Nursing Ethics: Across the Curriculum and Into Practice continues to provide a solid ethical foundation for nursing students in an updated sixth edition. This comprehensive, easy-to-read text covers ethics across the nursing curriculum, making it a perfect fit for any undergraduate course. Logically divided into three parts, Nursing Ethics, Sixth Edition underscores how ethics is interwoven with nearly every aspect of professional nursing practice. It guides students through the foundations of ethics in nursing, ethical considerations across the lifespan, and ethical considerations for areas such as leadership and public health. Engaging learning features, including case studies, legal perspectives, and research notes bring concepts to life and serve to remind students that ethics really does sit at the heart of professional nursing practice and quality patient care. The Sixth Edition features information on current mainstream topics as related to nursing ethics, including: * Updated content on the status of abortion; * Updated content reflecting and referencing the overturning of Roe v. Wade by the Supreme Court; * Updated content related to women's rights/pro-life arguments; * Contains new information and a case study surrounding the RaDonda Vaught case; * Updated content related to HPV and the.

This book explores the ethical dilemma clinicians may face when disclosing a diagnosis of atypical sex. The moment of disclosure reveals an epistemic incompatibility between scientific fact and social meaning in relation to sex. Attempting to assess the bio-psychosocial implications of this dilemma highlights a complex historic antagonism between fact and meaning making satisfactory resolution of this dilemma difficult. Drawing on David Hume, WVO Quine and Michel Foucault the author presents an integrative model, which views scientific fact and social meaning as codetermining threads in one fabric of knowledge. From this epistemic perspective, the ethical dilemma is understood as a tear in the fabric signifying a rupturing of ontological integrity. To mend this tear and resolve the ethical dilemma three metaphysical perspectives are considered: essentialism, naturalism and emergentism. The book's unique features include: an exploration of the impact of diagnostic disclosure on people with atypical sex (intersex); a synthesis of the epistemic perspectives of social and natural science facilitating interdisciplinary collaboration; a critical evaluation of three metaphysical perspectives on atypical sex (intersex); the application of Hume's epistemological and moral distinctions to contemporary biomedicine and bioethics. The book's target audience includes academics, students and professionals whose work intersects the natural and social sciences, and individuals interested in the metaphysics, epistemology and meta-ethics of sex.

As the state of the natural world declines, environmentally related health problems will increasingly shape the landscape of human health and disease. The confluence of several global trends - rapid population growth combined with an even more dramatic increase in natural resource consumption - drives ecological deterioration, and this in turn poses serious challenges to health. U.S. medicine and bioethics have too long ignored the relevance of these global trends to health care. This groundbreaking work is a call to attention. It brings bioethics and health care squarely into the 21st century.

The book shows how environmental decline relates to human health and to health care practices in the U.S. and other industrialized countries. It outlines the environmental trends that will strongly affect health, and challenges us to see the connections between ways of practicing medicine and the very envrionmental problems that damage ecosystems and make people sick. In addition to philosophical analysis of the converging values of bioethics and environmental ethics, the book offers case studies as well as a number of practical suggestions for moving health care toward sustainability. The exploration of a hypothetical Green Health Center, in particular, offers an intellectual and moral framework for talking about environmental values in health care. Engaging and challenging, this book will appeal not only to health professionals and philosophers, but to anyone concerned about how to preserve and promote both human health and the health of the natural world.

This Open Access book highlights the ethical issues and dilemmas that arise in the practice of public health. It is also a tool to support instruction, debate, and dialogue regarding public health ethics. Although the practice of public health has always included consideration of ethical issues, the field of public health ethics as a discipline is a relatively new and emerging area. There are few practical training resources for public health practitioners, especially resources which include discussion of realistic cases which are likely to arise in the practice of public health. This work discusses these issues on a case to case basis and helps create awareness and understanding of the ethics of public health care. The main audience for the casebook is public health practitioners, including front-line workers, field epidemiology trainers and trainees, managers, planners, and decision makers who have an interest in learning about how to integrate ethical analysis into their day to day public health practice. The casebook is also useful to schools of public health and public health students as well as to academic ethicists who can use the book to teach public health ethics and distinguish it from clinical and research ethics.

