Nursing Ethics And Professional Responsibility In Advanced Practice / Edition 2

Nursing Ethics And Professional Responsibility In Advanced Practice / Edition 2

by Pamela J. Grace
ISBN-10:
1449667422
ISBN-13:
9781449667429
Pub. Date:
08/12/2013
Publisher:
Jones & Bartlett Learning
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Overview

Nursing Ethics And Professional Responsibility In Advanced Practice / Edition 2

Nursing Ethics and Professional Responsibility in Advanced Practice, Second Edition is a comprehensive textbook focused on advanced practice nursing ethics. The text proactively addresses challenges that span specialty areas well as issues unique to these areas of practice. This is the only resource available that addresses the range of ethical problems that advanced practice nurses face.

Advanced practice nurses (APNs) share the same professional responsibilities that other practicing nurses do, however, given their expanded scope of practice they assume a role with greater responsibility. Advanced practice nurses are often the primary care givers for their patients but even when they are not, they assume total responsibility for some critical aspect of the patient's care. For example, nurse anesthetists are accountable for the safe induction and recovery of their patients (this includes understanding the unique nature of individuals), and diabetic clinical nurse specialists are responsible for the education and management of their especially vulnerable population and for educating others.

This text is suitable for a graduate level audience as well as those pursuing a DNP level degree.

Key Features include:
Relevant case studies woven throughout the text that refer to content
Updated content on electronic media and privacy
In-depth coverage of international implications and laws
Strong emphasis on developing the DNP and other leadership roles in nursing
Revised Women's Health Chapter
Additional content on Genetics and Genetic Testing
Updated End of Life and Palliative Care chapter
Adult health content includes information on gerontology

Product Details

ISBN-13: 9781449667429
Publisher: Jones & Bartlett Learning
Publication date: 08/12/2013
Edition description: Older Edition
Pages: 560
Sales rank: 544,145
Product dimensions: 6.00(w) x 8.90(h) x 1.10(d)

Table of Contents

Preface viii

Acknowledgments xi

Contributors xiii

Section I Foundations of Advanced Practice Nursing Ethics 1

Chapter 1 Philosophical Foundations of Applied and Professional Ethics Pamela J. Grace 3

Introduction 3

Groundwork 4

Philosophy 9

Moral Reasoning in Health Care: Tools 13

Summary 38

Discussion Questions 38

Chapter 2 Nursing Ethics Pamela J. Grace 45

Introduction 45

Nursing as a Profession 54

Ethical Decision Making and Action for Good Care 75

Summary 87

Discussion Questions 88

Section II Common Ethical Issues across Practice Specialties 95

Chapter 3 Advanced Practice Nursing: The Nurse-Patient Relationship and General Ethical Concerns Pamela J. Grace 97

Introduction 97

Virtue Ethics: The Characteristics of Good APNs 100

Informed Consent 105

Decision-Making Capacity 118

Veracity and Transparency 126

Privacy and Confidentiality 127

Summary 134

Discussion Questions 134

Chapter 4 Professional Responsibility, Social Justice, Human Rights, and Injustice Pamela J. Grace 141

Introduction 141

The Concept of Social Justice 142

The Historical Development of Ideas of Social Justice 146

Individuals and Society: Tensions 149

Moral Rights 151

Advanced Practice Nursing and Professional Advocacy 158

Conclusion 169

Summary 169

Discussion Questions 170

Chapter 5 Ethical Leadership by Advanced Practice Nurses Nan M. Gaylord Pamela J. Grace 175

Introduction 175

Leadership Defined 176

Characteristics of Effective Leadership 178

The Goals of Nursing: Advanced Practice Leadership 179

Enhancing APN Leadership 182

Historical and Contemporary Nursing Leaders 189

Summary 191

Discussion Questions 192

Chapter 6 Research Ethics: Advanced Practice Roles and Responsibilities Pamela J. Grace 197

