Ethics in Nursing Cases, Principles, and Reasoning

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  • Edition: 4th
  • Format: Paperback
  • Copyright: 2010-02-08
  • Publisher: Oxford University Press

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Starting with detailed cases based on real life, the fourth edition of Ethics in Nursing introduces the principles, concepts, and reasoning needed to think them through. Changes in this edition reflect important developments in nursing, ethical theory, and nursing ethics. Among the expanded set of 64 cases, 22 have been significantly revised and 15 are entirely new. Reasoning skills and philosophical understanding are explained and illustrated in cases involving: nurses and clients; inter-professional relationships; personal responsibility for institutional and public policy; and cost containment, justice, and rationing. New material on ethical theory includes an illustrated explanation and defense of moral pluralism, a section on the ethics of care, and an expanded discussion of reflective equilibrium as a method of ethical reasoning. New topics include pandemics and care for SARS patients, elderly patients contemplating suicide, and workplace violence. As with previous editions, both the nursing and philosophical content are self-contained, making the book accessible to readers with little or no background in either. Ethics in Nursing provides practicing and student nurses with a useful introduction to the identification and analysis of ethical issues that reflects both the special perspective of nursing and the value of systematic philosophical inquiry.

Author Biography

Martin Benjamin is Emeritus Professor of Philosophy, Michigan State University
Joy Curtis is Professor of Nursing and University Ombudsman, Michigan State University

Table of Contents

Cases xiii
Moral Dilemmas and Ethical Inquiryp. 3
Moral dilemmas in nursingp. 3
Ethical codes: uses and limitationsp. 6
The fundamental question of moralityp. 10
Ethical inquiryp. 11
Ethical autonomy and institutional-hierarchical constraintsp. 22
Unavoidable Topics in Ethical Theoryp. 27
Basic ethical principlesp. 28
Comprehensive ethical theoriesp. 38
Moral pluralismp. 40
A comprehensive ethics of care?p. 42
Ethical reasoningp. 44
Ethics, law, and religionp. 51
Nurses and Clientsp. 56
Parentalismp. 58
Deceptionp. 69
Confidentialityp. 77
Personal risks and professional obligationsp. 83
Conflicting claimsp. 89
Recurring Ethical Issues in Interprofessional Relationshipsp. 94
Conflicts between nurse and other health care providersp. 94
Nurse autonomyp. 107
Collaborationp. 118
Integrity-preserving compromisep. 122
Conscientious refusalp. 126
Determining responsibilityp. 134
Ethical Dilemmas Among Nursesp. 138
Tensions between nursesp. 138
Respect for personsp. 146
Professional obligationsp. 150
Administrative dilemmasp. 158
Personal Responsibility for Institutional and Public Policyp. 166
The scope of individual responsibilityp. 166
Institutional policies and strikesp. 170
Institutional ethics committeesp. 178
Blowing the whistlep. 182
Public policy: advance directivesp. 188
Public policy: workplace violencep. 192
Putting it all togetherp. 193
Cost Containment, Justice, and Rationingp. 197
Cost containment and the claims of justicep. 199
Access to carep. 205
The concept of rationingp. 207
The Oregon proposalp. 208
Toward ethical rationingp. 213
Rationing and the importance of nursing carep. 219
The expanding scope of nursing ethicsp. 221
The International Council of Nurses Code of Ethics for Nursesp. 225
The Patient Care Partnership: Understanding Expectations, Rights, and Responsibilitiesp. 229
Cases for Analysisp. 233
Notesp. 249
Suggestions for Further Readingp. 269
Indexp. 275
Table of Contents provided by Ingram. All Rights Reserved.

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