The Irish health system is confronted by a range of challenges, both emerging and recurring. This collection provides a foundation for ongoing engagement with selected issues in contemporary Irish health contexts. It includes contributions from scholars and practitioners across a range of disciplines. The essays are theoretically informed and are grounded in the realities of the Irish health system, by drawing on contributors' contextual knowledge. The focus of the collection is interdisciplinary and the essays are situated at the intersection between ethics, law, medicine and policy. It draws out the interlinking themes of context and care, rights and responsibilities, regulating research and oversight of decision-making. This book makes an informed and balanced contribution to academic and broader public discourse. It will be of interest to academics and postgraduate students in ethics, law and health and those outside the academic sphere who must engage critically with the issues addressed. -- .

A leading bioethicist offers critical insights into the scientific, ethical, and political implications of human genome editing. Designer babies, once found only in science fiction, have become a reality. We are entering a new era of human evolution with the advent of a technology called CRISPR, which allows scientists to modify our genes. Although CRISPR shows great promise for therapeutic use, it raises thorny ethical, legal, political, and societal concerns because it can be used to make permanent changes to future generations. What if changes intended for the good turn out to have unforeseen negative effects? What if the divide between the haves and have-nots widens as a result? Who decides whether we genetically modify human beings and, if so, how? Francoise Baylis insists that we must all have a role in determining our future as a species. The scientists who develop and use genome-editing tools should not be the only ones making decisions about future uses of the technology. Such decisions must be the fruit of a broad societal consensus. Baylis argues that it is in our collective interest to assess and steer the development and implementation of biomedical technologies. Members of the public with different interests and diverse perspectives must be among the decision makers; only in this way can we ensure that societal concerns are taken into account and that responsible decisions are made. We must be engaged and informed, think critically, and raise our voices as we create our future together. Sharp, rousing, timely, and thought-provoking, Altered Inheritance is essential reading. The future of humanity is in our hands.

How ought the law to deal with novel challenges regarding the use and control of human biomaterials? As it stands the law is ill-equipped to deal with these. Quigley argues that advancing biotechnology means that the law must confront and move boundaries which it has constructed; in particular, those which delineate property from non-property in relation to biomaterials. Drawing together often disparate strands of property discourse, she offers a philosophical and legal re-analysis of the law in relation to property in the body and biomaterials. She advances a new defence, underpinned by self-ownership, of the position that persons ought to be seen as the prima facie holders of property rights in their separated biomaterials. This book will appeal to those interested in medical and property law, philosophy, bioethics, and health policy amongst others.

Mental health nurses need to work within the law to ensure good, legal care for their patients, while at the same time being guided by appropriate values. This practical handbook for mental health nurses offers an accessible and invaluable guide to mental health law and values based practice.

Written in an accessible and friendly way, the book covers the different stages of mental healthcare delivery in a range of healthcare settings. The book includes guidance on: The Human Rights Act The Mental Capacity Act 2005 The Deprivation of Liberty safeguards The revised Mental Health Act Admitting people to hospital Discharging people into the community Working with those in care homes Working with children and young people The chapters include case studies based on real life, to show how nurses can deal with complex and daunting scenarios in practice. The book includes clear explanations of all relevant legislation as well as step-by-step guidance on how to deal with situations where mental health law applies.

This book is suitable for those preparing to qualify as well as those already qualified and working in a range of healthcare settings. An essential text, this book will empower nurses to practise with confidence.

""I welcome this book as its integration of values based practice and legislation into the complex world of decision making in mental health services clarifies many issues. This book is sure to become essential reading for students of mental health nursing."
Ian Hulatt, Mental Health Advisor, Royal College of Nursing UK

"This is an invaluable guide for all professionals working in mental health services, written by two people who have unparalleled understanding of mental health and mental capacity law. It should help practitioners understand both the intricacies of the law and how to retain a person-centred approach when applying it."
Paul Farmer, Chief Executive, Mind

"An impressive and enlightening book that spans law, ethics, values and practice. With the help of realistic scenarios it explains and applies the law with clarity and great practical understanding. It will inform and reassure those struggling with the often painful dilemmas confronted over the course of providing nursing care to service users with mental disabilities."
Genevra Richardson, Professor of Law, King's College London, UK

Many of the significant developments of our era have resulted from advances in technology, including the design of large-scale systems; advances in medicine, manufacturing, and artificial intelligence; the role of social media in influencing behaviour and toppling governments; and the surge of online transactions that are replacing human face-to-face interactions. These advances have given rise to new kinds of ethical concerns around the uses (and misuses) of technology. This collection of essays by prominent academics and technology leaders covers important ethical questions arising in modern industry, offering guidance on how to approach these dilemmas. Chapters discuss what we can learn from the ethical lapses of #MeToo, Volkswagen, and Cambridge Analytica, and highlight the common need across all applications for sound decision-making and understanding the implications for stakeholders. Technologists and general readers with no formal ethics training and specialists exploring technological applications to the field of ethics will benefit from this overview.

