BOOK
Nursing Ethics E-Book
Ian E. Thompson | Kath M. Melia | Kenneth M. Boyd | Dorothy Horsburgh
(2006)
Additional Information
Book Details
Abstract
This title is directed primarily towards health care professionals outside of the United States. The authors have developed a holistic approach that explores: ethics in hospital and community settings, inter-disciplinary teamwork, ward and hospital management, nursing research, performance management and the political ethics of nursing administration, health service re-structuring and reform. The content has been substantially revised for this edition and significant new material added to reflect developments in theory and practice.
- covers a wide range of ethical issues - much more than just ‘clinical' dilemmas and decision-making skills
- a down-to-earth and practical approach to applied ethics
- user-friendly layout
- material on moral theory kept to a minimum (but dealt with thoroughly at the end of the book)
- focuses on ethical issues in nursing and case studies taken from nursing practice i.e. the concrete concerns of nurses and other front-line workers
- pedagogical features include: chapter aims, learning outcomes and further reading for possible essay, tutorial and project topics
- also useful as a general work of reference on ethic in health care
- An up-to-date analysis of professions in the context of modernity, to enable health professionals to make sense of global cultural & social developments
- An analysis of the ethics of evidence-based practice
- An examination of professional accountability and ethics in performance management to help practitioners/managers understand the ethical basis of management
- useful web links and teaching notes on a dedicated website: http://evolve.elsevier.com/Thompson/nursingethics/
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Nursing Ethics | iii | ||
| Copyright Page | iv | ||
| Contents | v | ||
| Preface and acknowledgements | ix | ||
| Introduction - Ethics in nursing — continuity and change | 1 | ||
| Ethics in nursing today | 2 | ||
| Changes with a bearing on nursing ethics | 3 | ||
| Preparation for practice | 4 | ||
| Professional accountability and the lay perspective | 5 | ||
| ‘Nursing ethics’ or ‘healthcare ethics’? | 6 | ||
| Change and continuity | 6 | ||
| The perennial and current issues in nursing | 7 | ||
| The relevance of research in nursing and applied ethics | 8 | ||
| Teaching ethics in nursing | 9 | ||
| The place of moral theory in practical nursing ethics | 11 | ||
| Competency-based training and virtue ethics | 14 | ||
| Structure of the book | 14 | ||
| Further reading | 16 | ||
| Part 1: Cultural issues, methods and approaches to nursing ethics | 17 | ||
| Chapter 1. Nursing ethics: historical, cultural and professional perspectives | 19 | ||
| Part A: Nursing, professions and history | 20 | ||
| The history and logic of professionalism | 21 | ||
| The growth of modern professions | 21 | ||
| Loss of trust | 22 | ||
| Modernity | 22 | ||
| Scapegoating | 24 | ||
| Responding to the current challenges to professionalism | 24 | ||
| Part B: Foundations of ethics — religious, cultural and philosophical | 26 | ||
| Sources of inspiration for ethics | 26 | ||
| Quest for the foundations of ethics | 27 | ||
| Shared and changing values | 28 | ||
| Cultural diversity and common ethical principles | 29 | ||
| Constitutive and regulative principles in ethics | 31 | ||
| Conflict, change and stability in human life and values | 32 | ||
| Further reading | 34 | ||
| Chapter 2. Nursing ethics – what do we mean by ‘ethics’? | 35 | ||
| Part A: Ethics – issues of power and responsibility | 36 | ||
| Ethics and the ethos of a community | 36 | ||
| Individual and social dimensions of ethical responsibility | 36 | ||
| Changing perceptions of the relationship of the individual and community | 38 | ||
| Ethics and politics – questions of power and questions of principle | 39 | ||
| Different levels or spheres of responsibility | 40 | ||
| Part B: Ethics – some basic conceptual distinctions and definitions | 42 | ||
| What do we mean by ‘ethics’ and/or ‘morals’? | 42 | ||
| Considering what ethics is and is not | 42 | ||
| The relations between right and wrong, good and bad, virtue and vice | 44 | ||
| The structure of moral action and moral theory | 45 | ||
| Moral problems and moral dilemmas | 47 | ||
| Making ethical decisions we can justify | 49 | ||
| Fundamental ethical principles | 52 | ||
| Fundamental ethical principles in the context of healthcare | 53 | ||
| Confronting three types of moral relativism | 55 | ||
| Further reading | 57 | ||
| Part 2: Socialisation, professionalisation and nursing values | 59 | ||
| Chapter 3. Becoming a nurse and member of the profession | 61 | ||
| Introduction — sociological perspectives on nursing and ethics | 62 | ||
| Nursing: informal and professional | 63 | ||
| The role of the media | 64 | ||
| Conceptions of care | 67 | ||
| Socialisation: care settings | 70 | ||
| Reflection on practice | 73 | ||
| Further reading | 76 | ||
