and high-risk mother, child, and family in any health setting, the
learners demonstrate safe, appropriate, and holistic care utilizing the nursing process.

Course Outcomes:
1. Apply knowledge of physical, social, natural and health sciences and humanities in the practice of ethics in health
care.
2. Provide safe, appropriate, humanistic and holistic care to individuals, families, population groups, and community
utilizing nursing process guided by ethico-moral principles.
3. Apply guidelines and principles of evidence-based practice in health care ethics.
4. Practice nursing in accordance with existing laws, legal, ethical and moral principles.
5. Communicate effectively and honestly in speaking and writing using ethically and culturally acceptable language.
6. Document client care accurately and comprehensively following the guidelines and protocol in documentation.
7. Work effectively in collaboration with inter-, intra, and multi-disciplinary and multi-cultural teams in nursing care
practice.
8. Practice beginning management and leadership skills in the delivery of client care and in health program
development using ethical decision-making skills.
9. Observe ethical principles and considerations in the conduct of research.
10. Engage in professional and advocacy activities addressing ethico-moral issues in nursing.
11. Apply ethico-moral culture and values appropriate for the health care needs of the Filipinos.
12. Apply appropriate technology in the delivery of health care.
13. Demonstrate a sense of professional and moral values in the practice of nursing.
Sample Alignment with Course Content
PROGRAM OUTCOMES
Apply knowledge of physical,
social, natural and health
sciences, and humanities in
the practice of nursing.  practice of ethics in health
Adopt the nursing core values
in the practice of the
profession.
Practice nursing in accordance
with existing laws, legal,
ethical and moral principles.
COURSE OUTCOMES
Apply knowledge of physical,
social, natural and health
sciences and humanities in the
care.
Demonstrate a sense of
professional and moral
obligation in the practice of
nursing.
Practice nursing in accordance
with existing laws, legal,
ethical and moral principles.
LEARNING OUTCOMES CONTENT
Integrate relevant principles of
social, physical, natural and Theories and Principles of Health Ethics
health sciences and
humanities in a given health A. Ethical Theories
and nursing situation.
1. Deontology
Apply the concepts of the
different ethical theories in 2. Teleology
specific scenarios.
3. Utilitarianism
Demonstrate caring as the
core of nursing, love of God, B. Virtue Ethics
love of country and love of 1. Virtues Ethics in Nursing
people. 2. Core Values of a Professional Nurse
Manifest professionalism,
integrity and excellence.
Project the positive
professional image of a
Filipino nurse:
- Contextualize the
virtues of a
professional nurse
C. Ethical Principles
Adhere to ethico-legal 1. Autonomy
considerations in varied  Patient’s Rights
personal and professional  Patient’s Bill of Rights
 applications.
Apply ethical reasoning and
decision making process to
address situations of ethical
distress and moral dilemma:
. 2. Confidentiality
- Discern ethical from
unethical practice in
the care of clients.
 Informed Consent
 Proxy Consent/ Legally Acceptable
Representative
 Confidentiality
 Privacy
3. Veracity
 Truth Telling and Right to Information

Adhere to established norms 4. Fidelity

Communicate effectively in
speaking, writing, and
presenting using culturally
appropriate language.
Communicate effectively and
honestly in speaking and
writing using ethically and
culturally acceptable
language.
of conduct based on legal, 5. Justice
regulatory and institutional 6. Beneficence
requirements relevant to safe 7. Non-maleficence
nursing practice.
D. Other relevant ethical principles
1. Principle of Double Effect
Protect clients rights based on 2. Principle of Legitimate Cooperation
“Patient’s Bill of Rights and 3. Principle of Common Good and
Obligations” as applied in Subsidiarity
different scenarios.
E. Principles of Bioethics
1. Principle of Stewardship and Role of
Implement strategies related to Nurses as Stewards
Informed consent as it applies
 Personal
in multiple contexts.
 Social
 Ecological
Display communication skills  Biomedical
with client and/or support
system base on trust, respect 2. Principle of Totality and its Integrity
and shared decision-making
using appropriate  Ethico-moral Responsibility of Nurses
communication/interpersonal in Surgery
techniques/strategies.  Sterilization/ Mutilation
 Preservation of Bodily Functional

Provide safe, appropriate, and
holistic care to individuals,
families, population group, and
community utilizing nursing
process.
Provide safe, appropriate,
humanistic, and holistic care to
individuals, families,
population groups, and
community utilizing nursing
process guided by ethico-
moral principles.
Conduct ethical assessment in
a given case scenario.
Formulate with the client a
plan of care to address ethical
health concerns, needs,
problems, and issues based
on priorities.
Implement safe and quality
interventions with the client to
address ethical health
concerns, needs, problems,
and issues:
- Relate the inviolability
of life to ethical death
and dying.
Integrity
 Issues on Organ Donation
3. Principle of Ordinary and Extraordinary
Means
4. Principle of Personalized Sexuality
Bioethics and its Application in Various
Health Care Situations
A. Sexuality and Human Reproduction
1. Human Sexuality and its Moral
Evaluation
2. Marriage
 Fundamentals of Marriage
 Issues on Sex Outside Marriage and
Homosexuality
 Issues on Contraception, its Morality,
and Ethico-moral Responsibility of
Nurses
3. Issues on Artificial Reproduction, its
Morality and Ethico-moral Responsibility
of Nurses
 Artificial Insemination
 In-vitro Fertilization
 Surrogate Motherhood
4. Morality of Abortion, Rape and other
Problems Related to Destruction of Life
B. Dignity in Death and Dying
1. Euthanasia and Prolongation of Life
2. Inviolability of Human Life
3. Euthanasia and Suicide
4. Dysthanasia
5. Orthothanasia