Die moderne Medizin ist gleichzeitig Chance und Bedrohung: Die in diesem Band erstmals vereinigten Texte befassen sich mit den brisanten Themen der neuen medizinischen Handlungsmoglichkeiten und den damit verbundenen ethischen Frangen des ganzen Lebensbogens vom Lebensanfang bis zum Lebensende: der Reproduktionsmedizin, der Praimplantationsdiagnostik, den vorgeburtlichen Untersuchungen, der Neugeborenenintensivmedizin, der Transplantationsmedizin und der Sterbehilfe. Weitere wichtige Themen sind die Gentechnologie und die Ressourcenverteilung im Gesundheitswesen. Auf der Suche nach einer menschenvertraglichen Medizin und einem solidarischen Gesundheitswesen, kennt die Autorin gegenuber dem medizinischen Fortschritt keine Beruhrungsangste vor Tabuthemen. Aus dem Inhalt: Ethische Probleme der pranatalen Diagnostik - Transplantationsmedizin und Ethik - Die Gentechnologie und der Stachel der Ambivalenz - Psychiatrie und Ethik - Totale Kontrolle uber den eigenen Tod?

In Better than Human?, noted bioethicist Allen Buchanan grapples with the ethical dilemmas of the medical revolution now upon us. Biomedical enhancements, he writes, can make us smarter, have better memories, be stronger, quicker, have more stamina, live much longer, be more resistant to disease and to the frailties of aging, and enjoy richer emotional lives. They can even improve our character, or at least strengthen our powers of self-control. In spite of the benefits that biomedical enhancements may bring, many people instinctively reject them. Some worry that we will lose something important-our appreciation for what we have or what makes human beings distinctively valuable. To think clearly about enhancement, Buchanan argues, we have to acknowledge that nature is a mixed bag and that our species has many "design flaws". We should be open to the possibility of becoming better than human, while never underestimating the risk that our attempts to improve may backfire.

This book is a collection of original, interdisciplinary essays on the topic of medical error. Given the complexities of understanding, preventing, and responding to medical error in ethically responsible ways, the scope of the book is fairly broad. The contributors include top scholars and practitioners working in bioethics, communication, law, medicine and philosophy. Their contributions examine preventable causes of medical error, disproportionate impacts of errors on vulnerable populations, disclosure and apology after discovering medical errors, and ethical issues arising in specific medical contexts, such as radiation oncology, psychopathy, and palliative care. They also offer practical recommendations for respecting autonomy, distributing burdens and benefits justly, and minimizing injury to patients and other stakeholders. Ethics and Error in Medicine will be of interest to a wide range of researchers, students, and practitioners in bioethics, philosophy, communication studies, law, and medicine who are interested in the ethics of medical error.

In Foundations of Ethical Practice, Research, and Teaching in Psychology and Counseling, Kitchener and Anderson lay a conceptual foundation for thinking well about ethical problems. Whereas the first edition focused mainly on ethical reasoning and decision making, this new edition draws more explicitly on all components of James Rest's model of moral/ethical behavior, including moral/ethical sensitivity, moral/ethical decision making, moral/ethical motivation, and the ego strength to follow through on the decision. The book addresses five key principles of ethical decision making and includes updated sections on research, teaching and supervision, and practice. It discusses the relationship of the ethical principles and the model of ethical decision-making to professional ethical codes, while offering discussion questions, case scenarios, and activities to help the reader focus on ethical character and virtue. Foundations of Ethical Practice, Research, and Teaching in Psychology and Counseling gives psychologists, students, and trainees the tools they need to analyze their own ethical quandaries and take the right action.