Introduction 197

Research-Related Roles of the Advanced Practice Nurse 200

Background: Human Subjects Research 201

The Historical Development of Research Ethics 202

Research Ethics: Guiding Principles 212

Problems Facing Nurses in Research Roles and Settings 231

Summary 235

Discussion Questions 235

Section III Ethical Issues in Advanced Practice Specialty Areas 241

Chapter 7 Nursing Ethics and Advanced Practice: Neonatal Issues Peggy Doyle Settle 243

Introduction 243

The Context of Care 244

The Best Interest Standard 254

Collaborative Decision Making 262

Medical Futility 269

Summary 272

Discussion Questions 273

Chapter 8 Nursing Ethics and Advanced Practice: Children and Adolescents Nan M. Gaylord Laura A. Hart 279

Introduction 279

Frequently Encountered Concerns 281

Summary 302

Discussion Questions 304

Acknowledgments 304

Chapter 9 Nursing Ethics and Advanced Practice: Women's Health Katharine T. Smith Pamela J. Grace 307

Introduction 307

Gaining Trust: Setting the Groundwork for an Ethically Sound Practice in Women's Health 310

Frequently Encountered Concerns 311

Violence Against Women 311

Coercion, Contraception, and Sterilization 317

Assisted Reproductive Technologies 322

The Woman and Her Fetus: A Maternal-Fetal Conflict? 328

Genetic Testing Specific to Women's Health 332

Providing Transgender Health Services: Is Informed Consent Enough? 340

Summary 344

Discussion Questions 344

Chapter 10 Nursing Ethics and Advanced Practice: Adult-Gerontologic Health Jane Flanagan 349

Introduction 349

Reaching Consensus Internationally: What It Means to Be an APN 351

Nursing-Is It So Unique? 363

Changes in Health Care and the APRN 365

Nursing Knowledge and Nursing Practice 365

Threats to Autonomy 371

Health Promotion 383

Access to Care 387

Summary 392

Chapter 11 Nursing Ethics and Advanced Practice: Psychiatric and Mental Health Issues Pamela J. Grace Pamela A. Terreri 397

Introduction 397

Good Psychiatric Advanced Nursing Practice 399

Psychiatry and Mental Illness: Goals and Ethical Principles 402

Ethical Principles Plus the Goals of Nursing: Providing Direction 404

Related Issues 411

Discussion Questions 422

Chapter 12 Nursing Ethics and Advanced Practice in the Anesthesia and Perioperative Period Gregory Sheedy John Welch Brian T. Sim 425

Introduction 425

Do-Not-Resuscitate Orders During Surgery 427

The Jehovah's Witness Patient 440

Truth Telling in the Operating Room: The Obligation of Veracity 449

Conscientious Objection in Anesthesia Practice 455

Anesthesia and Distributive Justice 462

Protecting Patients from Incompetent and Impaired Healthcare Providers 467

Ethical Challenges During Wartime 474

Summary 478

Chapter 13 Nursing Ethics and Advanced Practice: Palliative and End-of-Life Care Across the Lifespan Vanessa Battista Gina Santucci Susan DeSanto-Madeya Pamela J. Grace 483

Introduction 483

End-of-Life Ethical Landmark Cases 485

The Emergence of Palliative Care as a Specialty 498

The Institute of Medicine's Report: When Children Die 498

The Distinction Between Palliative Care and End-of-Life Care 499

Multidisciplinary Approaches 501

International Perspectives 502

Ethical Decision Making: Identifying a Decision Maker 502

Pediatrics 503

Adults and Decision Making 505

Futility at the End of Life: What Does It Mean? Who Decides? 505

Defining Futility 507

Problems with Futility at the End of Life 508

Approaches to Help Minimize Futile Interventions 509

Honoring Patient Wishes: Requests for Help with Dying 510

Palliative Sedation 510

Discussion 515

The Rule of Double Effect 515

Autonomy in End-of-Life Decision Making 516

Advance Directives 518

Enhancing End-of-Life Decision Making 518

Withdrawing and Withholding Nutrition and Hydration 519

The Role of the Advanced Practice Nurse 520

Summary 521

Discussion Questions 522

Supplemental Resources 527

Glossary 533

Index 541

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