Ethical and Legal Issues for Doctoral Nursing Students

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A Textbook for Students and Reference for Nurse Leaders

Edited by:
Anne Griswold Peirce, RN, PhD, Adelphi University
Jennifer A. Smith, RN, MBA, MPH, DNP, Columbia University

ISBN: 978-1-60595-058-7, ©2013, 343 pages, 6x9, soft cover

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Price: $69.95 $59.95

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  • Course text designed for doctoral ethics courses
  • Case studies provided for real-world examples and classroom discussion
  • Contains website URLs throughout for further information
  • Includes appendix of basic state-by-state regulations for nurse practitioners

Designed for ethics courses in nursing PhD and DNP programs, the book fills the need for an expanded view of required ethics content in the nursing curriculum given the increasing responsibilities and decision-making authority of advanced practice nurses. Coverage of ethical patient care, care in vulnerable populations, legal influences on ethical care, ethical businesses practices, and research ethics are discussed and analyzed by experts, with special attention to cases where ethical theory must be applied in clinical and managerial decisions. Case studies provide real-world examples and facilitate classroom discussion.

Specific chapters are devoted to research, legal and business ethics. Other chapters address ethics in pediatric, mental health, and women's health practice. This text is ideally suited for nursing doctoral course students, faculty, and nurse leaders.





1. Ethics: What it is, What it is Not and What the Future May Bring
1.1. Overview
1.2. Historical View
1.3. Ethics in Healthcare
1.4. Neuroethics
1.5. Ethical Reasoning
1.6. Nursing and Ethical Decision Making
1.7. Summary
1.8. References

2. Research Ethics
2.1. Introduction
2.2. Historical Context for the Contemporary Model of Research Ethics
2.3. The U.S. Government Responds to Research Abuses: The Belmont Report
2.4. The U.S. Code of Federal Regulations: The Common Rule
2.5. Informed Consent
2.6. Other Social Influences on Human Subjects' Protections
2.7. The HIPAA "Privacy Rule"
2.8. International Research: Abuses, Regulations and Guidelines for Good Clinical Practices
2.9. The Concept of Clinical Equipoise
2.10. Therapeutic Misperception
2.11. Ethical Codes Guiding Nurses Involved in Research
2.12. International Nursing Research
2.13. Special Ethical Challenges for Nurses in Research
2.14. Scientific Integrity and Responsible Conduct of Research
2.15. Mentorship in Ethical Research Practices
2.16. Conflicts of Interest in Research
2.17. The nurse Expert as Consultant
2.18. Ethical Practices for Scientific Writing
2.19. General Resources
2.20. References

3. Ethical Guidelines Particular to Practice
3.1. Autonomy
3.2. Beneficence
3.3. Nonmaleficence
3.4. Justice
3.5. Veracity
3.6. Confidentiality
3.7. Paternalism
3.8. Moral Uncertainty, Dilemmas, Distress, Fatigue—Justice
3.9. Informed Consent—Surrogacy
3.10. Withdrawing and Withholding Treatment
3.11. Ordinary vs. Extraordinary Treatment
3.12. Medical Nutrition
3.13. Medical Futility
3.14. Ethics Committees
3.15. Case Studies
3.16. References

4. Ethical Considerations in the Care of Vulnerable Adult Populations
4.1. Introduction
4.2. Vulnerable Populations (Definition/Description)
4.3. Ethical Guidelines and Regulations for the Protection of Human Subjects in Research
4.4. Conceptual Models of Vulnerable Populations
4.5. Ethical Considerations in Care and Research of Illegal Aliens, Incompetent Patients, Prisoners, and the Armed Forces
4.6. Armed Forces
4.7. Incompetent Patients
4.8. Case Study
4.9. References

5. Ethical Considerations of Care and Research in Mental Health
5.1. Introduction
5.2. Placing Psychiatric-Mental Health Ethics in Context
5.3. Ethical Considerations in Mental Health Care
5.4. Ethical Considerations in Mental Health Research
5.5. Ethical Significance of Everyday Life in Mental Health Care
5.6. Moral Frameworks for Mental Health Care and Research
5.7. Conclusion
5.8. Websites for Further Information
5.9. Case Studies
5.10. References

6. Ethical Considerations in the Care of Pediatric Patients
6.1. Overview
6.2. Health Care Decision Making
6.3. Practice Issues
6.4. Specific Age Groups
6.5. Case Studies
6.6. References

7. Ethics and Women's Health
7.1. Feminist Bioethics
7.2. Public Health Ethics
7.3. Case Studies
7.4. Unanalyzed Cases
7.5. References

8. Ethical Business Practices Overview
8.1. Introduction
8.2. Accounting
8.3. Conflicts of Interest
8.4. Fraud
8.5. Gifts
8.6. Human Resource Management
8.7. Information Technology
8.8. Limited Resources
8.9. Managed Care/Third Party Payers/Billing and Collections
8.10. Marketing
8.11. Risk Management
8.12. Stakeholder Issues
8.13. Transparency
8.14. Case Studies
8.15. References

9. Legal Issues for Advanced Practice Registered Nurses
9.1. State Regulation of Advanced Practice Registered Nurses
9.2. Advanced Practice Nurse Practitioner Specialization
9.3. Definitions
9.4. What Are the Certifying/Licensure Requirements for Advanced Practice?
9.5. What Is an APRN's Scope of Practice?
9.6. Legal Actions Against APRNs
9.7. Federal Legal Issues for APRNs
9.8. Specialized Legal Issues for APRNs
9.9. Business Risks
9.10. References
9.11. Appendix—State-by-State Regulation of Nurse Practitioners



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