Ethics and Issues in Contemporary Nursing
Ethics and Issues in Contemporary Nursing explores the theories, models and principles that serve as guides for ethically sound behavior within a nursing context. This text addresses the complexities created by science and technological advances, the variety of settings in which nurses practice, and the diversity of the patients in their care, all the while emphasizing the importance of principled behavior in personal and professional situations. The text also examines global issues that...
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This textbook for nursing students discusses ethical issues in the nursing profession and presents a model for making decisions about these types of issues. The volume begins with a discussion of ethical theories, models, and principles from classical and contemporary philosophy. A sampling of topics includes the ethical ramifications of such issues as accountability, codes of practice, domestic violence, informed consent, alternative health care traditions, gender issues, and the economics of health care. Annotation c. Book News, Inc., Portland, OR (booknews.com) Doody Review Services Reviewer:Vicki Ann Moss, DNSc, MS, BSN, RN(University of Wisconsin-Oshkosh)Description:This book describes and discusses ethical issues from a nursing perspective, taking into account contextual factors such as gender, the social, economic, and political climate, and personal and professional empowerment. Purpose:According to the authors, this book has four purposes: to acknowledge that each person is a moral agent; to raise awareness of the factors involved in ethical decision making; to present a decision making model to be used to guide moral decisions; and to affirm that nursing is an ethically responsible profession.Audience:The book is appropriate for both professional nurses and nursing students. Features:The 20 chapters are grouped into four parts: Guides for Principled Behavior; Developing Principled Behavior; Principled Behavior in the Professional Domain; and Global Issues that Impinge on Nursing Practice. Additions include nurses' responsibility for global issues and discussions of stem cell research and cloning. Included in each chapter are case presentations, and Think About it and Ask Yourself boxes related to cutting-edge issues. There is a Web Tutor Toolbox for instructors and students including e-mail, chat, threaded discussions, PowerPoint and other features as well as an Electronic Classroom Manager for instructors which includes a test bank.Assessment:This book is meant to be interactive and readers are encouraged to become very engaged while reflecting and questioning personal and professional options and values. It encompasses a myriad of ethical situations, and includes guides to help nurses in making moral decisions. It is an easy read while introducing provocative and stimulating questions for readers to ponder. The book could be used in a classroom or online format and could be adapted for undergraduate as well as graduate education.
PrefacexiiiAcknowledgmentsxviContributorsxviPart IGuides for Principled Behavior1Chapter 1Social, Philosophical, and Other Historical Forces Influencing the Development of Nursing2Objectives2Introduction3The Influence of Social Need4Spiritual, Religious, and Gender Influences6The Modern Era15Summary17Chapter Highlights17Discussion Questions and Activities18References18Chapter 2Ethical Theory20Objectives20Introduction21Philosophy23Morals/Ethics24Theories of Ethics26Summary37Chapter Highlights37Discussion Questions and Activities38References38Chapter 3Ethical Principles40Objectives40Introduction41Autonomy41Beneficence48Nonmaleficence50Veracity51Confidentiality54Justice57Fidelity59Summary59Chapter Highlights60Discussion Questions and Activities60References62Part IIDeveloping Principled Behavior65Chapter 4Values Clarification66Objectives66Introduction67What Are Values?67Acquiring Values67Self-Awareness68Values in Professional Situations71Summary77Chapter Highlights77Discussion Questions and Activities78References78Chapter 5Values Development80Objectives80Introduction81Transcultural Considerations in Values Development81Theoretical Perspectives of Values Development82Some Nursing Considerations87Summary89Chapter Highlights90Discussion Questions and Activities90References91Chapter 6Ethical Decision Making92Objectives92Introduction93Moral/Ethical Problems93Making Decisions97Ethical Decision Making98Process of Ethical Decision Making100Applying the Decision-Making Process103Summary106Chapter Highlights106Discussion Questions and Activities106References107Part IIIPrincipled Behavior in the Professional Domain109Chapter 7Legal Issues110Objectives110Introduction111Relationship Between Ethics and the Law111General Legal Concepts113Recent Legal Trends125Risk Management129Nurses as Expert Witnesses133Summary134Chapter Highlights134Discussion Questions and Activities135References136Chapter 8Professional Issues137Objectives137Introduction138Professional Status138Expertise141Autonomy142Accountability145Authority149Unity150Summary152Chapter Highlights152Discussion Questions and Activities152References153Chapter 9Professional Relationship Issues155Objectives155Introduction156Problem Solving in the Professional Realm156Nurses' Relationships with Institutions161Nurses' Relationships with Other Nurses164Nurses' Relationships with Physicians166Nurses' Relationships with Subordinates168Discrimination and