Ethical Competency in Nursing & Allied Health
Edition: 4
Copyright: 2025
Pages: 312
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Ethical Competency in Nursing and Allied Health presents ethics as a necessary skill in healthcare. Ethical assessment is a skill that has clinical applications. This book will introduce terms needed to pass licensure exams while exploring ethical concepts in depth so that they have practical significance for your professional and personal life.
This book features an innovative model for doing an ethical assessment. Readers will find applications across the continuum of care. Topics of special concern include professional integrity, advocacy, the culture of safety, moral dejection, collaboration, disaster ethics, social justice, and bioethics.
Ethical Competency in Nursing & Allied Health represents the combined perspective and research of two authors who observed the profound importance of a nuanced ethical approach in attending to patients in their vulnerability.
Illness can be a profoundly philosophical experience. The authors work to combine philosophical insight with clinical practicality that recognizes the importance of melding compassion with attention to principles, procedures, and outcome analysis.
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Introduction
Acknowledgments
About the Authors
Chapter 1: First, Do No Harm
Introduction
Four Principles
Autonomy
Nonmaleficence
Beneficence
Justice
Ethics and Morality
What Is Good?
Moral Reactions
Ethics and Thinking about Moral Reactions
Heart/Hand/Head Model
Exercises
References
Chapter 2: Ethical Competency
Introduction
Moral Agency
Power, Authority, and Capacity
Responsibility, Accountability, Evaluation
Chain of Custody
The Skills of Ethical Competency
Mindfulness
Courage
Humility
Critical Thinking
Sophrosyne and Zhong
Trust and Critical Thinking
Assessment/Intervention/Evaluation
For Whom Do I Make a Difference?
Categories Groups
Relational
Why Be Ethical? Ethical Competency and the Art of Being Human
From Simplicity to Complexity
Ethical Competency Matrix
Levels of Ethical Assessment
Takeaway
Exercises
References
Chapter 3: Administrative Level of Ethical Assessment
Introduction
Already in Practice
Normative Theory
Principles of Biomedical Ethics
Kantian Deontology
Confucian Role Ethics
Theory and Decision-Making Aids
Assessment from the Administrative Level
Exercises
Case Studies
References
Chapter 4: The Strategic Level of Ethical Assessment
Introduction
Already in Practice
Normative Theory
Theory and Decision-Making Aids
Ethical Competency at the Strategic Level
When Administrative and Strategic Levels Conflict
Exercises 85 Case Studies
References
Chapter 5: The Interpersonal Level of Ethical Assessment
Introduction
Compassion Satisfaction
Kindness
Care and Compassion
Reciprocity
Narrative
Giving
Giving Back
Paying Forward
Giving In General
Ethical Competency at the Interpersonal Level
Exercises
Case Studies
References
Chapter 6: The Ethical Assessment Model
Three Vital Intentions
Putting It All Together
Ethical Competency and the Art of Assessment
Ethical Assessment Model
Situation
Background/People
Levels of Assessment
Administrative
Strategic
Interpersonal
Results
Sample Case Study
Exercises
References
Chapter 7: Professional Integrity
Introduction
Integrity
Aristotle and Integrity
The Good of Virtue
Ethics and the Art of Being a Professional
Professional Oaths
Codes of Ethics
Four Codes of Ethics as Examples
American Nurses Association (ANA) Code of Ethics
International Council of Nurses (ICN) Code of Ethics for Nurses
Japanese Nursing Association (JNA) Code of Ethics
Canadian Nurses Association (CNA) Code of Ethics
Ethical Relativism
Role Models
Takeaway
Exercises
Case Studies
References
Chapter 8: Advocacy
Introduction
Advocacy and Support
Moral Safety Net
Trust
Principles and Advocacy
Veracity
Privacy
Confidentiality
Fidelity
Autonomy and Advocacy
Boundaries
Takeaway
Exercises
Case Studies
References
Chapter 9: Culture of Safety
Introduction
Nonmaleficence and Our Error-Prone Ways
Just Culture
Communication in the Culture of Safety
Error and Ignorance
Ethical Mistakes
Guilt and Remorse
Moral Agency and Responsibility
Transparency
Forgiveness
Self-Forgiveness
Takeaway
Exercises
Case Studies
References
Chapter 10: Moral Dejection
Introduction
Agency, Gratification, and Conflict
Moral Dejection
Sympathy, Empathy, and Compassion
Moral Distress
Clinical Morality Versus Personal Morality
Addressing Moral Distress
Moral Residue
“Compassion Fatigue” and Compassion Satisfaction
Takeaway
Exercises
Case Studies
References
Chapter 11: Collaboration
Introduction
Communication
Virtues of Collaboration
Trust in Collaboration
Veracity
Fidelity
An Educator’s Pledge
Handoff and Delegation
Intuition
Harmony
The Opposite of Advocacy: Being an Adversary
Horizontal and Vertical Violence
The Role of Compassion
Takeaway
Exercises
Case Studies
References
Chapter 12: Social Justice
Introduction
John Rawls
Equality
Equity
Fairness
Harmony
Rights
Right to Health
Capabilities
Social Determinants of Health
Public Health
Diversity and Justice
Diversity of Purposes
Stigma
Activism and Advocacy
Takeaway
Exercises
Case Studies
References
Chapter 13: Disaster Ethics
Introduction
Altered Standards of Care
Good Samaritan
Being with the Dying
Acceptance
Takeaway
Exercises
Case Studies
References
Chapter 14: Bioethics, Nursing, and Allied Health
Introduction
Medical Technology
Artificial Intelligence
Bioethics and the Perspectives of Nursing and Allied Health
Compassion
Kindness
Multileveled Ethical Assessment
Professional Integrity
Culture of Safety
Advocacy and Voice
Moral Dejection
Collaboration
Social Justice
Disaster Ethics
Bioethics and the Perspectives of Patients
Takeaway
Exercises
Case Study
Reflection Exercise
References
Glossary
Geraldine Hider is a registered nurse. She has worked in clinical research, critical care, operating room, peri-operative care, pediatrics, procedure room nursing, floor nursing, and palliative and hospice care. She has advanced degrees in Disaster Medicine and in Management.
Don Hoepfer is a professor of philosophy at a community college. His experience as a caregiver and his philosophical research into illness led to the development of a philosophy and cancer course. He has an advanced degree in Philosophy and is pursuing a degree in Bioethics.