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| Preface | p. xiii |
| Acknowledgments | p. xvi |
| Contributors | p. xvi |
| Guides for Principled Behavior | p. 1 |
| Social, Philosophical, and Other Historical Forces Influencing the Development of Nursing | p. 2 |
| Objectives | p. 2 |
| Introduction | p. 3 |
| The Influence of Social Need | p. 4 |
| Spiritual, Religious, and Gender Influences | p. 6 |
| The... MORE | p. 15 |
| Summary | p. 17 |
| Chapter Highlights | p. 17 |
| Discussion Questions and Activities | p. 18 |
| References | p. 18 |
| Ethical Theory | p. 20 |
| Objectives | p. 20 |
| Introduction | p. 21 |
| Philosophy | p. 23 |
| Morals/Ethics | p. 24 |
| Theories of Ethics | p. 26 |
| Summary | p. 37 |
| Chapter Highlights | p. 37 |
| Discussion Questions and Activities | p. 38 |
| References | p. 38 |
| Ethical Principles | p. 40 |
| Objectives | p. 40 |
| Introduction | p. 41 |
| Autonomy | p. 41 |
| Beneficence | p. 48 |
| Nonmaleficence | p. 50 |
| Veracity | p. 51 |
| Confidentiality | p. 54 |
| Justice | p. 57 |
| Fidelity | p. 59 |
| Summary | p. 59 |
| Chapter Highlights | p. 60 |
| Discussion Questions and Activities | p. 60 |
| References | p. 62 |
| Developing Principled Behavior | p. 65 |
| Values Clarification | p. 66 |
| Objectives | p. 66 |
| Introduction | p. 67 |
| What Are Values? | p. 67 |
| Acquiring Values | p. 67 |
| Self-Awareness | p. 68 |
| Values in Professional Situations | p. 71 |
| Summary | p. 77 |
| Chapter Highlights | p. 77 |
| Discussion Questions and Activities | p. 78 |
| References | p. 78 |
| Values Development | p. 80 |
| Objectives | p. 80 |
| Introduction | p. 81 |
| Transcultural Considerations in Values Development | p. 81 |
| Theoretical Perspectives of Values Development | p. 82 |
| Some Nursing Considerations | p. 87 |
| Summary | p. 89 |
| Chapter Highlights | p. 90 |
| Discussion Questions and Activities | p. 90 |
| References | p. 91 |
| Ethical Decision Making | p. 92 |
| Objectives | p. 92 |
| Introduction | p. 93 |
| Moral/Ethical Problems | p. 93 |
| Making Decisions | p. 97 |
| Ethical Decision Making | p. 98 |
| Process of Ethical Decision Making | p. 100 |
| Applying the Decision-Making Process | p. 103 |
| Summary | p. 106 |
| Chapter Highlights | p. 106 |
| Discussion Questions and Activities | p. 106 |
| References | p. 107 |
| Principled Behavior in the Professional Domain | p. 109 |
| Legal Issues | p. 110 |
| Objectives | p. 110 |
| Introduction | p. 111 |
| Relationship Between Ethics and the Law | p. 111 |
| General Legal Concepts | p. 113 |
| Recent Legal Trends | p. 125 |
| Risk Management | p. 129 |
| Nurses as Expert Witnesses | p. 133 |
| Summary | p. 134 |
| Chapter Highlights | p. 134 |
| Discussion Questions and Activities | p. 135 |
| References | p. 136 |
| Professional Issues | p. 137 |
| Objectives | p. 137 |
| Introduction | p. 138 |
| Professional Status | p. 138 |
| Expertise | p. 141 |
| Autonomy | p. 142 |
| Accountability | p. 145 |
| Authority | p. 149 |
| Unity | p. 150 |
| Summary | p. 152 |
| Chapter Highlights | p. 152 |
| Discussion Questions and Activities | p. 152 |
| References | p. 153 |
| Professional Relationship Issues | p. 155 |
| Objectives | p. 155 |
| Introduction | p. 156 |
| Problem Solving in the Professional Realm | p. 156 |
| Nurses' Relationships with Institutions | p. 161 |
| Nurses' Relationships with Other Nurses | p. 164 |
| Nurses' Relationships with Physicians | p. 166 |
| Nurses' Relationships with Subordinates | p. 168 |
| Discrimination and Harassment | p. 169 |
| Summary | p. 174 |
| Chapter Highlights | p. 174 |
| Discussion Questions and Activities | p. 174 |
| References | p. 175 |
| Practice Issues Related to Technology | p. 177 |
| Objectives | p. 177 |
| Introduction | p. 178 |
| Benefits and Challenges of Technology | p. 178 |
| Current Technology: Issues and Dilemmas | p. 180 |
| Nursing Practice in the Midst of Technology | p. 198 |
| Summary | p. 200 |
| Chapter Highlights | p. 201 |
| Discussion Questions and Activities | p. 202 |
| References | p. 202 |
| Suggested Readings | p. 204 |
| Practice Issues Related to Patient Self-Determination | p. 205 |
| Objectives | p. 205 |
| Introduction | p. 206 |
| Autonomy and Paternalism | p. 206 |
