Ethics and Issues in Contemporary Nursing / Edition 3

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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 intertwine with the nursing profession, such as health policy, economics, social, gender, transcultural and spiritual considerations. Engaging exercises, reflective questions, case presentations and creative activities are integrated throughout the text.
More personal and conversational tone of this 2nd edition makes material more accessible
Reorganized reflection on the history of nursing puts contemporary issues into context
Expanded discussion of issues related to professional relationships, systems within which nurses work, technology and patient self-determination promotes exploration of issues facing nursing today
(Key words: Ethics, Issues, Nursing, Trends)
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Editorial Reviews

Doody's Review Service
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.
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Product Details

  • ISBN-13: 9781418042745
  • Publisher: Cengage Learning
  • Publication date: 8/8/2007
  • Edition description: REV
  • Edition number: 3
  • Pages: 576
  • Product dimensions: 7.30 (w) x 9.10 (h) x 0.90 (d)

Meet the Author

Margaret A. Burkhardt is Associate Professor Emerita, West Virginia University School of Nursing. She taught nursing and practiced holistic nursing care for more than thirty years, and is an active member of the American Holistic Nurses Association. A prolific writer, Dr. Burkhardt has published numerous articles and book chapters, as well as co-authoring two books on spirituality in health and ethics in nursing.

Alvita Nathaniel is an Associate Professor and the Coordinator of the Family Nurse Practitioner Track at the Robert C. Byrd Health Sciences Center at West Virginia University School of Nursing. In addition to teaching, she has worked as a family nurse practitioner in free clinics and juvenile detention facilities for more than two decades. An active participant in policy-making, Dr. Nathaniel's articles regularly appear in journals and other health care-related publications.

