Ethical and Legal Issues for Doctoral Nursing Students, Second Edition

A Textbook for Students and Reference for Nurse Leaders

Edited by: Anne Griswold Pierce, RN, PhD, and Jennifer A. Smith, RN, MBA, MPH, DNP

978-1-60595-596-5, November 2019, 386 pages, 6×9, softcover

  • Course text designed for doctoral nursing ethics courses
  • Case studies provided for real-world examples and classroom discussion
  • Contains updated website URLs throughout for further information
  • Includes updated appendix of basic state-by-state regulations for nurse practitioners
  • Presentation of the new ANA Ethical Standards
  • Clinically focused chapters are updated to reflect specialty-specific changes
  • Includes changes to the 2018 Common Rule
  • References updated throughout

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. The second edition preserves the line-up of chapters while providing updates to the ANA Ethical Standards, the listing of state-by-state regulations, and changes to the 2019 Common Rule. 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.

TABLE OF CONTENTS 

Preface to Second Edition
Preface to First Edition
Contributors

Chapter 1. Ethics: What it is, What it is Not and What the Future May Bring
ANNE G. PEIRCE

1.1. Overview
1.2. Historical View
1.3. Ethics in Healthcare
1.4. Technological Advancements
1.5. Ethical Principles
1.6. Neuroethics
1.7. Ethical Reasoning
1.8. Philosophical Talking Points and the Ethical Discussion
1.9. Nursing and Ethical Decision Making
1.10. Ethical Committees, Ethics Consultants and Ethical Decision Making Processes
1.11. Microethics
1.12. Summary
1.13. Websites
1.14. References

Chapter 2. Research Ethics
NANCY KING REAME

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. Genomic Research
2.9. Big Data
2.10. International Research: Abuses, Regulations and Guidelines for Good Clinical Practices
2.11. Therapeutic Misperception
2.12. Ethical Codes Guiding Nurses Involved in Research
2.13. International Nursing Research
2.14. Special Ethical Challenges for Nurses in Research
2.15. Scientific Integrity and Responsible Conduct of Research
2.16. Mentorship in Ethical Research Practices
2.17. Promoting Objectivity and Disclosing Conflicts of Interest in Research
2.18. The Nurse Expert as Consultant
2.19. Ethical Practices for Scientific Writing
2.20. General Resources
2.21. Websites
2.22. References

Chapter 3. Ethical Guidelines Particular to Practice
COURTNEY REINISCH

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

Chapter 4. Ethical Considerations in the Care of Vulnerable Adult Populations
JOAN VALAS

4.1. Introduction
4.2. Vulnerable Populations
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 Studies
4.9. References

Chapter 5. Ethical Considerations of Care and Research in Mental Health
PAMELA BJORKLUND

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

Chapter 6. Ethical Considerations in the Care of Pediatric Patients
RITA MARIE JOHN

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

Chapter 7. Ethics and Women’s Health
CAROLINE M. HEWITT

7.1. Feminist Bioethics
7.2. Public Health Ethics
7.3. Case Studies
7.4. Unanalyzed Cases
7.5. Websites of Interest to Ethics and/or Women’s Health
7.6. References

Chapter 8. Ethical Business Practices Overview
JENNIFER A. SMITH and ANNE G. PEIRCE

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. Selected Websites
8.15. References

Chapter 9. Legal Issues for Advanced Practice Nurses
KIM A. O’HARA

9.1. Introduction
9.2. APRN Governance
9.3. Nurse Practice Act
9.4. Board of Nursing
9.5. Nursys® and the National Practitioner Data Bank (NPDB)
9.6. Code of Ethics for Nurses with Interpretive Statements “The Code”
9.7. Legal
9.8. Professional Liability Insurance (PLI)
9.9. Contemporary Practice Issues
9.10. The Employment Contract
9.11. Summary
9.12. References
9.13. Appendix: 2019 Nurse Practitioner State Practice Environment

Index

978-1-60595-596-5, November 2019, 386 pages, 6×9, softcover

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