Ethics in Nursing

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Oxford University Press, USA, Jan 2, 1992 - Medical - 264 pages
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Written by a nurse and a philosopher, Ethics in Nursing blends the concrete detail of recurring problems in nursing practice with the perspectives, methods, and resources of philosophical ethics. It stresses the aspects of the nurses role and relations withothers -- physicians, patients, administrators, other nurses -- that give ethical problems in nursing their special focus. Among the issues addressed are deception, parentalism, confidentiality, conscientious refusal, nurse autonomy, compromise, and personal responsibility for institutional and public policy. The third edition has been enlarged with new cases and case discussions related to AIDS and an additional chapter on the expanding scope of nursing ethics as it addresses issues related to scarce resources, cost containment, justice, and the possibilities of health care rationing.
 

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Contents

Moral Dilemmas and Ethical Inquiry
3
Unavoidable Topics in Ethical Theory
26
Nurses and Clients
52
Recurring Ethical Issues in NursePhysician Relationships
87
Ethical Dilemmas Among Nurses 1 Tensions between nurses
131
Respect for persons
138
Professional obligations
141
Administrative dilemmas
149
Cost containment and the claims of justice
190
Access to care
195
The concept of rationing
197
The Oregon proposal
199
Toward ethical rationing
203
Rationing and the importance of nursing care
209
The expanding scope of nursing ethics
210
APPENDIX A International Council of Nurses Code for Nurses
216

Personal Responsibility for Institutional and Public Policy 1 The scope of individual responsibility
159
Institutional policies and strikes
163
Institutional ethics committees
170
Blowing the whistle
174
advance directives
180
Putting it all together
182
Cost Containment Justice and Rationing 1 Introduction
188
APPENDIX B American Nurses Association Code for Nurses
218
APPENDIX C
221
APPENDIX D
224
Suggestions for Further Reading
235
Index
241
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About the author (1992)

Martin Benjamin is professor of philosophy at Michigan State University. Philosophy and This Actual World is his fourth book.

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