| Chapter 4. Power and responsibility in nursing practice and management | 77 | ||
| Power and moral responsibility | 78 | ||
| Four models for the ethics of carer–client relations | 87 | ||
| Power relations in interprofessional teamwork | 94 | ||
| Further reading | 99 | ||
| Chapter 5. Professional responsibility and accountability in nursing | 101 | ||
| Introduction | 102 | ||
| Accountability: what does it mean in practice for nurses? | 102 | ||
| Codes of ethics and conduct | 104 | ||
| Accountability for assessment of students | 108 | ||
| Nurses and industrial action | 111 | ||
| Codes of conduct/ethics: summary | 112 | ||
| Conclusion | 114 | ||
| Further reading | 115 | ||
| Part 3: Nursing ethics – issues in clinical practice | 117 | ||
| Chapter 6. Classical areas of controversy in nursing and biomedical ethics | 119 | ||
| What are the ‘big’ ethical dilemmas for nurses? | 120 | ||
| Caring and the duty of care in nursing ethics | 121 | ||
| The vital importance of the specific case | 124 | ||
| General rules and particular moral decisions | 125 | ||
| The ‘big issues’ in a wider nursing context | 127 | ||
| Our different value-judgements about health | 128 | ||
| The ‘medicalisation of life’ and the ‘big dilemmas’ | 131 | ||
| Individual ‘health careers’ and professional control | 134 | ||
| Some classical issues in biomedical ethics | 136 | ||
| Further reading | 151 | ||
| Chapter 7. Direct responsibility in nurse/patient relationships | 153 | ||
| Introduction – the rights and duties of nurses and patients | 154 | ||
| Rights and duties of nurses in dealing with patients | 161 | ||
| The rights of patient as people | 164 | ||
| Telling the truth to patients or relatives | 168 | ||
| Deciding between therapeutic and palliative care | 171 | ||
| Further reading | 176 | ||
| Chapter 8. Conflicting demands in nursing groups of patients | 177 | ||
| Personal autonomy versus the common good | 178 | ||
| Balancing the rights of patients with the interests of third parties | 190 | ||
| Further reading | 198 | ||
| Part 4: Ethics in nursing management, research and teaching | 201 | ||
| Chapter 9. Ethics in healthcare management: research, evaluation and performance management | 203 | ||
| Ethical responsibilities in management | 204 | ||
| What is meant by evaluation in healthcare? | 207 | ||
| Different types of research design and their ethical rationales | 209 | ||
| Evidence-based practice and continuous quality improvement | 215 | ||
| Different ethical responsibilities at different levels in management | 217 | ||
| Four models for the ethics of management | 220 | ||
| Further reading | 225 | ||
| Chapter 10. The political ethics of healthcare: health policies and resource allocation | 227 | ||
| The political ethics of health care | 228 | ||
| Thinking about health in a global context | 229 | ||
| Thinking about health in a national context | 233 | ||
| Frameworks for policy-making on resource allocation and management | 239 | ||
| Some practical dilemmas of resource allocation in healthcare | 245 | ||
| Further reading | 258 | ||
| Chapter 11. Corporate ethics in healthcare: strategic planning and ethical policy development | 259 | ||
| Accountability in healthcare – strategic ethical management | 260 | ||
| Strategic management of the National Health Service | 260 | ||
| Developing ethical policy in healthcare | 262 | ||
| Strategic ethical management and clinical governance in healthcare | 269 | ||
| Strategic planning and strategic ethical management | 271 | ||
| Identification and involvement of stakeholders | 272 | ||
| Are there limits to the state’s responsibility for healthcare? | 274 | ||
| Different ethical and political rationales for reform of healthcare | 276 | ||
| Evaluating the New Right’s and New Labour’s reforms of the NHS | 281 | ||
| Further reading | 290 | ||
| Part 5: Ethical decision-making and moral theory | 293 | ||
| Chapter 12. Making moral decisions and being able to justify our actions | 295 | ||
| Having to take a moral decision | 296 | ||
| Conscience, feeling, intuition and moral judgement | 298 | ||
| Does a good moral agent need sound methods or sound character? | 301 | ||
| Approaches to teaching ethics | 305 | ||
| Classical approaches to ethical decision-making | 310 | ||
| Problem-solving models for clinical and ethical decisions | 314 | ||
| Moral agency – when are we responsible for our actions? | 323 | ||
| Further reading | 328 | ||
| Chapter 13. The relevance of moral theory: justifying our ethical policies | 331 | ||
| The relevance of moral theory | 332 | ||
| Varieties of moral theory | 335 | ||
| Deontological ethical theories – focus on principles, rights and duties | 336 | ||
| Pragmatic ethical theories – focus on means and methods | 342 | ||
| Teleological ethical theories – focus on ends, goals and consequences | 350 | ||
| Moral theory and the structure of moral action | 356 | ||
| Moral theory and the goal of social consensus | 357 | ||
| Further reading | 359 | ||
| References | 361 | ||
| Glossary | 379 | ||
| Author Index | 399 | ||
| Subject Index | 403 |