Nursing Ethics: Concepts, Trends and Practices

425 Pages·2013·18.25 MB·English

by  Nisha Clement

Nursing Ethics
Concepts, Trends and Practices
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Nursing Ethics
Concepts, Trends and Practices
Nisha Clement
VSS College of Nursing
Bangalore, Karnataka
Chennai • Delhi
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Copyright © 2013 Dorling Kindersley (India) Pvt. Ltd.
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ISBN 9788131773345
eISBN 9789332514188

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Brief Contents
Preface xvii
SECTION-I: INTRODUCTION TO ETHICS 1
 1. Introduction to Ethics  3
 2. Ethics in Nursing Profession  16
 3. Bioethical Issues  25
 4. Ethical Dilemma  34
 5. Ethical Issues in Clinical Practice  45
SECTION-II: PRINCIPLES OF NURSING ETHICS 61
 6. Autonomy in Nursing Ethics  63 
 7. Confidentiality  77 
 8. Fidelity  86 
 9. Morale  92 
10. Informed Consent  100 
SECTION-III: PROFESSIONAL REGULATIONS IN ETHICS 113
11. Nursing as an Ethical Profession  115 
12. Code of Ethics in Nursing  128 
13. Ethical Theories and Models  136 
14. Nursing Standards  163 
15. Patient’s Bill of Rights  182 
SECTION-IV: ETHICS ISSUES IN NURSING 189
16. Ethical Issues in Nursing Research  191 
17. Ethical and Legal Issues in Nursing Education  200
18. Ethical and Legal Issues in Paediatric Nursing  209
19. Ethical and Legal Issues in Community Health Nursing  224 
20. Ethical and Legal Issues in Obstetrics and Gynaecology  233 
21. Ethical and Legal Issues in Psychiatric Nursing  253
22.  Ethical and Legal Issues in Nursing Administration and  
Management  263 
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vi | Brief Contents
SECTION-V: SPECIAL ETHICAL ISSUES IN NURSING 275
23. Abortion  277 
24. Euthanasia  291 
25. Organ Transplantation  300 
26. Ethical and Legal Issues in Oncology Nursing  317
27. Ethical and Legal Issues of the Elderly  336
28. Ethical and Legal Issues in Intensive Care Unit  349
29. Ethical and Legal Issues in AIDS (HIV)  364
30. Ethical and Legal Issues in Perioperative Nursing  378
Index 401
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Contents
Preface xvii
SECTION-I: INTRODUCTION TO ETHICS 1
 1. Introduction to Ethics  3
1.1Introduction—3
1.2Definition—3
1.3ProfessionalEthics—3
1.4HistoryofEthics—4
1.5ImportanceofEthicsinNursingProfession—6
1.6CodeofEthicsinIndia—9
1.7NeedandPurposeofProfessionalConduct—10
1.8EthicalSchoolsofThought—11
1.9TypesofEthics—13
 2. Ethics in Nursing Profession  16
2.1Introduction—16
2.2Definition—16
2.3ImportanceofEthicsinNursing—17
2.4NursingEthics—17
2.5CodeofEthics—18
2.6EthicalPrinciplesInvolvedinNursing—20
2.7EthicalResponsibilitiesofaNurse—22
2.8NursingEthicsandProfessionalEtiquette—22
2.9ProfessionalEtiquetteforNurses—23
 3. Bioethical Issues  25
3.1Introduction—25
3.2Definitions—25
3.3NeedofBioethics—26
3.4PurposeandScope—26
3.5PrinciplesofBioethics—27
3.6BioethicalIssuesinMedicalPractice—30
 4. Ethical Dilemma  34
4.1Introduction—34
4.2MeaningofEthicalDilemma—35
4.3TypesofEthicalDilemmasinNursing—35
4.4ProcessofanEthicalDilemma—36
