Ethics for nursing practice:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1998
|
| Schriftenreihe: | The nursing clinics of North America
33,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XI S., S. 239 - 386 Ill. |
Internformat
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Datensatz im Suchindex
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|---|---|
| adam_text | I.TIIKS IOK NURSINC; PRACTICE
CONTENTS
Preface ix
Charlotte McDaniel
Nursing Practice and Ethics
Nursing and the Procurement of Organs and Tissues
in the Acute Care Hospital Setting 239
Laura A. Siminoff and Christina M. Saunders Sturm
Organ and tissue transplantations are now well established pro¬
cedures; however, a scarcity of donors and the obstacles encoun¬
tered during the procurement process have resulted in a growing
shortage of organs and tissues. This paper reviews the issues sur¬
rounding the procurement process and the role that nurses play in
that process. Two case studies are presented and discussed in order
to identify important issues to address with the family (i.e., clari¬
fication about the meaning of brain death, the impact of donation
on funeral arrangements, and the costs of donation) and to suggest
practical strategies for approaching these issues.
Ethical Implications of Caring in Rehabilitation 253
Kathleen T. Lucke
The establishment of special caring relationships between spinal
cord injured individuals (SCI) and nurses or therapists during re¬
habilitation creates unique ethical dilemmas. This paper will ex¬
plore the practical and ethical implications for health care profes¬
sionals who feel a moral imperative, compelled by their special
relationship with a particular SCI individual, to break the rules
within a rehabilitation bureaucracy in order to provide individu¬
alized health care. From the staff perspective two issues will be
examined: the status of special relationships in a health care or¬
ganization and the ability to maintain one s personal and profes¬
sional standards in a managed care environment. From the admin¬
istrative perspective two ethical issues will be explored: the
challenge of pursuing the good of the patient and the organization
while navigating between the public and private spheres of health
care in a health care system that values standardization.
NURSING CLINICS OF NORTH AMERICA
VOLUME 33 • NUMBER 2 • JUNE 1998 V
Issues for Nurses Regarding Elder Autonomy 265
Deborah T. Castellucci
This article reviews issues related to elder autonomy that challenge
nurses in their daily practice. Maintaining and promoting quality
patient care is paramount to the profession of nursing. Included in
that promotion is the need for nurses to remain sensitive to the
older individual s desire to act autonomously and make life choices.
A brief review of limitations to elder autonomy is included, as well
as examples of research studying autonomous action on the part
of the elderly. The completing ethical principle of beneficence is
briefly discussed and the issue of competency is considered. Au¬
tonomy remains a concern for all health care providers, in partic¬
ular, the role of the nurse is to support the decision making of the
older adult and provide needed information to allow the elderly
person to make decisions based on what is right for him
or her.
Ethical Implications of Genetic Testing 275
Deborah A. Raines
Advances in biotechnology have created previously unforeseen
possibilities to determine the genetic make up of individuals and
to predict the health of future societies. This article identifies some
of the issues and dilemmas confronted by health professionals and
consumers as these technologic advances move from the laboratory
to the clinical setting.
Neonatal Intensive Care: Decision Making in the Face
of Prognostic Uncertainty 287
Susan Foley Pierce
This article discusses ethical decisions faced by parents and phy¬
sicians in evaluating neonates. The role of the neonatal nurse is to
be caretaker of the most vulnerable. The nurse assumes the role of
safeguarding the infant s well being, necessitating both parental
engagement and work within an interdisciplinary team.
Enhancing Nurses Ethical Practice: Development of
a Clinical Ethics Program 299
Charlotte McDaniel
There is increasing attention paid to ethics under managed care;
however, few clinical based ethics programs are reported. This pa¬
per reports the assessment and outcomes of one such program. A
quasi experimental research design with t tests is used to assess
the outcome differences between participants and control groups.
There are twenty nurses in each; they are assessed for compara¬
bility. Differences are predicted on two outcomes using reliable
vi CONTENTS
and valid measures: nurses time with their patients in ethics dis¬
cussions, and nurses opinions regarding their clinical ethics en¬
vironments. Results reveal a statistically significant difference (p
.O5) between the two groups, with modest positive change in the
participants. Additional exploratory analyses are reported on vari¬
ables influential in health care services.
Ethical Issues for Nursing s Future
Ethical Working Relationships in Patient Care: Challenges
and Possibilities 313
Mila Ann Aroskar
This article traces the historical concern for building and maintain¬
ing effective working relationships between nurses and physicians
on behalf of patients. The author takes the position that compas¬
sionate patient care requires collegial and collaborative working re¬
lationships both within nursing and between nursing and medicine.
