2023 Medical Ethics Symposium: “The Nature of Impossible Choices”

Enduring Activity: 2023 Medical Ethics Symposium: “The Nature of Impossible Choices”

Evaluation and Credit: https://www.surveymonkey.com/r/2023Ethics-KJohnson

Target Audience
This program is intended for physicians, advanced practice providers, nurses, chaplains, social workers, other healthcare providers, members of hospital ethics committees and community clergy.

Statement of Need
Within the dynamics of healthcare, circumstances can arise that impose difficult moral choices. During the pandemic, healthcare leaders and ethicists contemplated how to allocate ventilators if the number of patients requiring mechanical ventilation exceeded the number of available ventilators. On the individual level, a nurse may believe a patient is suffering and would decline treatment if the patient had the capacity to do so, but has orders and surrogate direction to treat the patient. These types of circumstances wear on a person’s moral fiber. Without guidance and support, such events can lead to oral and spiritual distress that harm the professional’s work and sense of self.

Providers may be unaware of the value of an ethics consultation and how it can reduce stress for a patient’s family and staff. They may also be unaware of how to cope when caught in an impossible moral dilemma.

Objectives
1) Understand the nature of moral requirements.
2) Evaluate difficult cases and explore the possibility of genuine moral dilemmas.
3) Reflect upon a moral vocabulary that incorporates moral failure and forgiveness.

Faculty
Katherine Johnson, Ph.D.
Associate Professor, Philosophy
Director, Ethics and Social Justice Center
Bellarmine University
Louisville, KY

Faculty Disclosure
Faculty for this course has no conflicts of interest to disclose.

Planner Disclosure
The planners of this activity have no relevant conflicts of interest to disclose.
The planners for this activity include the co-course directors, the Rev. Ronald C. Oliver, Ph.D., MBA, BCC and Kyle B. Brothers, M.D., Ph.D.; and the planning committee members, Rev. Rodney Craggs, M.Div., M.A.; Rev Matthew Eddleman, M.Div.; J. Casey Newman, LCSW; David A. Hasselbacher, M.D.; Pam Missi, DPN, R.N.; Olivia Schuman, Ph.D., HEC-C; Sandra Stroud, B.A., CCMEC; and Sally Sturgeon, DNP, R.N., SANE-A, AFN-BC.

Physician Credits
Accreditation
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education

Designation
Norton Healthcare designates this enduring activity for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Date of Original Release | Feb 2023
Course Termination Date | Feb 2025
Contact Information | Norton Healthcare’s Center for Continuing Provider, Medical and Nursing Education cme@nortonhealthcare.org

Resources
• Tom L. Beauchamp and James F. Childress. 2009. The Principles of Biomedical Ethics, 6th ed. New York: Oxford University Press.
• David Edmonds. 2014. Would You Kill the Fat Man? The Trolley Problem and What Your Answer Tells Us about Right and Wrong. Princeton, NJ: Princeton University Press.
• Philippa Foot. 1967. “The Problem of Abortion and the Doctrine of Double Effect.” Oxford Review 5. [Reprinted in Philippa Foot. 1978. Virtues and Vices and Other Essays in Moral Philosophy. New York: Blackwell.]
• Christopher Gowans. 1994. Innocence Lost: An Examination of Inescapable Moral Wrongdoing. New York: Oxford University Press.
• Jonathan Haidt. 2012. The Righteous Mind: Why Good People are Divided by Politics and Religion. New York: Pantheon.
• Megan-Jane Johnstone. 2016. Bioethics: A Nursing Perspective, 6th ed. Australia: Elsevier.
• Martha Nussbaum. 2000. "The Costs of Tragedy: Some Moral Limits of Cost-Benefit Analysis." Journal of Legal Studies 29: 1005-1036.
• Lisa Tessman. 2017. When Doing the Right Thing is Impossible. New York: Oxford University Press.
• Lisa Tessman. 2015. Moral Failure: On the Impossible Demands of Morality. New York: Oxford University Press.
• Bernard Williams. 1965. “Ethical Consistency.” Proceedings of the Aristotelian Society 39: 103-124.

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