4.5EthicalDilemmasinNursing—37
4.6DifferentSituationalEthicalIssuesinNursing—38
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viii | Contents
4.7EthicalDecision-making—39
4.8GuidelinesforMakingEthicalDecisions—40
4.9SpecificNursingIssuesRelatedtoEthicalDilemma—41
4.10ProfessionalRoleandResponsibilityin
EthicalDilemma—42
4.11RoleofNurseinEthicalDilemma—42
 5. Ethical Issues in Clinical Practice  45
5.1Introduction—45
5.2ObjectivesofEthicsinClinicalPractice—45
5.3EthicalPrinciplesRelatedtoClinicalPractice—46
5.4EthicalIssuesandValue-basedPractice—47
5.5NursingPracticeStandards—49
5.6Ethico-legalIssuesinClinicalPractice—52
5.7SourcesofEthicsinNursing—56
5.8TheoreticalFoundationsofNursingPractice—57
5.9ImplicationsforNursingPractice—57
5.10StrategiesofNursingPractice—57
5.11AcountablityinNursingPractice—58
5.12EthicalTensioninNursingPractice—58
SECTION-II: PRINCIPLES OF NURSING ETHICS 61
 6. Autonomy in Nursing Ethics  63 
6.1Introduction—63
6.2MeaningofAutonomy—64
6.3Definitions—64
6.4StatusofAutonomousNursingPracticeinIndia—64
6.5RightsandCharacteristicsthatSupportthePrinciplesof
AutonomousNursingPractice—64
6.6ElementsinNursingAutonomy—65
6.7Criteria,AdvantagesandDisadvantagesofAutonomous
NursingPractice—66
6.8AutonomyinNursingProfession—67
6.9WorkingwithCo-workersasaTeam—68
6.10EstablishingAutonomousPracticeinSpecialtyAreasofNursing—68
6.11AutonomyasaHumanRightforPatients—69
6.12AdvantagesofImplementingAutonomyinPatientCare—70
6.13AdvantagesofInformedConsent—70
6.14DisadvantagesofInformedConsent—70
6.15CharactersticsofanAutonomousNurse—70
6.16BasicDimensionsofAutonomy—71
6.17ThemesofAutonomyinNursing—73
6.18FactorsthatAffectAutonomyinNursing—74
6.19MeasurestoImproveAutonomyinNursing—74
6.20MeasurestoImproveAutonomyinPatientCare—75
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Contents | ix
 7. Confidentiality  77 
7.1Introduction—77
7.2MeaningofConfidentiality—77
7.3Definition—77
7.4ImportantTermsinConfidentiality—78
7.5ConceptsConcerningConfidentiality—78
7.6TypesofConfidentiality—80
7.7PrinciplesofConfidentiality—81
7.8TheConfidentialityModel—81
7.9RoleofNurseinMaintainingConfidentiality—83
 8. Fidelity  86 
8.1Introduction—86
8.2Definition—86
8.3Meaning—86
8.4CharacteristicsofFidelity—87
8.5StagesofFidelity—88
8.6PrinciplesofFidelity—89
8.7ApplicationofFidelityinNursing—89
8.8RoleofNurseinImplementationofFidelity—90
 9. Morale  92 
9.1Introduction—92
9.2MeaningofMorale—93
9.3Definition—93
9.4WhatisMorale?—93
9.5PrinciplesofMorale—94
9.6ConceptofMoralitybyKantsApproachActsasaBaseto
AchieveGoodMorale—94
9.7FactorsInfluencingMorale—95
9.8ContinuumofMorale—96
9.9MeasurestoBuildGoodMorale—96
9.10EvaluationofGoodMorale—97
9.11AdvantagesofGoodMorale—98
9.12DisadvantagesofPoorMorale—98
9.13MoraleAmongNurses—98
10. Informed Consent  100 
10.1Introduction—100
10.2Definition—100
10.3ImportantPrinciples—101
10.4MeaningofInformedConsent—101
10.5TypesofInformedConsent—101
10.6ElementsofInformedConsent—101
10.7BarrierstoEffectiveInformedConsent—102
10.8ContentsofInformedConsent—103
10.9PurposeofGettingInformedConsent—104
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