Ethical Challenges in Health Care: Developing Your Moral Compass

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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:

    Had to address the problem of uninsured patients in your hospital?
    Had to deliver bad news to patients and families?
    Wanted to report an unethical colleague?

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
"
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Editorial Reviews

Doody's Review Service
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.
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.
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Product Details

  • ISBN-13: 9780826110893
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 6/15/2009
  • Edition description: New Edition
  • Pages: 288
  • Product dimensions: 7.00 (w) x 9.90 (h) x 0.70 (d)

Meet the Author

Vicki D. Lachman, PhD, MBE, APRN is a Clinical Associate Professor in the College of Nursing and Health Professions at Drexel University in Philadelphia, PA. In her role at the university, she primarily teaches ethics to masters and doctoral nursing students and acts as the track coordinator for the Innovation and Intra/Entrepreneurship in Advanced Nursing Practice MSN.
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

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