BN.com Gift Guide

Nursing Ethics: Communities in Dialogues / Edition 1

Paperback (Print)
Rent
Rent from BN.com
$17.85
(Save 82%)
Est. Return Date: 01/25/2015
Buy New
Buy New from BN.com
$81.40
Buy Used
Buy Used from BN.com
$62.30
(Save 35%)
Item is in good condition but packaging may have signs of shelf wear/aging or torn packaging.
Condition: Used – Good details
Used and New from Other Sellers
Used and New from Other Sellers
from $7.98
Usually ships in 1-2 business days
(Save 91%)
Other sellers (Paperback)
  • All (11) from $7.98   
  • New (3) from $53.53   
  • Used (8) from $7.98   

Overview

This book presents multiple ethical theories with detailed applications to real-life scenarios in a highly readable format. Case studies address current issues in nursing ethics. Discussion of three ethical perspectives: Rule Ethics, Virtue Ethics, and Feminist Ethics helps nurses understand how each theory frames primary questions of ethics and how each approaches decision-making to address each question. A five-step framework for ethical analysis is adapted to each of the ethical theories presented, providing a systematic, step-by-step process for ethical decision-making. Case studies introduce each theory chapter An excellent resource for registered nurses, nurse practitioners as well as all other professionals in nursing field.

Read More Show Less

Editorial Reviews

Doody's Review Service
Reviewer: Judith A Erlen, PhD, RN, FAAN (University of Pittsburgh)
Description: This work focuses on nursing as applied ethics and invites and engages nurses to participate in the dialogue about ethics and values in healthcare. The author discusses rule, virtue, and feminist ethics and shows how each perspective frames and approaches decision making to examine ethical questions.
Purpose: The purpose is "to prepare nurses to become active participants in communal dialogues about values in health care" (p.xi). Nurses are key players in providing patient care within a complex health care system and, thus, need to be active participants in the discussion of ethical questions that arise while providing care. To achieve this goal, the author provides content, case examples, and questions for reflection to guide the reader in this ethics dialogue.
Audience: Given the nature of the content and the approach of the author, this book can serve as an introductory text on ethics for nursing students and staff nurses. The author is an associate professor in philosophy who teaches nursing ethics at Gonzaga University and who also serves as a healthcare ethics consultant.
Features: The author introduces general information about ethics and offers a framework for analyzing ethical problems. Three ethical approaches are described: rule, virtue, and feminist ethics. Virtue and feminist ethics are generally not well described in other nursing ethics books and content about these approaches is only beginning to be included. Following the presentation of each ethical perspective, the author provides a chapter that applies that perspective to a case using her five-step framework for decision making. The author grounds the analysis of the ethical problem in the relevant literature and attempts to portray how the dialogue might evolve among the specific participants/communities who are involved. Key points in each chapter are highlighted in boxes. Additional cases with discussion questions are included at the end of the application chapters. The final chapter demonstrates how each of the three ethical perspectives would analyze the same case focused on the frail elderly. This chapter is particularly helpful to the nurse who is trying to understand differences and similarities in the ethical approaches. Quite possibly this book would need to be used in conjunction with a book of cases in order that readers would have the opportunity to explore other ethical situations.
Assessment: This book is easy to read, interesting in its presentation, and very engaging. The in-depth discussion of virtue and feminist ethics makes this book stand apart from books such as Ahronheim, et al. Ethics in Clinical Practice, 2nd edition (Aspen Publishers, 2000), or Lo, Resolving Ethical Dilemmas: A Guide for Clinicians, 2nd edition (Lippincott Williams & Wilkins, 2000)
From The Critics
This textbook examines ethics in nursing from three perspectives: rule ethics, virtue ethics, and feminist ethics. For each perspective, a theoretical chapter presents the concepts and a companion chapter applies the theory in a five-step framework for ethical analysis. The final chapter compares the three perspectives through the examination of ethical issues related to the increasing dependence of frail elderly on formal and informal care. Annotation c. Book News, Inc., Portland, OR (booknews.com)

