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More About This Textbook
Overview
Designated a Doody's Core Title!
Lachman successfully addresses the most important topics in health care ethics in this volume...The 20 chapters are divided logically and proceed onward from those dealing with the evolution of the philosophical basis for personal and organizational ethics...This text would be a highly useful resource for both undergraduate- and graduate-level health care ethics courses...Summing Up: Recommended. --Choice
This book is written for 'all healthcare professionals,' from those providing healthcare services to those administrating healthcare organizations. [It] offers a detailed account of the concept of moral courage within the context of healthcare delivery?.[and] offers clarity and advice on numerous ethical problems. --Doody's
Stand up for what you believe in, even if it means standing alone. -Nelson Mandela
As a health professional or health care leader, have you ever:
If so, you need this book on your bookshelf. Health care managers and professionals face serious ethical dilemmas like these every day. This book provides the knowledge, insight, strategies, and encouragement necessary for developing moral courage in health care practice, even in the face of adversity.
Lachman outlines both personal and organizational strategies to help nurses, physicians, physical therapists, and health care leaders develop moral courage, and face difficult ethical challenges in health care practice and management head-on. Lachman presents numerous, real-life case examples to illustrate skills and opportunities for developing moral courage in the workplace. Also included are tips for executives on how to develop their ethical leadership skills.
Key Features:
- Presents guidelines for developing moral courage for organization leaders as well as for individual practitioners
- Discusses topics of critical concern to nurses and physicians, including patient autonomy, informed consent, and the importance of truth-telling
- Highlights pressing issues for health care leaders, including the uninsured in America, managing disruptive practitioners, and promoting patient safety
- Includes guidelines for standing up and speaking out against unethical practices
- Reiterates Key Points to Remember at the end of each chapter
"Editorial Reviews
From The Critics
Reviewer: Adrienne Carpenter, BA(Saint Louis University)Description: This book offers a detailed account of the concept of moral courage within the context of healthcare delivery. By referencing historical paragons and hypothetical case examples, the author analyzes the various dimensions of moral courage — philosophical, psychological, political, and ethical.
Purpose: "The goal is to help individuals and organizations overcome fear and exercise moral courage. While this is a noble goal, the diverse content at times distracts from the author's primary purpose. "
Audience: The book is written for "all healthcare professionals," from those providing healthcare services to those administrating healthcare organizations. Accordingly, the first half of the book focuses on issues of moral courage in the context of interpersonal or workplace dilemmas, and the second half on moral courage in the context of organizational ethics.
Features: The way the book relates moral courage first to the personal, individual level and then to the organizational level is helpful for readers. The first chapter, however, attempts to present the "Virtue of Moral Courage: Socrates to Barack Obama" in under 10 pages. Rather than teasing out the philosophical nuances of moral courage, the author paraphrases ancient philosophical views on virtue, and then awkwardly jumps to a discussion of historical paragons of moral courage. The last chapter is superfluous, expressing the author's own "moral outrage" at the U.S. healthcare crisis. Instead of extending her analysis of moral courage into the political arena, the author's approach becomes editorial and muddles her goal of helping healthcare workers or administrators confront the ethical demands of their professions.
Assessment: Despite these shortcomings, this book still might serve as a good reference for a broad audience since it offers clarity and advice on numerous ethical problems. Throughout the book, numbered boxes highlight or summarize important data or concepts, and the end of each chapter lists key points to remember, making the book accessible and easy to navigate. The author excels in addressing psychological concerns of those faced with moral dilemmas, common ethical dilemmas that occur in healthcare situations, and concepts and strategies of organizational ethics. As such, readers are encouraged to reflect upon and develop personal or institutional moral compasses.
Product Details
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Meet the Author
Dr. Lachman is a frequent presenter on ethical topics at national conferences. She writes the quarterly Ethics, Law and Policy column for MEDSURG Nursing: The Journal of Adult Health. She serves on two ethics committees and often advises executives on organizational ethics and front-line staff on end-of-life ethical issues. Her book, Applied Ethics in Nursing, was published by Springer Publishing in November 2005.
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Table of Contents
Preface ix
Section I Personal Development of Moral Courage
Chapter 1 Virtue of Moral Courage: Socrates to Barack Obama 3
Chapter 2 Values and Professional Obligations: A Guide to When to Speak Up 13
Chapter 3 Danger Management: Cognitive Reframing and Self-Soothing 25
Chapter 4 Risk Assessment and Management 41
Chapter 5 How to Speak Up and Be Heard: Assertiveness and Negotiation Skills 51
Chapter 6 How to Deliver Bad News 67
Section II Personal Opportunities for Moral Courage
Chapter 7 Patient Autonomy: Infringements in Informed Consent 79
Chapter 8 Advance Directives Violation: For Whom Are We Doing This? 89
Chapter 9 Veracity: Issues in Prognosis, Futility, and CPR 101
Chapter 10 Patient Safety: Breach in Our Obligations to Protect 117
Chapter 11 When Our Colleagues Are Incompetent or Unethical in the Workplace 129
Section III Organizational Development of Moral Courage
Chapter 12 Organizational Culture: Setting the Stage for Moral Courage 145
Chapter 13 Executive Leadership: Necessity of "Walking the Talk" 157
Chapter 14 Importance of Accountability Cannot Be Underestimated 171
Chapter 15 Promoting Moral Courage Through Human Resource Management 181
Section IV Organizational Opportunities for Moral Courage
Chapter 16 Organizational and Clinical Ethics Committees: Roles and Functions 195
Chapter 17 Promoting a Culture of Patient Safety 207
Chapter 18 Managing Disruptive Physicians 221
Chapter 19 Leadership Development for a Moral Environment 235
Section V Further Opportunities for Moral Courage
Chapter 20 The Uninsured in America: A Moral Crisis in Health Care 247
Index 263