unit 1. Resources for facilitating ethical decision-making -- 1. Ethical theories and principles / Marcia Bosek -- Ethical theories -- Ethical principles -- 2. History of clinical ethics / Teresa Savage -- History of ethics -- The first clinical ethics education program -- The consumer movement and the women's movement -- Difference between medical ethics and nursing ethics -- Teaching ethics in nursing -- Proliferation of ethics committees -- Nursing ethics now and in the future -- 3. Ethical standard of practice / Marcia Bosek, Teresa Savage -- Code of ethics -- Standards and scope of practice -- Policy and position statements -- Codes of ethics -- The 2001 ANA code of ethics for nurses : aspirations and challenges -- 4. The student role / Marcia Bosek -- Academic honesty -- Academic dishonesty -- Clinical dishonesty -- Errors -- Professional relationships and boundaries -- 5. Ethical decision-making / Marcia Bosek -- Ethical decision-making -- Ethical decision-making goals -- Realities in decision-making -- Ethical decision-making using the nursing process -- Decision analysis model -- Resources for facilitating ethical decision-making -- unit 2. Informed consent -- 6. Confidentiality / Teresa Savage -- Confidentiality defined -- Rationale for keeping information confidential -- What information is confidential? -- Who can access confidential information? -- 7. Truth-telling / Marcia Bosek -- The importance of truth-telling -- The obligation to tell the truth -- Discriminating between truth and nontruth -- 8. Advocacy / Teresa Savage -- What is advocacy? -- The call to advocacy -- The strength to advocate -- Relationships between health care professionals -- Uncertainty, dilemma, and distress -- Learning how to advocate -- Advocacy for the profession -- 9. Allocation of resources / Teresa Savage -- Justice in health care -- The U.S. health care system -- Access to care -- Managed care -- What to do? -- Nurses' role in macro allocation -- Nurses' role in micro allocation -- Special topic : using research in resource allocation -- 10. Research ethics / Teresa Savage -- Ethical themes -- History of research ethics -- Institutional review boards -- Informed consent -- Section 4. Health promotion and disease prevention -- 11. Nursing of children and adolescents / Teresa Savage -- Section 1. Ethical themes : building from the basic to the complex -- Truth-telling -- Confidentiality -- Advocacy -- Allocation of resources -- Section 2. Decision-making -- Surrogate decision-making -- Section 3. The moral status of children -- Personhood -- Section 4. Genetics -- Eugenics -- Genetic testing -- Linkage analysis -- Implications for the family -- Newborn screening -- 12. Nursing of the adult - Marcia Bosek -- Section 1. Ethical themes : building from the basic to the complex -- Confidentiality -- Truth-telling -- Advocacy -- Allocation of resources -- Section 2. Nursing of the adult : advance directives -- Autonomy -- Before the advent of advance directives -- Other life-saving interventions -- The Patient Self-Determination Act of 1990 -- Advance directives -- Values clarification -- Do not resuscitate orders -- The nurse's role -- Section 3. Nursing of the adult : end-of-life choices -- Autonomy and end-of-life choices -- Section 4. Nursing of the adult : adult-onset genetic issues -- Ethical issues of presymptomatic diagnosis -- Actions that promote informed consent -- Special topic : medical directive project -- Special topic : it's over, Debbie -- 13. Women's health nursing / Teresa Savage -- Section 1. Ethical themes : building from the basic to the complex -- Confidentiality -- Truth-telling -- Advocacy -- Allocation of resources -- Section 2. Informed decision-making -- Balancing maternal and fetal interests -- Pregnancy and HIV -- Mandatory bed rest -- Pregnancy and delivery -- Contraception -- Abortion -- Sterilization -- Complementary and alternative medicine (CAM) -- Menopause -- Caregiver burden -- Section 3. Assisted reproduction -- Infertility -- Assisted reproduction -- Fetal surgery -- Section 4. Genetics in women's health -- Genetics -- Prenatal testing -- 14. Mental health nursing / Marcia Bosek -- Section 1. Ethical themes : building from the basic to the complex -- Confidentiality -- Truth-telling -- Advocacy -- Resource allocation -- Section 2. Autonomy versus paternalism -- Providing treatment against the patient's will -- Use of restraints -- Nursing obligations -- Section 3. Caring for the challenging patient -- Noncompliance -- Inadequate resources for dealing with a challenging patient -- Unmet expectations -- Application of ethical principles to facilitate working with challenging patients -- Section 4. Confidentiality versus the duty to protect third parties -- Confidentiality -- Tarasoff v. Regents of the University of California -- Privilege -- Duty to protect -- Strategies -- 15. Community and public health nursing / Teresa Savage -- Section 1. Ethical themes : building from the basic to the complex -- Advocacy -- Confidentiality -- Truth-telling -- Allocation of resources -- Section 2. Autonomy versus paternalism -- Decisional capacity -- Parental autonomy -- Family paternalism -- Section 3. Cultural competency -- Cultural/religious practices -- Section 4. Ethics in public health -- Health promotion and disease prevention -- Section 4. Glossary. 16. Professional ethical issues facing the individual nurse / Deborah Jezuit -- Section 1. Ethical themes : building from the basic to the complex -- Confidentiality -- Truth-telling -- Advocacy -- Allocation of resources -- Section 2. Professional nurse issue : conscientious objection -- Appeal to conscience -- Appeal to nonmaleficence -- Actions to remove the need to conscientiously object -- Section 3. Professional nurse issue : whistle-blowing -- Whistle-blowing legislation -- Fallout from acts of whistle-blowing -- Section 4. Professional nursing issue : professional misconduct, incompetent and impaired practice -- Incompetent practice -- Unethical practice -- Illegal practice -- Impaired practice -- Reporting professional misconduct -- Strategies -- 17. Professional ethical issues facing the nurse-manager / Deborah Jezuit -- Section 1. Ethical themes : building from the basic to the complex -- Confidentiality -- Truth-telling -- Advocacy -- Allocation of resources -- Section 2. Professional nursing issues : staffing -- Staffing issues -- Mandatory overtime -- Section 3. Professional nursing issue : management issues -- Management responsibilities -- Section 4. Professional nursing issue : nursing's voice and power -- Shared governance -- Appendix. Reports of presidential commissions -- Glossary.
This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.