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Table of Contents

Preface xiii
Acknowledgments xvi
Contributors xvi
Part I Guides for Principled Behavior 1
Chapter 1 Social, Philosophical, and Other Historical Forces Influencing the Development of Nursing 2
Objectives 2
Introduction 3
The Influence of Social Need 4
Spiritual, Religious, and Gender Influences 6
The Modern Era 15
Summary 17
Chapter Highlights 17
Discussion Questions and Activities 18
References 18
Chapter 2 Ethical Theory 20
Objectives 20
Introduction 21
Philosophy 23
Morals/Ethics 24
Theories of Ethics 26
Summary 37
Chapter Highlights 37
Discussion Questions and Activities 38
References 38
Chapter 3 Ethical Principles 40
Objectives 40
Introduction 41
Autonomy 41
Beneficence 48
Nonmaleficence 50
Veracity 51
Confidentiality 54
Justice 57
Fidelity 59
Summary 59
Chapter Highlights 60
Discussion Questions and Activities 60
References 62
Part II Developing Principled Behavior 65
Chapter 4 Values Clarification 66
Objectives 66
Introduction 67
What Are Values? 67
Acquiring Values 67
Self-Awareness 68
Values in Professional Situations 71
Summary 77
Chapter Highlights 77
Discussion Questions and Activities 78
References 78
Chapter 5 Values Development 80
Objectives 80
Introduction 81
Transcultural Considerations in Values Development 81
Theoretical Perspectives of Values Development 82
Some Nursing Considerations 87
Summary 89
Chapter Highlights 90
Discussion Questions and Activities 90
References 91
Chapter 6 Ethical Decision Making 92
Objectives 92
Introduction 93
Moral/Ethical Problems 93
Making Decisions 97
Ethical Decision Making 98
Process of Ethical Decision Making 100
Applying the Decision-Making Process 103
Summary 106
Chapter Highlights 106
Discussion Questions and Activities 106
References 107
Part III Principled Behavior in the Professional Domain 109
Chapter 7 Legal Issues 110
Objectives 110
Introduction 111
Relationship Between Ethics and the Law 111
General Legal Concepts 113
Recent Legal Trends 125
Risk Management 129
Nurses as Expert Witnesses 133
Summary 134
Chapter Highlights 134
Discussion Questions and Activities 135
References 136
Chapter 8 Professional Issues 137
Objectives 137
Introduction 138
Professional Status 138
Expertise 141
Autonomy 142
Accountability 145
Authority 149
Unity 150
Summary 152
Chapter Highlights 152
Discussion Questions and Activities 152
References 153
Chapter 9 Professional Relationship Issues 155
Objectives 155
Introduction 156
Problem Solving in the Professional Realm 156
Nurses' Relationships with Institutions 161
Nurses' Relationships with Other Nurses 164
Nurses' Relationships with Physicians 166
Nurses' Relationships with Subordinates 168
Discrimination and Harassment 169
Summary 174
Chapter Highlights 174
Discussion Questions and Activities 174
References 175
Chapter 10 Practice Issues Related to Technology 177
Objectives 177
Introduction 178
Benefits and Challenges of Technology 178
Current Technology: Issues and Dilemmas 180
Nursing Practice in the Midst of Technology 198
Summary 200
Chapter Highlights 201
Discussion Questions and Activities 202
References 202
Suggested Readings 204
Chapter 11 Practice Issues Related to Patient Self-Determination 205
Objectives 205
Introduction 206
Autonomy and Paternalism 206
Informed Consent 209
Advance Directives 213
Choices Concerning Life and Health 219
Summary 228
Chapter Highlights 228
Discussion Questions and Activities 229
References 230
Chapter 12 Scholarship Issues 233
Objectives 233
Introduction 234
Academic Honesty 234
Research Issues and Ethics 236
Ethical Treatment of Data 244
Summary 246
Chapter Highlights 246
Discussion Questions and Activities 246
References 247
Part IV Global Issues That Impinge on Nursing Practice 249
Chapter 13 Health Care Changes and Challenges 250
Objectives 250
Introduction 251
A Brief History of Health Care Delivery: The Euro-American Experience 251
Health Care Perspectives: A Global Concern 260
Alternative Traditions of Health Care 263
Challenges for Rural and Urban Aggregates 264
Summary 265
Chapter Highlights 266
Discussion Questions and Activities 266
References 267
Suggested Readings 268
Chapter 14 Health Policy Issues 269
Objectives 269
Introduction 270
Political Issues 270
Health Policy 272
Nursing, Policy, and Politics 279
Lobbying 282
Summary 285
Chapter Highlights 285
Discussion Questions and Activities 286
References 286
Chapter 15 Economic Issues 288
Objectives 288
Introduction 289
Overview of Today's Health Care Economics 289
Distributive Justice 291
Recent Trends and Health Economic Issues 296
Summary 300
Chapter Highlights 301
Discussion Questions and Activities 301
References 302
Chapter 16 Social Issues 304
Objectives 304
Introduction 305
Social Issues 305
Ethical Principles Applied to Social Issues 313
Personal Impediments to Intervening with Vulnerable Groups 315
Social Issues and Scholarship 316
Summary 317
Chapter Highlights 317
Discussion Questions and Activities 318
References 318
Chapter 17 Gender Issues 321
Objectives 321
Introduction 322
Historical Perspectives and Overview of Gender-Based Issues 322
Gender and Race 323
Sex Discrimination in Nursing 324
Sexual Harassment in Nursing 327
Communication Issues Related to Gender 329
Modern Sexism 331
Sexual Orientation 331
Summary 332
Chapter Highlights 333
Discussion Questions and Activities 333
References 334
Chapter 18 Transcultural and Spiritual Issues 337
Objectives 337
Introduction 338
Transcultural Issues 338
Issues Related to Spirituality and Religion 348
Summary 354
Chapter Highlights 354
Discussion Questions and Activities 355
References 356
Part V The Power to Make a Difference 359
Chapter 19 Empowerment for Nurses 360
Objectives 360
Introduction 361
Influences on Nursing's Perceptions of Principled Practice 361
Understanding Power and Empowerment 364
Personal Empowerment 366
Professional Empowerment 368
Re-Visioning Nursing 371
Summary 372
Chapter Highlights 373
Discussion Questions and Activities 373
References 374
Chapter 20 Enabling Patient Empowerment 376
Objectives 376
Introduction 377
Patients and Empowerment 377
Nurses and Patient Empowerment 377
Enhancing Patient Capacity for Decision Making 379
Fostering Patient Empowerment 380
Summary 381
Chapter Highlights 381
Discussion Questions and Activities 382
References 382
Appendix A Code of Ethics for Nurses (2001): American Nurses Association 385
Appendix B A Patient's Bill of Rights: American Hospital Association 403
Appendix C Code of Ethics for Registered Nurses: Canadian Nurses Association 407
Appendix D ICN Code of Ethics for Nurses 415
Glossary 417
Index 429
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  • Anonymous

    Posted May 6, 2010

    Ethics and Issues in contemporary nursing

    This was a required book for a BSN course. The most helpful part of this book was that it included many example to help clarify the subject matter. Most for the examples were from situations which commonly occur in the practice of nursing. The glossary was also another helpful part of this text book. It provided a location to not only look up new information but refresh your memory regarding newly learned terms. The subject matter was presented in an organized fashion. I did not find the "ask yourself" section very helpful. The weakest part of the book was the index, which I felt could have been expanded. This book was well worth the price that Barnes and Noble sold it for and will be useful as a reference after my class is completed.

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  • Posted May 5, 2010

    Review Of Ethics and Issues in Contemporary Nursing

    While the book is required reading for my RN-BSN program for my ethics class, it had interseting insight, and review each theroy, and goes over nursing history. It an easy read with relevant infomation, and it not a textbook that requires a dictonary to read. Maybe would of read for fun, in my spare time.

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