4 Stars! from Doody
Read More Show Less

Product Details

  • ISBN-13: 9780130305213
  • Publisher: Prentice Hall
  • Publication date: 6/29/2001
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 350
  • Sales rank: 1,184,763
  • Product dimensions: 6.92 (w) x 8.97 (h) x 0.70 (d)

Read an Excerpt

Introduction to the Text's Rationale

In many ways a book represents an invitation to the reader to engage in a dialogue with the author. Often, when we meet someone for the first time, we try to develop a sense of "where that person is coming from." The following introduction aims to open the author-reader dialogue and to give the reader a sense of where the author is coming from by presenting this book's rationale.

Dynamism of Health Care and Nursing

Health care, in general, and nursing, in particular, are in a critical period of transition. More than ever, the boundaries of health care are subject to challenge and revision. Scrutiny of health care priorities and delivery methods raises key ethical questions. Relationships between health care institutions and the communities they serve as well as among those who practice within this dynamic sphere are also increasingly a focus of reevaluation. Economic pressures and rapid technological developments further complicate the dynamic context of health care and nursing. Within this context, nurses and the communities they serve must engage in reflection and dialogue about the values that should guide the restructuring of health care.

Ethics consists of an ongoing dialogue about what communities value and what they should do in light of these values. This text seeks to prepare nurses to become active participants in communal dialogues about values in health care.

Key Role of Nursing

The dialogue about health care values and their impact on approaches to practice extends beyond an internal exchange among health care professionals. The general public as well as governmental, educational, commercial, and social institutions are also heavily invested in this dialogue process. Nursing can and must play a vital role in this dialogue. The wealth of their experience as patient educators and advocates positions them to be key players in this complex reshaping of health care. Because they serve on the front lines of care, nurses offer a unique perspective: they see the needs, the gaps, and the shortcomings as well as the achievements of our health care system. Nurses are also afforded the unique position of mediator on behalf of patients and families in an increasingly complex health care system.

The public typically entrusts nurses to represent their interests and relies on them to translate "medicalese." Nurses are increasingly called on to educate organizations and decision makers about patient needs. They must also increase their efforts to educate the public about nursing's unique roles within the health care milieu.

The Dialogue of Ethics Is Contextual

As participants in discussions about ethics within multiple contexts, nurses discover that individuals and communities draw upon a variety of languages, concepts, and ethical traditions as they take positions on ethical issues. Thus, the dialogue of ethics is contextual: Ethics begins with critical reflection on a community's moral experiences within concrete contexts. In the United States and Canada, as well as in other parts of the world, the contexts of ethical dialogue encompass diverse cultures and ideas. This diversity and the dynamism of health care makes imperative the conscious and systemic reflection on moral beliefs in order to understand multiple ethical positions and to articulate one's own.

Diversity of Ethical Theories

Within the Western discipline of ethics, on which this text will focus, many different ethical traditions exist. Most ethics texts that focus on nursing or other health care disciplines rely primarily on one of these ethical perspectives—rule ethics. This text introduces this important ethical theory as well as two others: virtue ethics and feminist ethics.

Because these three ethical theories have significantly shaped the current dialogue in health care ethics, nurses need to understand how each theory (1) frames primary questions of ethics and (2) approaches decision making to address these questions.

The application of Virtue Ethics and Feminist Ethics to nursing ethics has not been well articulated in the nursing literature. One of the distinguishing contributions of this text is the development of a nursing virtue ethics and a nursing feminist ethics.

Historical, Cultural Contexts

Understanding how ethical theories have developed helps guide us to apply them. Ethics is a dynamic conversation among people who live together in community. Although communities share many common challenges, each community confronts unique issues that shape what they perceive as the basic questions of ethics and the appropriate process for addressing them. The presentation of rule ethics, virtue ethics, and feminist ethics in this text includes an exploration of the particular historical, cultural contexts from which each theory emerged. Consideration of these contexts helps us to understand the concepts and principles emphasized by each theory and reminds us that ethical theories are dynamic and may need modification to accommodate changes in context.

