ISBN-10:
1284107337
ISBN-13:
9781284107333
Pub. Date:
03/06/2017
Publisher:
Jones & Bartlett Learning
Nursing Ethics And Professional Responsibility In Advanced Practice / Edition 3

Nursing Ethics And Professional Responsibility In Advanced Practice / Edition 3

by Pamela J. Grace

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Product Details

ISBN-13: 9781284107333
Publisher: Jones & Bartlett Learning
Publication date: 03/06/2017
Edition description: New Edition
Pages: 448
Sales rank: 1,013,030
Product dimensions: 5.90(w) x 8.90(h) x 0.90(d)

About the Author


Associate Professor, Connell School of Nursing, Boston College, Boston, Massachusetts

Table of Contents

Foreword vii

Preface ix

Acknowledgments xii

Contributors xiii

Section I Foundations of Advanced Practice Nursing Ethics 1

Chapter 1 Philosophical Foundations of Applied and Professional Ethics 3

Introduction 3

Groundwork 4

Philosophy 9

Moral Reasoning, in Health Care: Tools 11

Summary 30

References 31

Chapter 2 Nursing Ethics 35

Introduction 35

Nursing as a Profession 43

The Relationship of Nursing's Goals and Nursing Ethics 50

Revisiting Nursing Ethics as Professional Responsibility 54

Nursing Ethics: State of the Science 55

Ethical Decision Making and Action for Good Care 58

Summary 68

References 69

Section II Common Ethical Issues Across Practice Specialties 75

Chapter 3 Advanced Practice Nursing: The Nurse-Patient Relationship and General Ethical Concerns 77

Introduction 77

Virtue Ethics: The Characteristics of Good APNs 80

Informed Consent 84

Decision-Making Capacity 93

Veracity and Transparency 98

Privacy and Confidentiality 100

Social Media and Electronic Medical Records 103

Summary 115

Cases and Discussion Questions 116

References 119

Chapter 4 Professional Responsibility, Social Justice, Human Rights, and Injustice 125

Introduction 125

The Concept of Social Justice 126

The Historical Development of Ideas of Social Justice 130

Individuals and Society: Tensions 133

Moral Rights 134

Advanced Practice Nursing and Professional Advocacy 139

Conclusion 147

Summary 148

References 149

Chapter 5 Ethical Leadership by Advanced Practice Nurses 153

Introduction 153

Characteristics of Effective Leadership 155

The Goals of Nursing: Advanced Practice Leadership 156

Enhancing APN Leadership 159

Historical and Contemporary Nursing Leaders 163

Special Conditions Requiring Leadership: Dual Loyalties 165

Summary 167

Acknowledgment 167

References 168

Chapter 6 Research Ethics: Advanced Practice Roles and Responsibilities 171

Introduction 171

Research-Related Roles of the Advanced Practice Nurse 174

Background: Human Subject Research 174

The Historical Development of Research Ethics 176

Research Ethics Guiding Principles 184

The Ethical Principle of Beneficence 193

Justice 196

Problems Facing Nurses in Research Roles and Settings 197

Summary 200

References 201

Section III Ethical Issues in Advanced Practice Specialty Areas 207

Chapter 7 Nursing Ethics and Advanced Practice: Neonatal Issues 209

Introduction 209

The Context of Care 210

The Best Interest Standard 218

Collaborative Decision Making 223

Medical Futility 228

Summary 230

References 231

Chapter 8 Nursing Ethics and Advanced Practice: Children and Adolescents 237

Introduction 237

Frequently Encountered Concerns 239

Summary 253

Acknowledgments 255

References 255

Chapter 9 Nursing Ethics and Advanced Practice: Women's Health 259

Introduction 259

Reasons for the Specialty of Women's Health 260

Gaining Trust: The Foundation for Ethical Care 262

Providing Optimal Care Based on Clinical Evidence 262

Frequently Encountered Concerns 263

Summary 287

References 288

Chapter 10 Ethical Issues in Advanced Practice Nursing: Caring for Adults and Older Adults 293

Introduction 293

Globally Aging Society 294

Other Sociopolitical Influences on AG APRNs in the United States 295

Multidisciplinary Approaches 296

Ethical Issues Related to Aging 297

Other Cases to Consider 305

Conclusion 309

References 309

Chapter 11 Nursing Ethics and Advanced Practice: Psychiatric and Mental Health Issues 313

Introduction 313

Good Psychiatric Advanced Nursing Practice 315

The Nurse-Patient Relationship: History 316

Psychiatry and Mental Illness: Goals and Ethical Principles 318

Ethical Principles Plus the Goals of Nursing: Providing Direction 319

Related Issues 325

Case Conclusions 333

References 335

Chapter 12 Nursing Ethics and Advanced Practice in the Anesthesia and Perioperative Period 339

Introduction 339

Do-Not-Resuscitate Orders During Surgery 341

The Jehovah's Witness Patient 350

Truth Telling in the Operating Room: The Obligation of Veracity 357

Conscientious Objection in Anesthesia Practice 361

Anesthesia and Distributive Justice 366

Protecting Patients from Incompetent and Impaired Healthcare Providers 370

Ethical Challenges During Wartime-Dual Loyalties 374

Summary 377

References 378

Suggested Reading 381

Chapter 13 Nursing Ethics and Advanced Practice: Palliative Care Across the Lifespan 383

Introduction 383

The Emergence of Palliative Care as a Specialty 385

The Institute of Medicine's Reports 386

The Distinction Between Palliative Care and End-of-Life Care 387

Interdisciplinary Approaches 388

International Perspectives 389

End-of-Life Ethical Landmark Cases 389

Ethical Decision Making: Identifying a Decision Maker 399

Special Considerations in Pediatrics 400

Adults and Decision Making 401

Futility at the End of Life: What Does It Mean? Who Decides? 402

Defining Futility 403

Problems with Futility at the End of Life 404

Approaches to Help Minimize Futile Interventions 405

Honoring Patient Wishes- Requests for Assistance in Dying 406

Palliative Sedation 409

The Rule of Double Effect 410

Autonomy in End-of-Life Decision Making 411

Advance Directives 412

Enhancing End-of-Life Decision Making 413

Nutrition and Hydration 414

The Role of the Advanced Practice Nurse 415

Summary 416

References 417

Glossary 423

Index 429

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