Table of Contents
Preface to the Second Edition
Introduction
A Primer in Ethical Theory (Michael Yeo)
Morality and the Sense of Oughtness
Ethical Analysis
Accountability and Morally Principled Decisions
Ethical Theory
Theories about Morality
Ethical Theories
Conclusion
References
Beneficence (Michael Yeo and Trudy Molke)
Beneficence and Benefiting Others
Beneficence, Self-Concern, and Duty
Problems Determining What is Beneficial
Paternalism
The Beneficiary of Beneficence
Case 1: Nurse-Client-Family conflict
Case 2: Disagreement Between Nurse and Client
Case 3: The Good of One Versus the Good of Many
Conclusion
References
Study Questions
Autonomy (Michael Yeo, Anne Moorhouse and Jean Dalziel)
The Nature of Autonomy
Autonomy, Competence, and Informed Consent
Assessing Competence or Capacity
Deciding for Others
Informed Consent in Practice
Autonomy, Advocacy, and Empowerment
Limiting Autonomy: Paternalism and Justice
Ending of Life Decisions
Summary
Case 1: Client Choice Versus Client Good
Case 2: Advocating on Behalf of Voiceless Clients
Case 3: Autonomy in the Research Context
Conclusion
Notes
References
Study Questions
Truthfulness (Michael Yeo and Sandra Mitchell)
Truthfulness and Truthtelling in Health Care
Arguments for and Against Truthfulness in Health Care
Truth, Truthfulness, and Untruthfulness
Dialogue and Beneficent Truthtelling
Truthfulness and the Predicament of Nursing
Case 1: Responding to a Direct Request for Information
Case 2: Lying to Protect the Client
Case 3: Respecting the Client’s Wish Not to Know
Conclusion
Notes
References
Study Questions
Confidentiality (Michael Yeo, Anne Moorhouse and Irene Krahn)
Health Professionals, Persons, and the Personal
Breaches of Confidentiality
Exceptions to the Rule of Confidentiality
Confidentiality in the Age of Information
Case 1: Confidentiality in a Nontraditional Theraputic Setting
Case 2: Confidentiality in a Family Context
Case 3: Confidentiality and Seemingly Innocuous Information
Conclusion
Notes
References
Study Questions
Justice (Michael Yeo, Anne Moorhouse and Gail Donner)
Justice in the Distribution of Health Resources
Canada’s Health Care System
Levels of Resource Allocation and Decision-Making
Principles of Justice
Fundamental Orientations to Issues of Justice
Justice and the Scope of Health and Health Care
An Expanding Role for Nursing
Case 1: Availability of Care Versus Quality of Care
Case 2: Burdens and Benefits of Teaching Placements
Case 3: Distributing Nursing Time and Care
Conclusion
Notes
References
Study Questions
Integrity (Michael Yeo and Ann Ford)
Integrity Defined
Personal and Professional Integrity
Integrity and Multiple Obligations
Integrity and Moral Distress
Integrity, Conflict, and Cooperation
Case 1: Conscience and Assignment Refusal
Case 2: Disagreement withing the Health Team
Case 3: Colleague Incompetence and Client Good
Conclusion
Notes
References
Study Questions
Appendices
A: Code for Nurses: Ethical Concepts Applied to Nursing – International Council of Nurses
B: Code of Ethics for Nursing – Canadian Nurses Association
C: Code for Nurses with Interpretive Statements (Abridged) – American Nurses’ Association
D. The Ethical Framework for Nursing in Ontario – College of Nurses of Ontario
E. Code of Ethics – The Canadian Medical Association
F. Ethical/Stakeholder Analysis (RESPECT)
About the Authors