Table of Contents

Preface

Introduction (Michael Yeo)

What is Nursing Ethics?
Nursing Ethics and Bioethics
Nursing Ethics and Nursing
Models of the Nurse-Patient Relationship
A Knowledge Base in Ethics for Nursing
Ethical Analysis and the Nursing Process
Strategies for Case-Based Teaching and Learning
References

1 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

2 Contemporary Canadian Challenges in Nursing Ethics
(Anne Moorhouse and Patricia Rodney)

The Lived Experiences of Nurses Today
Some Historical Background
Health Care Reform Responses
Vulnerabilities of the Nursing Profession
Strengths of the Nursing Profession
Toward Stronger Nursing Voices
Notes
References

3 Beneficence (Michael Yeo and Anne Moorhouse)

Beneficence and Benefiting Others
Beneficence, Self-Concern, and Duty
Problems Determining What Is Beneficial
Paternalism
The Beneficiary of Beneficence

  • Case 1: Pediatric Ethics and Vulnerable Persons (Anne Moorhouse)
    Case 2: “Don’t Treat Me Like a Baby, Leave Me with Some Dignity!” (Anne Moorhouse)
    Case 3: The Good of One and the Good of Many (Anne Moorhouse)

Conclusion
Notes
References
Study Questions

4 Autonomy (Anne Moorhouse, Michael Yeo, and Patricia Rodney)

The Nature of Autonomy
Autonomy, Advocacy, and Empowerment
Autonomy and the Process of Informed Consent
Competence and Capacity to Decide
Substitute Decision-Making
Limiting Autonomy: Paternalism, Protection of Third Parties, and Justice
End of Life Decisions
The Challenges of Autonomy

  • Case 1: Advocating on Behalf of Vulnerable or Voiceless Patients (Anne Moorhouse)
    Case 2: Autonomy in the Research Context (Anne Moorhouse)
    Case 3: End of Life Decisions (Anne Moorhouse)

Conclusion
Notes
References
Study Questions

5 Truthfulness (Michael Yeo and Pamela Khan)

Truthfulness and Truth-Telling in Health Care
Arguments For and Against Truthfulness in Health Care
Truth, Truthfulness, and Untruthfulness
Dialogue and Beneficent Truth-Telling
Truthfulness and the Predicament of Nursing

  • Case 1: Deciding When to Disclose a Diagnosis (Pamela Khan and Anne Moorhouse)
    Case 2: Withholding Information at the Family’s Request (Pamela Khan and Anne Moorhouse)
    Case 3: Emergency and Trauma Nurses: When to Give Bad News (Pamela Khan and Anne Moorhouse)

Conclusion
Notes
References
Study Questions

6 Confidentiality (Michael Yeo and Anne Moorhouse)

Health Professionals, Persons, and the Personal
Privacy and Confidentiality
Breaches of Confidentiality
Exceptions to the Rule of Confidentiality
Confidentiality in the Age of Information Technology

  • Case 1: Confidentiality in the Workplace (Michael Yeo and Anne Moorhouse)
    Case 2: Confidentiality in a Family Context (Michael Yeo and Anne Moorhouse)
    Case 3: Confidentiality and Seemingly Innocuous Information (Michael Yeo and Anne Moorhouse)
    Case 4: Privacy Issues in the Emergency Department (Anne Moorhouse)

Conclusion
Notes
References
Study Questions

7 Justice (Michael Yeo, Patricia Rodney, Anne Moorhouse, and Pamela Khan)

Justice in the Distribution of Health Resources
Theories of Justice
Tensions among Theoretical Orientations
Substantive Principles of Justice
Procedural Principles of Justice
Resource Allocation and Decision-Making

  • Case 1: Access to Care versus Quality of Care (Anne Moorhouse and Pamela Khan)
    Case 2: Allocation of Clinical Placements and Support for Clinical Education (Anne Moorhouse, Michael Yeo, and Pamela Khan)
    Case 3: Equitable Allocation of Nursing Time and Care (Michael Yeo, Anne Moorhouse, and Pamela Khan)
    Case 4: Triage and Rationing of Intensive-Care Beds during a Clinical Crisis (Anne Moorhouse and Pamela Khan)

Conclusion
Notes
References
Study Questions

8 Integrity (Michael Yeo, Patricia Rodney, Pamela Khan, and Anne Moorhouse)

Integrity Defined
Personal and Professional Integrity
Integrity and Multiple Obligations
Integrity and Moral Distress
From Conflict to Co-operation and a Moral Community

  • Case 1: Integrity and Nurses’ Relationships with Colleagues and Employers (Anne Moorhouse and Pamela Khan)
    Case 2: Conscience and Assignment Refusal (Anne Moorhouse and Pamela Khan)
    Case 3: Preserving Integrity (Anne Moorhouse and Pamela Khan)

Conclusion
Notes
References
Study Questions

Appendix A. An Ethical Decision-Making Framework for Individuals (2009) (Michael McDonald, P. Rodney, and R. Starzomski)
Appendix B. Ethical/Stakeholder Analysis (RESPECT) (Michael Yeo)
About the Authors
Index

Posted on October 29, 2015