Conduct research with an
expert researcher.
Apply guidelines and
principles of evidence-based
practice in the delivery of care.
Document to include reporting
up-to-date client care
accurately and
comprehensively.
Engage in lifelong learning
with a passion to keep current
with national and global
developments in general, and
nursing and health
developments in particular.
Practice ethical principles and Use ethical principles and
considerations in the conduct considerations in the conduct
of research.
Apply guidelines and
principles of evidence-based
practice in health care ethics.
Document client care
accurately and
comprehensively following the
guidelines and protocol in
documentation.
Engage in professional and
advocacy activities addressing
ethico-moral issues in nursing.
of research.
Use of evidence-based
practice in health care ethics.
Comply with the guidelines
and protocols in
documentation following the
criteria as: completeness,
integrity, safety, accessibility
and security of information.
Adhere to protocols and
principles of confidentiality in
safekeeping and releasing of
records and other information.
Assume responsibility for
lifelong learning, own personal
development and maintenance
of competence.
Demonstrate continued
6. Administration of Drugs to the Dying
7. Advance Directives
8. DNR or End of Life Care Plan
C. Nursing Roles and Responsibilities
D. Ethical Decision Making Process
Bioethics and Research
A. Principles of Ethics in Research
1. Nuremberg Code
2. Declaration of Helsinki
3. Belmont Report
B. Ethical Issues in Evidenced Based Practice
C. Ethico-moral Obligations of the Nurse in
Evidence Based Practices
1. Introduction to Good Clinical Practice
Guidelines
Guidelines and Protocol in Documentation
and Health Care Records
Continuing Education Programs on Ethico-
Moral Practice in Nursing

Demonstrate responsible
citizenship and pride of being
a Filipino.
Work effectively in
collaboration with inter-, intra-
and multi-disciplinary and
multi-cultural teams
Practice beginning
management and leadership
skills in the delivery of client
care using a systems
approach.
Apply ethico-moral culture and service of the Filipinos.
values appropriate for the
health care needs of the
Filipinos.
Work effectively in
collaboration with inter-, intra,
and multi-disciplinary and Observe the Code of Ethics
multi-cultural teams in nursing when dealing with members of
care practice.
Practice beginning
management and leadership
skills in the delivery of client
care and in health program
development using ethical
decision-making skills.
competence and professional
growth.
Participate in advocacy A. Lobbying / Advocating for Ethical Issues
activities addressing current Related to Health Care
ethico-moral issues in the
Philippines.
Demonstrate beginning
professional behavior.
B. Code of Ethics for Nurses
Exemplify love for country in
1. International Code of Ethics
Demonstrate Filipino ethico- 2. Code of Ethics for Filipino Nurses
moral culture and values
appropriate to the health care  Registered Nurses and People
needs of the individual and
family.  Registered Nurses and Practice
 Registered Nurses and Co-Workers
 Registered Nurses and Society and
the health team in the delivery
of quality nursing care. Environment
 Registered Nurses and the
Profession
Apply management and Ethical Consideration in Leadership and
leadership principles in Management
creating a favorable
organizational climate for the A. Moral Decision Making
employees . 1. Principle of Moral Discernment

Apply techno-intelligent care
systems and processes in
health care delivery.
Sample Learning Plan
Learning Outcomes
Assume responsibility for
lifelong learning, own
personal development and
maintenance of
competence.
Demonstrate continued
competence and
professional growth.
Apply appropriate technology
in the delivery of health care.
Content
Continuing Education Programs on Ethico-
Moral Practice in Nursing
Manage resources (human,
physical, financial, time)
efficiency and effectively.
Maintain a positive practice
environment for employees
and clients.
Identify the ethical
considerations in the use of
appropriate technology in
delivering safe and efficient
health care services.
Learning Strategies
Classroom
Lecture - Discussion
Learner’s portfolio
development as a future
professional nurse
2. Principle of Well-Formed Conscience
3. Strategies of Moral Decision Making
Process
 Ethical Dilemma
B. Meaning and Service Value of Medical Care
1. Allocation of Health Resources
2. Issues Involving Access to Care
Ethical Issues Related to Technology in the
Delivery of Health Care
A. Data Protection and Security
1. Data Privacy Act 2012 ( RA 10173 Series
of 2012)
B. Benefits and Challenges of Technology
C. Current Technology: Issues and Dilemma
TA Assessment
Paper and Pencil Test
Checklist: Learner portfolio
Participate in advocacy
activities addressing
current ethico-moral issues
in the Philippines.
Demonstrate beginning
professional behavior.
Exemplify love for country
in service of the Filipinos.
Demonstrate Filipino
ethico-moral culture and
values appropriate to the
health care needs of the
individual and family.
Observe the Code of
Ethics when dealing with
members of the health
team in the delivery of
quality nursing care.
Learning Environment:
Resources:
Course Requirements:
Grading System:
A. Lobbying / Advocating for Ethical
Issues Related to Health Care Group Feedback
Evocative Discussion
B. Code of Ethics for Professional Nurses
1. International Code of Ethics
Journal Sharing Rubrics: Journal Sharing
2. Code of Ethics for Filipino Nurses :
 Registered Nurses and People
 Registered Nurses and Practice
 Registered Nurses and Co- Instant Feedback
Workers Flipped Classroom
 Registered Nurses and Society
and Environment Paper and Pencil Test
 Registered Nurses and the Evocative Discussion
Profession
Classroom
Print, Non-Print materials, and Electronic Materials, Clinical Scenarios
These are major student outputs (whether individual or group outputs) reflective of the integrated attainment of
course outcomes.
1. Includes Theory with corresponding unit weights.
2. Assessment tools measure the learning outcomes taking into consideration the Table of Specifications.
3. Follows the institutional grading system.
References: Bibliography and Webliography (Include several appropriate and relevant references)