Ethical Dilemmas and Nursing Practice

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  • Edition: 5th
  • Format: Paperback
  • Copyright: 2009-07-15
  • Publisher: Pearson

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Valuable guide, helps develop the critical thinking skills needed to become effective patient advocates. Pinpointing the systematic methods of reasoning through an ethical dilemma, this is the ultimate resource to resolving ethical issues in a system undergoing fundamental change.The fourth edition reflects contemporary issues such as informed consent, abortion, death and dying, and behavior control. Numerous case studies are also included.Nurses, nursing students, physicians and clergy.

Table of Contents

Prefacep. vii
Introduction to the Bookp. xiii
Introduction to Ethics and Ethical Dilemmasp. 1
Definitions and Sources of Knowledgep. 1
Ways of Thinking about Ethicsp. 2
Ethical Theoriesp. 2
Ethical Dilemmasp. 3
Ethical Reasoning Using Ethical Theoriesp. 4
Health Care Ethicsp. 5
Health Care Ethics and the Lawp. 6
Values and Moral Developmentp. 6
Moral Development and World Viewp. 7
Examples of Ethical Dilemmasp. 7
Professional Codes of Ethics in the Health Sciencesp. 9
The Role of the Ethicistp. 12
Some Questions to Considerp. 12
Referencesp. 12
Selected Ethical Approaches: Theories and Conceptsp. 14
Elements of a Decision-Making Frameworkp. 15
Focus on Virtue and Characterp. 17
Focus on Principlesp. 17
Focus on Caringp. 25
Ethical Theories and Concepts in Nursing Practicep. 27
Referencesp. 28
Nursing's Ethical Tradition: The 1870s to the Rise of Bioethicsp. 30
The Nursing Ethical Literaturep. 30
The First Hundred Years of Ethics in Nursingp. 32
Codes of Ethics for Nursingp. 34
The Development of an Official Code of Ethics for the Professionp. 36
Notesp. 41
Referencesp. 42
Professional Ethics and Institutional Constraints in Nursing Practicep. 43
The Importance of Nursing: Some Factsp. 43
Multiple Ethical Obligations/Responsibilitiesp. 44
Nursing Roles and Ethics-Historical Backgroundp. 46
Moral Distressp. 47
Dynamics and Loyaltiesp. 47
Nurse-Doctor Relationsp. 50
Nursing: A Traditional Female Occupationp. 51
Paternalismp. 52
Enduring Issues in Nursingp. 53
Can Nurses Be Ethical?p. 53
Advocacyp. 54
Mechanisms for Discussing Dilemmasp. 55
How Do We Know Right from Wrong?p. 55
Notesp. 57
Referencesp. 57
Rights, Obligations, and Health Carep. 59
Concepts of Rightsp. 59
Rights and Obligations in Health Carep. 61
Patient Rights and Obligations in Health Carep. 67
Further Thoughts for Nursing Practicep. 70
Case Study Ip. 73
Case Study IIp. 74
Notesp. 75
Referencesp. 75
Ethical Principles of Informed Consentp. 77
Research and Informed Consentp. 79
Regulations and Human Subjectsp. 80
Informed Consent and the Research Subjectp. 82
Informed Consent and Selected Human Subjectsp. 86
Informed Consent and Treatmentp. 87
Informed Consent and Nursingp. 89
Case Study Ip. 93
Case Study IIp. 94
Notesp. 94
Referencesp. 94
Abortionp. 99
Introductionp. 99
The Religious and Historical Contextp. 100
The Legal and Political Contextp. 102
The Medical and Scientific Contextp. 104
The Ethical Dilemma of Abortionp. 106
Rights of the Fetusp. 106
Rights and Obligations of the Pregnant Womanp. 107
Rights and Obligations of Societyp. 108
Abortion and Nursingp. 110
Case Study Ip. 112
Case Study IIp. 112
Notesp. 113
Referencesp. 113
Dying and Deathp. 114
Introductionp. 114
Determining When Someone Is Dying or Deadp. 115
Euthanasia: The Good Deathp. 117
Suicide and Assisted Suicide as an Ethical Dilemmap. 123
Further Thoughts for Nursing Practicep. 124
Case Study Ip. 128
Case Study IIp. 129
Notesp. 129
Referencesp. 129
Mental Illness and Development Disabilityp. 131
Introductionp. 131
Deviancy and Mental Illnessp. 133
Coercion and Freedomp. 135
Ethical Dilemmas and Mental Illnessp. 140
Implications for Nursing Practicep. 141
Developmental Disabilityp. 143
Definition and Labelingp. 145
Developmental Disability: Law, Ethics, and Social Policyp. 146
Ethical Implications for Nursing Practicep. 147
Case Study I Mentally IIIp. 148
Case Study II Developmentally Disabledp. 149
Referencesp. 149
Policy, Ethics, and Health Carep. 151
Historical, Legislative, and Political Backgroundp. 153
Health Care Policy-Recent Decadesp. 155
Ethical Dimensions of Health Policyp. 156
Further Thoughts for Nursingp. 160
Case Study Ip. 163
Case Study IIp. 164
Notep. 165
Referencesp. 165
Where to Next: Gathering the Issuesp. 166
Changes in Science and Technologyp. 166
Changes in Societyp. 171
Changes in the Worldp. 175
Conclusionp. 180
Notesp. 180
Referencesp. 180
Appendix: Resourcesp. 182
Indexp. 184
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