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Health Care and Nursing Legislation II

Module name (EN):
Name of module in study programme. It should be precise and clear.
Health Care and Nursing Legislation II
Degree programme:
Study Programme with validity of corresponding study regulations containing this module.
Health care management, Bachelor, ASPO 01.10.2018
Module code: BAME18-11
The exam administration creates a SAP-Submodule-No for every exam type in every module. The SAP-Submodule-No is equal for the same module in different study programs.
P311-0017, P311-0018
Hours per semester week / Teaching method:
The count of hours per week is a combination of lecture (V for German Vorlesung), exercise (U for Übung), practice (P) oder project (PA). For example a course of the form 2V+2U has 2 hours of lecture and 2 hours of exercise per week.
5S (5 hours per week, accumulated)
ECTS credits:
European Credit Transfer System. Points for successful completion of a course. Each ECTS point represents a workload of 30 hours.
Semester: 3
Duration: 2 semester
Mandatory course: yes
Language of instruction:
Exam achievement: Case discussion

[updated 01.10.2020]
Applicability / Curricular relevance:
All study programs (with year of the version of study regulations) containing the course.

BAME18-11 (P311-0017, P311-0018) Health care management, Bachelor, ASPO 01.10.2018 , semester 3, mandatory course
Workload of student for successfully completing the course. Each ECTS credit represents 30 working hours. These are the combined effort of face-to-face time, post-processing the subject of the lecture, exercises and preparation for the exam.

The total workload is distributed on the semester (01.04.-30.09. during the summer term, 01.10.-31.03. during the winter term).
75 class hours (= 56.25 clock hours) over a 15-week period.
The total student study time is 180 hours (equivalent to 6 ECTS credits).
There are therefore 123.75 hours available for class preparation and follow-up work and exam preparation.
Recommended prerequisites (modules):
BAME18-04 Health Care and Nursing Legislation I

[updated 17.08.2017]
Recommended as prerequisite for:
Module coordinator:
Prof. Robert Roßbruch
Prof. Robert Roßbruch
Nadja Primc

[updated 17.08.2017]
Learning outcomes:
Basic Ethical Principles:
After successfully completing this part of the module, students will understand the ethical dimension of human actions and will be able to identify and systematically analyze ethical dimensions in concrete contexts. They will be familiar with the basics of nursing ethics and will be able to recognize ethical problems in the field of nursing and analyze them with regard to their ethical implications. Students will be able to work out value orientations and will develop the ability to recognize and determine ethical dilemmas in nursing based on disease patterns and research issues. They will be able to justify decisions for specific nursing actions based on the ethical dimension. This will be able to recognize the importance of interdisciplinary action and to moderate ethical case discussions.
Advanced aspects: Selected aspects of guardianship/care and professional law:
The new requirements for dealing with people in need of care and those subject to care can pose considerable problems. Students will be familiar with the basics of the care/guardianship law. This will enable them to recognize problems in care/guardianship law and find adequate solutions.
In addition, students will be familiar with the essential problems of advance dispositions (living wills, precautionary power of attorney, care directive). They will also know about the problems involved in the preparation of a advance disposition, as well as the problems in everyday medical and nursing life. Furthermore, students will be familiar with ways of drafting living wills, precautionary powers of attorney and care directives and will be aware of their possibilities and limits.
They will also be familiar with topics regarding training and professional law. In addition to national law, the implications and developments of European law will also be discussed in this module.
These issues will be discussed systematically, as well as on the basis of supreme court rulings and current legislative policy debates. Students will be able to make initial legal assessment themselves based on discussions about legal cases within the framework of the module..

[updated 01.10.2020]
Module content:
Basic Ethical Principles
Definition and distinction of ethics and morals
1. The classic value orientations of taking action:
_        Purposive/instrumental rationality (functional orientation)
_        Happiness/the "good" life (Eudaimonia) (individual orientation)
_        Justice (general orientation)
2. Classic positions in ethics
_        Virtue ethics (Aristotle)
_        Christian ethics
_        Deontology (duty-based ethics) (Kant)
_        Utilitarianism (Singer)
_        Responsibility ethics (Weber, Jonas)
_        Philosophy of dialogue (Buber)
3. Current ethical positions
_        Discourse ethics (Habermas)
_        Communicative ethics (MacIntyre, Benhabib)
Advanced aspects: Selected aspects of childcare and professional law:
1. Guardianship/care law
_        The nature and conditions of guardianship
_        The legal status of the patient
_        The legal effects of guardianship, in particular the requirement of consent
_        Begin, duration and end of guardianship
_        The scope of caregiver duties with a special focus on health care and the right of residence
_        The competences and limits of the caregiver
_        The scope of caregivers´ duties with a special focus on health care and the right of residence
_        Urgent case regulations/universal jurisdiction of the guardianship court
2. Living will _ Precautionary power of attorney _ Advance care directive
_        On the importance of self-determination and autonomy at the end of life
_        Types of advance directives (living will, precautionary power of attorney, care directive)
_        Prerequisites for the effectiveness of a patient decree/power of attorney
_        The binding force of the patient decree/precautionary power of attorney vis-à-vis the authorized representative/caregiver/physicians/nursing staff
3. Laws governing a profession
_        The legal provisions relevant to professions and training (including KrPflG, AltPflG, KrPflAPrV, AltPflAPrV, § 63 (3b) and (3c) SGB V)
_        The legal requirements for the establishment of nursing boards
_        The legal requirements for the academization of health and nursing professions
_        Europe and nursing qualifications in Germany _ The EC Directive on the recognition of professional qualifications