In this work, Professors Mancini and Rosenfeld have brought together an impressive group of authors to provide a comprehensive analysis on the greater demand for religions exemptions to government mandates. Traditional religious conscientious objection cases, such as refusal to salute the flag or to serve in the military during war, had a diffused effect throughout society. In sharp contrast, these authors argue that today's most notorious objections impinge on the rights of others, targeting practices like abortion, LGTBQ adoption, and same-sex marriage. The dramatic expansion of conscientious objection claims have revolutionized the battle between religious traditionalists and secular civil libertarians, raising novel political, legal, constitutional and philosophical challenges. Highlighting the intersection between conscientious objections, religious liberty, and the equality of women and sexual minorities, this volume showcases this political debate and the principal jurisprudence from different parts of the world and emphasizes the little known international social movements that compete globally to alter the debate's terms.

Palliative medicine is the medical care provided for people who have a life limiting illness or condition. It encompasses both the physical symptoms a person may experience but also the psychosocial, emotional, and ethical issues that may arise. Now in its fourth edition, Palliative Medicine: A Case-Based Manual walks clinicians through the management of the most common situations found in palliative medicine, from diagnosis and managing symptoms through to grief and bereavement. Using real patient case scenarios and an easy-to-read question and answer format, it gives students and medical professionals an accessible, evidence-based entryway to gain the skills and knowledge needed to provide high quality palliative and end of life care to patients and their families. This new edition has been fully updated to cover the latest guidance, including new chapters dedicated to medical cannabis, opioids, grief and bereavement, and wider issues including palliative care in the community, structurally vulnerable populations, and public health. Written by over 50 experienced palliative care clinicians and educators, this book will be a welcome guide for palliative care workers, medical and nursing students, and medical professionals of any specialty where palliative needs might arise.

How far should we go in protecting and promoting public health? Can we force people to give up unhealthy habits and make healthier choices? Should we stop treating smokers who refuse to give up smoking, for example, or put a tax on fatty foods and ban vending machines in schools to address the obesity epidemic ? Or can we nudge people towards healthy options without compromising their freedom to choose? Such questions are at the heart of public health ethics. In this second edition of his well respected textbook, Stephen Holland shows that to understand and debate these issues requires philosophy: moral philosophies, including utilitarianism and deontology, as well as political philosophies such as liberalism and communitarianism. And philosophy informs other aspects of public health, such as epidemiology, health promotion, and screening. The new edition has been fully revised and updated to reflect recent developments in the field. There is a new chapter on the ethics of 'harm reduction', looking at policies which aim to reduce the harmful effects of unhealthy behaviour, such as using illicit drugs, as opposed to trying to get people to abstain. Additional material has been added on the recent interest in 'nudging' people towards more healthy choices in a new theoretical section on libertarian paternalism, as well as more on debates on the ethics of other current public health policies, such as using financial incentives to get people to take more responsibility for their own health. Public Health Ethics provides a lively, accessible and philosophically informed introduction to such issues. As well as being an ideal textbook for students taking courses in public health ethics, Holland s systematic discussion of the ethics of public health will engage and inform the more advanced reader too.

The adult critical care setting requires complex clinical decisions to be made that have a dramatic impact on the lives of patients and their families. This textbook offers evidence-based case histories around shared decision making, providing practical advice to clinicians who are trying to navigate routine clinical scenarios in adult critical care. Early chapters explore the definition of the shared decision making process and practical steps that aid its implementation. The greater part of the book focuses on how shared decision making can be practiced in specific situations that are common in adult critical care, highlighting the relevant knowledge base necessary to manage each situation. Do-not-resuscitate and do-not-intubate orders, ECMO, and resolving conflicts regarding potentially inappropriate treatment are among the topics covered. An essential resource for healthcare professionals working in critical care and those looking for a framework for the use of shared decision making in this setting.

This book is open access under a CC BY license. This book is the first to develop explicit methods for evaluating evidence of mechanisms in the field of medicine. It explains why it can be important to make this evidence explicit, and describes how to take such evidence into account in the evidence appraisal process. In addition, it develops procedures for seeking evidence of mechanisms, for evaluating evidence of mechanisms, and for combining this evaluation with evidence of association in order to yield an overall assessment of effectiveness. Evidence-based medicine seeks to achieve improved health outcomes by making evidence explicit and by developing explicit methods for evaluating it. To date, evidence-based medicine has largely focused on evidence of association produced by clinical studies. As such, it has tended to overlook evidence of pathophysiological mechanisms and evidence of the mechanisms of action of interventions. The book offers a useful guide for all those whose work involves evaluating evidence in the health sciences, including those who need to determine the effectiveness of health interventions and those who need to ascertain the effects of environmental exposures.