The development and support of such relationships is obligatory
on the part of nursing, medicine, and administration. Selected stud¬
ies and expert opinion are used to support this position. Practical
and visionary models that guide interprofessional relationships are
discussed with a goal of creating organizational structures which
are supportive of ethical practice and benefit patients and caregivers.
Ethical Dimensions of Nurse Physician Relations
in Critical Care 325
Mary C. Corley
Recent research findings highlight the importance of nurse physi¬
cian collaboration for more positive patient outcomes. Nowhere is
this more important than in addressing the ethical aspects of critical
care practice. Differences in values, communication, trust, and re¬
sponsibilities can precipitate conflict between nurses and physi¬
cians over ethical components of care. Strategies to address these
ethical conflicts and improve nurse physician collaboration are
needed at both the organization and policy level.
Defining Futility in Neonatal Intensive Care 339
Joy Hinson Penticuff
This article presents an initial conceptualization of futility in neo¬
natal intensive care in an attempt to stimulate thoughtful debate
an further development of the concept. Futility is defined within
the context of the infant s response to a trial of therapy for extreme
prematurity. Substantial criteria for determining whether futility
has been reached focus on whether the infant has sustained phys¬
iologic complications that have been shown in follow up studies
to be related to mortality and significant morbidity.
CONTENTS vii
Multicultural Issues and Ethical Concerns in the Delivery
of Nursing Care Interventions 353
Willa M. Doswell and Judith A. Erlen
Nurses are beginning to recognize the importance of understand¬
ing the values, beliefs, and health practices of different cultures in
order to provide care that is appropriate and culturally relevant to
diverse patient populations. Individuals from other cultures may
have different languages and customs. These cultural factors are
important to the nurse s understanding of the specifics of health
care practice. Culture and ethnicity may influence one s physical
development and exposure to health compromising environments
and conditions. This article uses a case study to describe a process
that health care providers can use when faced with ethical dilem¬
mas that arise when caring for patients from different cultures.
Nursing strategies to promote culturally sensitive care are dis¬
cussed, and include cultural assessment, heightening sensitivity to
ethical issues in cultural diversity, and the role of continuing edu¬
cation in providing culturally competent care.
Ethical Environment: Reports of Practicing Nurses 363
Charlotte McDaniel
Reports from the development of the Ethics Environment Ques¬
tionnaire identify three critical features for ethical environments in
health care settings of registered nurses. They are the ability of
nurses to engage in discussions about patient care, support from
administrators, and the development of policies procedures that
support their practice. Implications for clinical practicing nurses
are explored.
The Future of Ethical Decision Making in Health Care 373
Amy Haddad
As health care has become more complex in light of technological,
economic, and organizational advances and changes, ethics has in¬
creasingly become a required component in decision making. This
article examines four major trends: philosophical and practical
problems with the place of ethics in health care, the necessity to
broaden the focus of ethics committees, increase emphasis on in¬
terprofessional collaboration, and changes in the marketplace of
health care delivery that will impact ethical decision making in the
future.
Index 385
Subscription Information Inside back cover
viii CONTENTS
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| physical | XI S., S. 239 - 386 Ill. |
| publishDate | 1998 |
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| publisher | Saunders |
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| series | The nursing clinics of North America |
| series2 | The nursing clinics of North America |
| spelling | Ethics for nursing practice Charlotte McDaniel, guest ed. Philadelphia [u.a.] Saunders 1998 XI S., S. 239 - 386 Ill. txt rdacontent n rdamedia nc rdacarrier The nursing clinics of North America 33,2 Krankenpflege (DE-588)4032813-2 gnd rswk-swf Medizinische Ethik (DE-588)4074672-0 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Krankenpflege (DE-588)4032813-2 s Medizinische Ethik (DE-588)4074672-0 s DE-604 MacDaniel, Charlotte Sonstige oth The nursing clinics of North America 33,2 (DE-604)BV000003386 33,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008171237&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Ethics for nursing practice The nursing clinics of North America Krankenpflege (DE-588)4032813-2 gnd Medizinische Ethik (DE-588)4074672-0 gnd |
| subject_GND | (DE-588)4032813-2 (DE-588)4074672-0 (DE-588)4143413-4 |
| title | Ethics for nursing practice |
| title_auth | Ethics for nursing practice |
| title_exact_search | Ethics for nursing practice |
| title_full | Ethics for nursing practice Charlotte McDaniel, guest ed. |
| title_fullStr | Ethics for nursing practice Charlotte McDaniel, guest ed. |
| title_full_unstemmed | Ethics for nursing practice Charlotte McDaniel, guest ed. |
| title_short | Ethics for nursing practice |
| title_sort | ethics for nursing practice |
| topic | Krankenpflege (DE-588)4032813-2 gnd Medizinische Ethik (DE-588)4074672-0 gnd |
| topic_facet | Krankenpflege Medizinische Ethik Aufsatzsammlung |
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