[updated 01.10.2020]
Teaching methods/Media:
Print and electronic media, slides

[updated 01.10.2020]
Recommended or required reading:
Basic Ethical Principles:
_        Höffe, Ottfried: Lesebuch zur Ethik. Philosophische Texte von der Antike bis zur Gegenwart. München (Beck) 1998, S. 92-105.
_        Bentham, Jeremy: Über das Prinzip der Nützlichkeit. In: Horster, L. und N. Tholen (Hg.): Glück und Utopie. Ein Arbeitsbuch. Frankfurt/M.  (Diesterweg Moritz) 1988, S. 69-72.
_        Jonas, Hans: Technik, Medizin und Ethik. Praxis des Prinzips Ver-antwortung. München 1990; jetzt: Frankfurt/M. (Suhrkamp).
_        Huber, Wolfgang: Konflikt und Konsens. Studien zur Ethik der Verantwortung. München (Kaiser-Verlag) 1990.
_        Spaemann, Robert: Wer hat wofür Verantwortung? Kritische Über-legungen zur Unterscheidung von Gesinnungsethik und Verantwortungsethik. In: Ders. (Hg.): Grenzen. Zur ethischen Dimension des Handelns. Stuttgart (Klett-Cotta) 2001, S. 218-237.
_        Habermas, Jürgen: Moralbewußtsein und kommunikatives Handeln. Frankfurt/M. (Suhrkamp) 1983.
_        ICN Ethik-Kodex für Pflegende.;
_        Schwerdt, Ruth: Eine Ethik für die Altenpflege. Bern (Huber) 1998.
_        Schnell, Martin: Pflege und Philosophie. Interdisziplinäre Studien über den bedürftigen Menschen. Bern (Huber) 2002.
_        Vollmann, Jochen: Aufklärung und Einwilligung in der Psychiatrie. Ein Beitrag zur Ethik in der Medizin. Monographien aus dem Ge-samtgebiete der Psychiatrie. Band 96. Darmstadt (Steinkopf) 2000.
Advanced aspects: Selected aspects of guardianship/care and professional law:
_        Dodegge R (2005). Systematischer Praxiskommentar Betreuungs-recht. 2. überarb. u. erw. Aufl. Köln: Bundesanzeiger Verlag
_        Deinert, Lütgens, Meier (2004). Die Haftung des Betreuers. Ein Praxishandbuch für Betreuer. 1. Aufl. Köln: Bundesanzeiger Verlag  
_        Hanika H, Roßbruch R (2007). Europa und die Pflegequalifikationen in Deutschland _ Die neue EG-Richtlinie über die Anerkennung von Berufsqualifikationen. PflegeRecht, 52 ff., 103 ff. und 204 ff. Neuwied: Luchterhand
_        Roßbruch R (1997 ff.). Handbuch des Pflegerechts. 6-bändiges Loseblattwerk (ca. 13.000 Seiten plus CD-ROM). Neuwied: Luchterhand, 100. Aktualisierung Oktober 2015
_        Roßbruch R (Hg) (2016). PflegeRecht. Monatlich erscheinende Fachzeitschrift für Rechtsfragen in der stationären und ambulanten Pflege. Koblenz  20. Jg.
_        Roßbruch R (2007). Würdigung des Gutachtens 2007 des Sachver-ständigenrats zur Begutachtung der Entwicklung im Gesundheitswesen, in: PflegeRecht, 409 ff. Neuwied: Luchterhand
_        Roßbruch R (2013). Zur zivilrechtlichen Haftung professionell Pflegender am Beispiel der Dekubitus- und Sturzprophylaxe. PflegeLeben 04/2013, 6 ff. Regensburg
_        Roßbruch R (2013). Zur rechtlichen Zulässigkeit von Pflegekammern unter besonderer Berücksichtigung der Aspekte Pflichtmitgliedschaft, Versorgungswerk, Aufgabenübertragung sowie deren Sinnhaftigkeit, in: PflegeRecht, 350 ff. Neuwied: Luchterhand
_        Roßbruch R (2014). Zur Errichtung von Pflegekammern _ Der Wahnsinn der Pflegekammergegner hat Methode. Gesundheit und Pflege, 53 ff. Neuwied: Luchterhand
_        Storsberg, Neumann, Neiheiser (2006). Krankenpflegegesetz. Mit Ausbildungs- und Prüfungsverordnung für die Berufe in der Krankenpflege. 6. vollst. überarb. Aufl. Stuttgart: Kohlhammer  
Additional literature will be announced in the course.

[updated 01.10.2020]
[Sun May 28 11:00:45 CEST 2023, CKEY=mgupic, BKEY=me3, CID=BAME18-11, LANGUAGE=en, DATE=28.05.2023]