Table of Contents

 

 

 

SECTION I

ETHICS

 

1

Ethics and Professionalism   Phyllis L. Beemsterboer

3

 

The Health Care Provider

5

 

The Dental Hygienist

7

 

Professionalism

8

 

Commercial Model

8

 

Guild Model

9

 

Interactive Model

9

 

Competency in Dental Hygiene

10

 

Standards for Clinical Practice

13

 

Professional Traits for the Dental Hygienist

14

 

Honesty and Integrity

14

 

Caring and Compassion

16

 

Reliability and Responsibility

16

 

Maturity and Self-Analysis

17

 

Loyalty

17

 

Interpersonal Communication

18

 

Tolerance for Others

18

 

Respect for Self

18

 

Legal Requirements for the Dental Hygienist

18

 

Summary

20

2

Ethical Theory and Philosophy   Phyllis L. Beemsterboer and David Ozar

23

 

Moral Development

24

 

Theories of Cognitive Moral Development

25

 

Male Justice Orientation

25

 

Female Ethic of Care

27

 

Cognitive Development Theory

28

 

Character

28

 

Overview of Ethical Theories

30

 

Consequentialism or Utilitarian Ethics

30

 

Deontology or Nonconsequentialism

32

 

Virtue Ethics

34

 

Summary

36

3

Ethical Principles and Values   Phyllis L. Beemsterboer

39

 

Ethical Dilemmas

40

 

Principle of Nonmaleficence

41

 

Application of Nonmaleficence

42

 

Principle of Beneficence

43

 

Application of Beneficence

43

 

Principle of Autonomy

44

 

Application of Autonomy

44

 

Principle of Justice

45

 

Application of Justice

46

 

Values and Concepts

46

 

Paternalism

47

 

Veracity

48

 

Application of Veracity

48

 

Informed Consent

49

 

Confidentiality

50

 

Applying Principles and Values

51

 

Prima Facie Duties

51

 

Other Values Used in Health Care

52

 

Summary

53

4

Social Responsibility and Justice   Phyllis L. Beemsterboer and Frank Catalanotto

55

 

Disparities in Oral Health Care

56

 

Surgeon General’s Report on Oral Health

56

 

National Institutes of Health Report on Oral Health Disparities

57

 

Health Disparities and Professionalism

58

 

Ethical Coals in Oral Health Care

59

 

Social Justice

60

 

Role of the Dental Hygienist

60

 

Summary

61

5

Codes of Ethics   Phyllis L. Beemsterboer

65

 

Professional Codes in Health Care

66

 

Development of Ethical Codes

68

 

Ethical Code for Dental Hygiene

70

 

Dental Code

71

 

Summary

73

Appendix 5-1

American Dental Hygienists’ Association Code of Ethics for Dental Hygienists

75

6

Ethical Decision Making in Dental Hygiene and Dentistry   Phyllis L. Beemsterboer

83

 

Learning Ethical Decision Making

84

 

Ethical Awareness

85

 

Ethical Decision-Making Models

86

 

Six-Step Decision-Making Model

88

 

Ethical Dilemmas for the Dental Hygienist

90

 

Solving a Dilemma Using the Ethical Decision-Making Model

92

 

Summary

96

SECTION II

LAW

 

7

Society and the State Dental Practice Act   Cheryl A. Cameron

99

 

Statutory Law

100

 

Rules and Regulations

103

 

The Practice of Dental Hygiene

104

 

Licensure Provisions

104

 

Scope of Practice

110

 

Supervision Requirements

112

 

Other Selected Statutory Provisions

114

 

Abuse Reporting

114

 

Patient Records

116

 

Professional Liability Insurance

116

 

Cardiopulmonary Resuscitation Certification

117

 

Self-Referral and Kickbacks

117

 

Due Process

117

 

Summary

118

8

Dental Hygienist–Patient Relationship   Cheryl A. Cameron and Pamela Zarkowski

119

 

Legal Framework of the Relationship

122

 

Overview of the Legal System

122

 

Civil Law

123

 

Contract Law

123

 

Tort Law

124

 

Rights and Responsibilities of the Dental Hygienist and Patient

125

 

Legal Actions for Health Care Injuries

127

 

Informed Consent

128

 

Professional Malpractice

133

 

Breach of Contract

136

 

Summary

137

9

Dental Hygienist–Dentist-Employer Relationship   Cheryl A. Cameron and Pamela Zarkowski

139

 

Seeking and Obtaining Employment

140

 

Employment Relationship

142

 

Employment Laws

143

 

Federal Laws Prohibiting Discrimination

143

 

State Laws Prohibiting Discrimination

146

 

Enforcement of Laws Prohibiting Discrimination

146

 

Other Laws Providing Employee Protections

146

 

Sexual Harassment

149

 

Categories of Harassing Behavior

150

 

Protection for the Dental Hygienist

151

 

Summary

152

10

Risk Management   Phyllis L. Beemsterboer, Cheryl A. Cameron, and Pamela Zarkowski

153

 

Risk Identification

155

 

Risk Reduction

157

 

Documentation

157

 

Communication

160

 

Individual Risk Management

163

 

Summary

164

SECTION III

SIMULATIONS AND APPLICATIONS

 

 

Case Studies, Testlets, and Activities

169

Appendix A

American Dental Association Principles of Ethics and Code of Professional Conduct with Official Advisory Opinions Revised to October 2008

203

 

Bibliography and Suggested Readings

231

 

Glossary

237

 

Index

243