Ethical Dilemmas and Nursing Practice

by Davis, Anne J.; Fowler, Deborah; Arosker, Mila A.

• ISBN13: 9780130929730
• ISBN10: 0130929735
• Edition: 5th
• Format: Paperback
• Copyright: 2009-07-15
• Publisher: Pearson

Summary

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

Preface	p. vii
Introduction to the Book	p. xiii
Introduction to Ethics and Ethical Dilemmas	p. 1
Definitions and Sources of Knowledge	p. 1
Ways of Thinking about Ethics	p. 2
Ethical Theories	p. 2
Ethical Dilemmas	p. 3
Ethical Reasoning Using Ethical Theories	p. 4
Health Care Ethics	p. 5
Health Care Ethics and the Law	p. 6
Values and Moral Development	p. 6
Moral Development and World View	p. 7
Examples of Ethical Dilemmas	p. 7
Professional Codes of Ethics in the Health Sciences	p. 9
The Role of the Ethicist	p. 12
Some Questions to Consider	p. 12
References	p. 12
Selected Ethical Approaches: Theories and Concepts	p. 14
Elements of a Decision-Making Framework	p. 15
Focus on Virtue and Character	p. 17
Focus on Principles	p. 17
Focus on Caring	p. 25
Ethical Theories and Concepts in Nursing Practice	p. 27
References	p. 28
Nursing's Ethical Tradition: The 1870s to the Rise of Bioethics	p. 30
The Nursing Ethical Literature	p. 30
The First Hundred Years of Ethics in Nursing	p. 32
Codes of Ethics for Nursing	p. 34
The Development of an Official Code of Ethics for the Profession	p. 36
Notes	p. 41
References	p. 42
Professional Ethics and Institutional Constraints in Nursing Practice	p. 43
The Importance of Nursing: Some Facts	p. 43
Multiple Ethical Obligations/Responsibilities	p. 44
Nursing Roles and Ethics-Historical Background	p. 46
Moral Distress	p. 47
Dynamics and Loyalties	p. 47
Nurse-Doctor Relations	p. 50
Nursing: A Traditional Female Occupation	p. 51
Paternalism	p. 52
Enduring Issues in Nursing	p. 53
Can Nurses Be Ethical?	p. 53
Advocacy	p. 54
Mechanisms for Discussing Dilemmas	p. 55
How Do We Know Right from Wrong?	p. 55
Notes	p. 57
References	p. 57
Rights, Obligations, and Health Care	p. 59
Concepts of Rights	p. 59
Rights and Obligations in Health Care	p. 61
Patient Rights and Obligations in Health Care	p. 67
Further Thoughts for Nursing Practice	p. 70
Case Study I	p. 73
Case Study II	p. 74
Notes	p. 75
References	p. 75
Ethical Principles of Informed Consent	p. 77
Research and Informed Consent	p. 79
Regulations and Human Subjects	p. 80
Informed Consent and the Research Subject	p. 82
Informed Consent and Selected Human Subjects	p. 86
Informed Consent and Treatment	p. 87
Informed Consent and Nursing	p. 89
Case Study I	p. 93
Case Study II	p. 94
Notes	p. 94
References	p. 94
Abortion	p. 99
Introduction	p. 99
The Religious and Historical Context	p. 100
The Legal and Political Context	p. 102
The Medical and Scientific Context	p. 104
The Ethical Dilemma of Abortion	p. 106
Rights of the Fetus	p. 106
Rights and Obligations of the Pregnant Woman	p. 107
Rights and Obligations of Society	p. 108
Abortion and Nursing	p. 110
Case Study I	p. 112
Case Study II	p. 112
Notes	p. 113
References	p. 113
Dying and Death	p. 114
Introduction	p. 114
Determining When Someone Is Dying or Dead	p. 115
Euthanasia: The Good Death	p. 117
Suicide and Assisted Suicide as an Ethical Dilemma	p. 123
Further Thoughts for Nursing Practice	p. 124
Case Study I	p. 128
Case Study II	p. 129
Notes	p. 129
References	p. 129
Mental Illness and Development Disability	p. 131
Introduction	p. 131
Deviancy and Mental Illness	p. 133
Coercion and Freedom	p. 135
Ethical Dilemmas and Mental Illness	p. 140
Implications for Nursing Practice	p. 141
Developmental Disability	p. 143
Definition and Labeling	p. 145
Developmental Disability: Law, Ethics, and Social Policy	p. 146
Ethical Implications for Nursing Practice	p. 147
Case Study I Mentally III	p. 148
Case Study II Developmentally Disabled	p. 149
References	p. 149
Policy, Ethics, and Health Care	p. 151
Historical, Legislative, and Political Background	p. 153
Health Care Policy-Recent Decades	p. 155
Ethical Dimensions of Health Policy	p. 156
Further Thoughts for Nursing	p. 160
Case Study I	p. 163
Case Study II	p. 164
Note	p. 165
References	p. 165
Where to Next: Gathering the Issues	p. 166
Changes in Science and Technology	p. 166
Changes in Society	p. 171
Changes in the World	p. 175
Conclusion	p. 180
Notes	p. 180
References	p. 180
Appendix: Resources	p. 182
Index	p. 184
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