Ethical Competency in Nursing & Allied Health
Edition: 3
Copyright: 2020
Pages: 322
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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.
Introduction
Acknowledgments
About the Authors
Chapter 1: First, Do No Harm
Introduction
Four Principles
Autonomy
Nonmaleficence
Beneficence
Justice
Ethics and Morality
Moral Reactions
Ethics and Thinking about Moral Reactions
Heart/Hand/Head Model
References
Chapter 2: Ethical Competency
Introduction
The Skills of Ethical Competency
Critical Thinking
Trust and Critical Thinking
Assessment/Intervention/Evaluation
Moral Agency
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
Exercise
References
Chapter 3: Administrative Level of Ethical Assessment
Introduction
Already in Practice
Regulation
Normative Theory
Theory and Decision-Making Aids
Assessment from the Administrative Level
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
Case Studies
References
Chapter 5: Interpersonal Level of Ethical Assessment and the Ethical Assessment Model
Introduction
Compassion Satisfaction
Kindness
Care and Compassion
Narrative
Ethical Competency at the Interpersonal Level
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
Case Studies
References
Chapter 6: 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
Case Studies
References
Chapter 7: Advocacy
Introduction
Advocacy and Support
Moral Safety Net
Trust
Principles and Advocacy
Veracity
Privacy
Confidentiality
Fidelity
Autonomy and Advocacy
Boundaries
Takeaway
Case Studies
References
Chapter 8: 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
Case Studies
References
Chapter 9: 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
Case Studies
References
Chapter 10: Collaboration
Introduction
Communication
Virtues of Collaboration
Trust in Collaboration
Veracity
Fidelity
An Educator’s Pledge
Educator’s Pledge
Handoff and Delegation
Intuition
Harmony
The Opposite of Advocacy: Being an Adversary
Horizontal and Vertical Violence
The Role of Compassion
Takeaway
Case Studies
References
Chapter 11: Social Justice
Introduction
Fairness
Equality
Reciprocity
Giving
Giving Back
Paying Forward
Giving in General
Harmony
Right to Health
Public Health
John Rawls
Diversity and Justice
Stigma
Activism and Advocacy
Takeaway
Case Studies
References
Chapter 12: Disaster Ethics
Introduction
Altered Standards of Care
Good Samaritan
Being with the Dying
Acceptance
Takeaway
Case Studies
References
Chapter 13: Bioethics, Nursing, and Allied Health
Introduction
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
Case Study
Just Be Willing
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.