Historically and across societies people with disabilities have been stigmatized and excluded from social opportunities on a variety of culturally specific grounds. In this collection, the authors explore the impact that the philosophical framing of disability can have on public policy questions, in the clinic, in the courtroom, and elsewhere. They examine the implications of this understanding for legal and policy approaches to disability, strategies for allocating and accessing health care, the implementation of the Americans with Disabilities Act, health care rights, and other legal tools designed to address discrimination. This volume should be read by anyone seeking a balanced view of disability and an understanding of the connection between the framing of disability and policies that have a real-world impact on individuals.

This insightful study examines the deeply personal and heart-wrenching tensions among financial considerations, emotional attachments, and moral arguments that motivate end-of-life decisions. America's health care system was built on the principle that life should be prolonged whenever possible, regardless of the costs. This commitment has often meant that patients spend their last days suffering from heroic interventions that extend their life by only weeks or months. Increasingly, this approach to end-of-life care is coming under scrutiny, from a moral as well as a financial perspective. Sociologist Roi Livne documents the rise and effectiveness of hospice and palliative care, and growing acceptance of the idea that a life consumed by suffering may not be worth living. Values at the End of Life combines an in-depth historical analysis with an extensive study conducted in three hospitals, where Livne observed terminally ill patients, their families, and caregivers negotiating treatment. Livne describes the ambivalent, conflicted moments when people articulate and act on their moral intuitions about dying. Interviews with medical staff allowed him to isolate the strategies clinicians use to help families understand their options. As Livne discovered, clinicians are advancing the idea that invasive, expensive hospital procedures often compound a patient's suffering. Affluent, educated families were more readily persuaded by this moral calculus than those of less means. Once defiant of death-or even in denial-many American families and professionals in the health care system are beginning to embrace the notion that less treatment in the end may be better treatment.

The world of dementia care can be a difficult one for carers to navigate, posing new challenges at every stage from diagnosis to end of life. In her ground-breaking investigation, rooted in original empirical data, Rosie Harding explores the regulatory and legal dimensions of caring for a person with dementia. By exploring carers' experiences of dementia care, she critiques the limitations of current approaches to health and social care regulation. This socio-legal work is a new contribution to the study of feminist care ethics, relationality, and vulnerability theory. Duties to Care argues that by understanding the relational contexts that shape everyday experiences of regulatory structures, we will better understand where law is operating to support carers, and where it adds to the difficulties they experience. Ultimately, the challenges that dementia poses will be addressed only if we find solutions that take account of the relationality of life, dementia, and law.

In this timely book, Ruud ter Meulen argues that the current trend towards individual financial responsibility for health and social care should not be at the expense of the welfare of vulnerable and dependent individuals. Written with a multidisciplinary perspective, the book presents a new view of solidarity as a distinct concept from justice with respect to health and social care. It explains the importance of collective responsibility and takes the debate on access to healthcare beyond the usual framework of justice and rights. Academics from a range of backgrounds, including sociology, ethics, philosophy and policy studies will find new perspectives on solidarity and fresh ideas from other disciplines. Policymakers will better appreciate the contribution of family carers to the well-being of dependent and vulnerable people, and the importance of the support of solidarity in these types of care.

This innovative workbook enables students and those working in health and social care to deepen their understanding of the values that underpin their practice. Rich in practical exercises and downloadable resources that invite the reader to engage with their own values, it explores how values, though not often reflected on, define the quality of care delivered. Supported by case studies and including a glossary of key terms and concepts, the workbook provides an overview of how values are adopted and adapted in professional contexts across health and social care services. With an emphasis on the ever-evolving nature of values, it examines professional ethics through the lens of legislation, codes of conduct, cost-effectiveness and whole-organisation management. This unique resource allows readers to gain a clearer picture of what their values are and how they can realistically implement them in their work, thus achieving the highest possible quality of care delivery.