Harassment169Summary174Chapter Highlights174Discussion Questions and Activities174References175Chapter 10Practice Issues Related to Technology177Objectives177Introduction178Benefits and Challenges of Technology178Current Technology: Issues and Dilemmas180Nursing Practice in the Midst of Technology198Summary200Chapter Highlights201Discussion Questions and Activities202References202Suggested Readings204Chapter 11Practice Issues Related to Patient Self-Determination205Objectives205Introduction206Autonomy and Paternalism206Informed Consent209Advance Directives213Choices Concerning Life and Health219Summary228Chapter Highlights228Discussion Questions and Activities229References230Chapter 12Scholarship Issues233Objectives233Introduction234Academic Honesty234Research Issues and Ethics236Ethical Treatment of Data244Summary246Chapter Highlights246Discussion Questions and Activities246References247Part IVGlobal Issues That Impinge on Nursing Practice249Chapter 13Health Care Changes and Challenges250Objectives250Introduction251A Brief History of Health Care Delivery: The Euro-American Experience251Health Care Perspectives: A Global Concern260Alternative Traditions of Health Care263Challenges for Rural and Urban Aggregates264Summary265Chapter Highlights266Discussion Questions and Activities266References267Suggested Readings268Chapter 14Health Policy Issues269Objectives269Introduction270Political Issues270Health Policy272Nursing, Policy, and Politics279Lobbying282Summary285Chapter Highlights285Discussion Questions and Activities286References286Chapter 15Economic Issues288Objectives288Introduction289Overview of Today's Health Care Economics289Distributive Justice291Recent Trends and Health Economic Issues296Summary300Chapter Highlights301Discussion Questions and Activities301References302Chapter 16Social Issues304Objectives304Introduction305Social Issues305Ethical Principles Applied to Social Issues313Personal Impediments to Intervening with Vulnerable Groups315Social Issues and Scholarship316Summary317Chapter Highlights317Discussion Questions and Activities318References318Chapter 17Gender Issues321Objectives321Introduction322Historical Perspectives and Overview of Gender-Based Issues322Gender and Race323Sex Discrimination in Nursing324Sexual Harassment in Nursing327Communication Issues Related to Gender329Modern Sexism331Sexual Orientation331Summary332Chapter Highlights333Discussion Questions and Activities333References334Chapter 18Transcultural and Spiritual Issues337Objectives337Introduction338Transcultural Issues338Issues Related to Spirituality and Religion348Summary354Chapter Highlights354Discussion Questions and Activities355References356Part VThe Power to Make a Difference359Chapter 19Empowerment for Nurses360Objectives360Introduction361Influences on Nursing's Perceptions of Principled Practice361Understanding Power and Empowerment364Personal Empowerment366Professional Empowerment368Re-Visioning Nursing371Summary372Chapter Highlights373Discussion Questions and Activities373References374Chapter 20Enabling Patient Empowerment376Objectives376Introduction377Patients and Empowerment377Nurses and Patient Empowerment377Enhancing Patient Capacity for Decision Making379Fostering Patient Empowerment380Summary381Chapter Highlights381Discussion Questions and Activities382References382Appendix ACode of Ethics for Nurses (2001): American Nurses Association385Appendix BA Patient's Bill of Rights: American Hospital Association403Appendix CCode of Ethics for Registered Nurses: Canadian Nurses Association407Appendix DICN Code of Ethics for Nurses415Glossary417Index429
\ Reviewer: Vicki Ann Moss, DNSc, MS, BSN, RN(University of Wisconsin-Oshkosh)\ Description: "This book describes and discusses ethical issues from a nursing perspective, taking into account contextual factors such as gender, the social, economic, and political climate, and personal and professional empowerment. "\ Purpose: According to the authors, this book has four purposes: to acknowledge that each person is a moral agent; to raise awareness of the factors involved in ethical decision making; to present a decision making model to be used to guide moral decisions; and to affirm that nursing is an ethically responsible profession.\ Audience: The book is appropriate for both professional nurses and nursing students. \ Features: The 20 chapters are grouped into four parts: Guides for Principled Behavior; Developing Principled Behavior; Principled Behavior in the Professional Domain; and Global Issues that Impinge on Nursing Practice. Additions include nurses' responsibility for global issues and discussions of stem cell research and cloning. Included in each chapter are case presentations, and Think About it and Ask Yourself boxes related to cutting-edge issues. There is a Web Tutor Toolbox for instructors and students including e-mail, chat, threaded discussions, PowerPoint and other features as well as an Electronic Classroom Manager for instructors which includes a test bank.\ Assessment: "This book is meant to be interactive and readers are encouraged to become very engaged while reflecting and questioning personal and professional options and values. It encompasses a myriad of ethical situations, and includes guides to help nurses in making moral decisions. It is an easy read while introducing provocative and stimulating questions for readers to ponder. The book could be used in a classroom or online format and could be adapted for undergraduate as well as graduate education. "\ \