Nursing Ethics as Applied Ethics

This is a text in applied ethics. Applied ethics is the process of interpreting and adapting moral concepts and values in order to solve emerging moral problems. The changing health care environment requires nurses to be able to think critically and to apply ethical theories to new contexts. This degree of competence requires more than the knowledge of a handful of moral concepts and rules. Ethically competent nursing requires the ability to explain and justify certain ethical concepts and rules and to apply them to concrete and ever-changing contexts.

Overview of the Text's Structure

This text is organized into eight chapters. Chapter 1 provides an introduction to ethics in nursing. It presents general concepts of ethics, examines the pluralistic nature of ethics, and introduces a five-step framework for ethical analysis.

Chapters 2 through 6 present three ethical perspectives: rule ethics, virtue ethics, and feminist ethics. For each perspective, a theoretical chapter presents concepts and a companion chapter guides the reader through an application of the theory that follows the five-step framework for ethical analysis. Application chapters conclude with suggestions for additional areas of application of the relevant ethical perspective. All chapters include questions for further reflection and discussion. A number of case studies throughout the text encourage the reader to apply the ethical theories to particular contexts. Experiential accounts introduce the theory chapters and "Communities in Dialogue" cases address ethical issues that require broader, community-wide consideration.

The final chapter compares the three theoretical perspectives through the examination of ethical issues related to the increasing dependence of the frail elderly on formal and informal care in the community. Nursing codes of ethics and a guide to Internet resources relevant to nursing ethics are presented in the appendices.

Read More Show Less

Table of Contents

1. Ethics as Communal Dialogue.

2. Rule Ethics: Reason and Impartiality.

3. Applying Rule Ethics.

4. Virtue Ethics: Character, Judgment, and Community.

5. Applying Virtue Ethics.

6. Feminist Ethics: Reconstructing the Community.

7. Applying Feminist Ethics.

8. Care for the Frail Elderly: A Comparative Analysis.

Read More Show Less

Preface

Introduction to the Text's Rationale

In many ways a book represents an invitation to the reader to engage in a dialogue with the author. Often, when we meet someone for the first time, we try to develop a sense of "where that person is coming from." The following introduction aims to open the author-reader dialogue and to give the reader a sense of where the author is coming from by presenting this book's rationale.

Dynamism of Health Care and Nursing

Health care, in general, and nursing, in particular, are in a critical period of transition. More than ever, the boundaries of health care are subject to challenge and revision. Scrutiny of health care priorities and delivery methods raises key ethical questions. Relationships between health care institutions and the communities they serve as well as among those who practice within this dynamic sphere are also increasingly a focus of reevaluation. Economic pressures and rapid technological developments further complicate the dynamic context of health care and nursing. Within this context, nurses and the communities they serve must engage in reflection and dialogue about the values that should guide the restructuring of health care.

Ethics consists of an ongoing dialogue about what communities value and what they should do in light of these values. This text seeks to prepare nurses to become active participants in communal dialogues about values in health care.

Key Role of Nursing

The dialogue about health care values and their impact on approaches to practice extends beyond an internal exchange among health care professionals. The general public as well as governmental, educational, commercial, and social institutions are also heavily invested in this dialogue process. Nursing can and must play a vital role in this dialogue. The wealth of their experience as patient educators and advocates positions them to be key players in this complex reshaping of health care. Because they serve on the front lines of care, nurses offer a unique perspective: they see the needs, the gaps, and the shortcomings as well as the achievements of our health care system. Nurses are also afforded the unique position of mediator on behalf of patients and families in an increasingly complex health care system.

The public typically entrusts nurses to represent their interests and relies on them to translate "medicalese." Nurses are increasingly called on to educate organizations and decision makers about patient needs. They must also increase their efforts to educate the public about nursing's unique roles within the health care milieu.