| Informed Consent | p. 209 |
| Advance Directives | p. 213 |
| Choices Concerning Life and Health | p. 219 |
| Summary | p. 228 |
| Chapter Highlights | p. 228 |
| Discussion Questions and Activities | p. 229 |
| References | p. 230 |
| Scholarship Issues | p. 233 |
| Objectives | p. 233 |
| Introduction | p. 234 |
| Academic Honesty | p. 234 |
| Research Issues and Ethics | p. 236 |
| Ethical Treatment of Data | p. 244 |
| Summary | p. 246 |
| Chapter Highlights | p. 246 |
| Discussion Questions and Activities | p. 246 |
| References | p. 247 |
| Global Issues That Impinge on Nursing Practice | p. 249 |
| Health Care Changes and Challenges | p. 250 |
| Objectives | p. 250 |
| Introduction | p. 251 |
| A Brief History of Health Care Delivery: The Euro-American Experience | p. 251 |
| Health Care Perspectives: A Global Concern | p. 260 |
| Alternative Traditions of Health Care | p. 263 |
| Challenges for Rural and Urban Aggregates | p. 264 |
| Summary | p. 265 |
| Chapter Highlights | p. 266 |
| Discussion Questions and Activities | p. 266 |
| References | p. 267 |
| Suggested Readings | p. 268 |
| Health Policy Issues | p. 269 |
| Objectives | p. 269 |
| Introduction | p. 270 |
| Political Issues | p. 270 |
| Health Policy | p. 272 |
| Nursing, Policy, and Politics | p. 279 |
| Lobbying | p. 282 |
| Summary | p. 285 |
| Chapter Highlights | p. 285 |
| Discussion Questions and Activities | p. 286 |
| References | p. 286 |
| Economic Issues | p. 288 |
| Objectives | p. 288 |
| Introduction | p. 289 |
| Overview of Today's Health Care Economics | p. 289 |
| Distributive Justice | p. 291 |
| Recent Trends and Health Economic Issues | p. 296 |
| Summary | p. 300 |
| Chapter Highlights | p. 301 |
| Discussion Questions and Activities | p. 301 |
| References | p. 302 |
| Social Issues | p. 304 |
| Objectives | p. 304 |
| Introduction | p. 305 |
| Social Issues | p. 305 |
| Ethical Principles Applied to Social Issues | p. 313 |
| Personal Impediments to Intervening with Vulnerable Groups | p. 315 |
| Social Issues and Scholarship | p. 316 |
| Summary | p. 317 |
| Chapter Highlights | p. 317 |
| Discussion Questions and Activities | p. 318 |
| References | p. 318 |
| Gender Issues | p. 321 |
| Objectives | p. 321 |
| Introduction | p. 322 |
| Historical Perspectives and Overview of Gender-Based Issues | p. 322 |
| Gender and Race | p. 323 |
| Sex Discrimination in Nursing | p. 324 |
| Sexual Harassment in Nursing | p. 327 |
| Communication Issues Related to Gender | p. 329 |
| Modern Sexism | p. 331 |
| Sexual Orientation | p. 331 |
| Summary | p. 332 |
| Chapter Highlights | p. 333 |
| Discussion Questions and Activities | p. 333 |
| References | p. 334 |
| Transcultural and Spiritual Issues | p. 337 |
| Objectives | p. 337 |
| Introduction | p. 338 |
| Transcultural Issues | p. 338 |
| Issues Related to Spirituality and Religion | p. 348 |
| Summary | p. 354 |
| Chapter Highlights | p. 354 |
| Discussion Questions and Activities | p. 355 |
| References | p. 356 |
| The Power to Make a Difference | p. 359 |
| Empowerment for Nurses | p. 360 |
| Objectives | p. 360 |
| Introduction | p. 361 |
| Influences on Nursing's Perceptions of Principled Practice | p. 361 |
| Understanding Power and Empowerment | p. 364 |
| Personal Empowerment | p. 366 |
| Professional Empowerment | p. 368 |
| Re-Visioning Nursing | p. 371 |
| Summary | p. 372 |
| Chapter Highlights | p. 373 |
| Discussion Questions and Activities | p. 373 |
| References | p. 374 |
| Enabling Patient Empowerment | p. 376 |
| Objectives | p. 376 |
| Introduction | p. 377 |
| Patients and Empowerment | p. 377 |
| Nurses and Patient Empowerment | p. 377 |
| Enhancing Patient Capacity for Decision Making | p. 379 |
| Fostering Patient Empowerment | p. 380 |
| Summary | p. 381 |
| Chapter Highlights | p. 381 |
| Discussion Questions and Activities | p. 382 |
| References | p. 382 |
| Code of Ethics for Nurses (2001): American Nurses Association | p. 385 |
| A Patient's Bill of Rights: American Hospital Association | p. 403 |
| Code of Ethics for Registered Nurses: Canadian Nurses Association | p. 407 |
| ICN Code of Ethics for Nurses | p. 415 |
| Glossary | p. 417 |
| Index | p. 429 |
| Table of Contents provided by Syndetics. All Rights Reserved. |