The Dialogue of Ethics Is Contextual

As participants in discussions about ethics within multiple contexts, nurses discover that individuals and communities draw upon a variety of languages, concepts, and ethical traditions as they take positions on ethical issues. Thus, the dialogue of ethics is contextual: Ethics begins with critical reflection on a community's moral experiences within concrete contexts. In the United States and Canada, as well as in other parts of the world, the contexts of ethical dialogue encompass diverse cultures and ideas. This diversity and the dynamism of health care makes imperative the conscious and systemic reflection on moral beliefs in order to understand multiple ethical positions and to articulate one's own.

Diversity of Ethical Theories

Within the Western discipline of ethics, on which this text will focus, many different ethical traditions exist. Most ethics texts that focus on nursing or other health care disciplines rely primarily on one of these ethical perspectives—rule ethics. This text introduces this important ethical theory as well as two others: virtue ethics and feminist ethics.

Because these three ethical theories have significantly shaped the current dialogue in health care ethics, nurses need to understand how each theory (1) frames primary questions of ethics and (2) approaches decision making to address these questions.

The application of Virtue Ethics and Feminist Ethics to nursing ethics has not been well articulated in the nursing literature. One of the distinguishing contributions of this text is the development of a nursing virtue ethics and a nursing feminist ethics.

Historical, Cultural Contexts

Understanding how ethical theories have developed helps guide us to apply them. Ethics is a dynamic conversation among people who live together in community. Although communities share many common challenges, each community confronts unique issues that shape what they perceive as the basic questions of ethics and the appropriate process for addressing them. The presentation of rule ethics, virtue ethics, and feminist ethics in this text includes an exploration of the particular historical, cultural contexts from which each theory emerged. Consideration of these contexts helps us to understand the concepts and principles emphasized by each theory and reminds us that ethical theories are dynamic and may need modification to accommodate changes in context.

Nursing Ethics as Applied Ethics

This is a text in applied ethics. Applied ethics is the process of interpreting and adapting moral concepts and values in order to solve emerging moral problems. The changing health care environment requires nurses to be able to think critically and to apply ethical theories to new contexts. This degree of competence requires more than the knowledge of a handful of moral concepts and rules. Ethically competent nursing requires the ability to explain and justify certain ethical concepts and rules and to apply them to concrete and ever-changing contexts.

Overview of the Text's Structure

This text is organized into eight chapters. Chapter 1 provides an introduction to ethics in nursing. It presents general concepts of ethics, examines the pluralistic nature of ethics, and introduces a five-step framework for ethical analysis.

Chapters 2 through 6 present three ethical perspectives: rule ethics, virtue ethics, and feminist ethics. For each perspective, a theoretical chapter presents concepts and a companion chapter guides the reader through an application of the theory that follows the five-step framework for ethical analysis. Application chapters conclude with suggestions for additional areas of application of the relevant ethical perspective. All chapters include questions for further reflection and discussion. A number of case studies throughout the text encourage the reader to apply the ethical theories to particular contexts. Experiential accounts introduce the theory chapters and "Communities in Dialogue" cases address ethical issues that require broader, community-wide consideration.

The final chapter compares the three theoretical perspectives through the examination of ethical issues related to the increasing dependence of the frail elderly on formal and informal care in the community. Nursing codes of ethics and a guide to Internet resources relevant to nursing ethics are presented in the appendices.

Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star

(0)

4 Star

(0)

3 Star

(0)

2 Star

(0)

1 Star

(0)

Your Rating:

Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation

Reminder:

  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

 
Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously
Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted September 3, 2005

    Nursing Virtues is a guide for best practice.

    I was fortunate to not only have this book, but take a corresponding graduate nursing course from the author. Since that time, I have used the section on Nursing Virtues every semester as I help my pre-licensure nursing students develop observable ethical behaviors. Great book and resource teaching tool.

    Was this review helpful? Yes  No   Report this review
Sort by: Showing 1 Customer Reviews

If you find inappropriate content, please report it to Barnes & Noble
Why is this product inappropriate?
Comments (optional)