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| Preface | |
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| Acknowledgments | |
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| Contributors | |
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| Foundations of Advanced Practice Nursing Ethics | |
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| Philosophical Foundations of Applied and Professional Ethics | |
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| Introduction | |
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| Groundwork | |
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| Philosophy | |
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| Moral Reasoning in Health Care: Tools | |
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| Summary | |
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| Discussion Questions | |
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| Nursing Ethics | |
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| Introduction | |
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| Nursing as a Profession | |
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| Ethical Decision Making and Action for Good Care | |
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| Summary | |
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| Discussion Questions | |
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| Common Ethical Issues across Practice Specialties | |
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| Advanced Practice Nursing: The Nurse-Patient Relationship and General Ethical Concerns | |
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| Introduction | |
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| Virtue Ethics: The Characteristics of Good APNs | |
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| Informed Consent | |
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| Decision-Making Capacity | |
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| Veracity and Transparency | |
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| Privacy and Confidentiality | |
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| Summary | |
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| Discussion Questions | |
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| Professional Responsibility, Social Justice, Human Rights, and Injustice | |
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| Introduction | |
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| The Concept of Social Justice | |
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| The Historical Development of Ideas of Social Justice | |
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| Individuals and Society: Tensions | |
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| Moral Rights | |
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| Advanced Practice Nursing and Professional Advocacy | |
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| Conclusion | |
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| Summary | |
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| Discussion Questions | |
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| Ethical Leadership by Advanced Practice Nurses | |
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| Introduction | |
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| Leadership Defined | |
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| Characteristics of Effective Leadership | |
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| The Goals of Nursing: Advanced Practice Leadership | |
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| Enhancing APN Leadership | |
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| Historical and Contemporary Nursing Leaders | |
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| Summary | |
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| Discussion Questions | |
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| Research Ethics: Advanced Practice Roles and Responsibilities | |
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| Introduction | |
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| Research-Related Roles of the Advanced Practice Nurse | |
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| Background: Human Subjects Research | |
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| The Historical Development of Research Ethics | |
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| Research Ethics: Guiding Principles | |
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| Problems Facing Nurses in Research Roles and Settings | |
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| Summary | |
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| Discussion Questions | |
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| Ethical Issues in Advanced Practice Specialty Areas | |
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| Nursing Ethics and Advanced Practice: Neonatal Issues | |
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| Introduction | |
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| The Context of Care | |
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| The Best Interest Standard | |
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| Collaborative Decision Making | |
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| Medical Futility | |
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| Summary | |
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| Discussion Questions | |
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| Nursing Ethics and Advanced Practice: Children and Adolescents | |
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| Introduction | |
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| Frequently Encountered Concerns | |
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| Summary | |
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| Discussion Questions | |
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| Acknowledgments | |
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| Nursing Ethics and Advanced Practice: Women's Health | |
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| Introduction | |
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| Gaining Trust: Setting the Groundwork for an Ethically Sound Practice in Women's Health | |
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| Frequently Encountered Concerns | |
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| Violence Against Women | |
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| Coercion, Contraception, and Sterilization | |
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| Assisted Reproductive Technologies | |
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| The Woman and Her Fetus: A Maternal-Fetal Conflict? | |
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| Genetic Testing Specific to Women's Health | |
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| Providing Transgender Health Services: Is Informed Consent Enough? | |
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| Summary | |
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| Discussion Questions | |
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| Nursing Ethics and Advanced Practice: Adult-Gerontologic Health | |
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| Introduction | |
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| Reaching Consensus Internationally: What It Means to Be an APN | |
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| Nursing-Is It So Unique? | |
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| Changes in Health Care and the APRN | |
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| Nursing Knowledge and Nursing Practice | |
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| Threats to Autonomy | |
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| Health Promotion | |
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| Access to Care | |
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| Summary | |
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| Nursing Ethics and Advanced Practice: Psychiatric and Mental Health Issues | |
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| Introduction | |
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| Good Psychiatric Advanced Nursing Practice | |
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| Psychiatry and Mental Illness: Goals and Ethical Principles | |
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| Ethical Principles Plus the Goals of Nursing: Providing Direction | |
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| Related Issues | |
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| Discussion Questions | |
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| Nursing Ethics and Advanced Practice in the Anesthesia and Perioperative Period | |
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| Introduction | |
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| Do-Not-Resuscitate Orders During Surgery | |
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| The Jehovah's Witness Patient | |
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| Truth Telling in the Operating Room: The Obligation of Veracity | |
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| Conscientious Objection in Anesthesia Practice | |
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| Anesthesia and Distributive Justice | |
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| Protecting Patients from Incompetent and Impaired Healthcare Providers | |
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| Ethical Challenges During Wartime | |
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| Summary | |
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| Nursing Ethics and Advanced Practice: Palliative and End-of-Life Care Across the Lifespan | |
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| Introduction | |
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| End-of-Life Ethical Landmark Cases | |
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| The Emergence of Palliative Care as a Specialty | |
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| The Institute of Medicine's Report: When Children Die | |
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| The Distinction Between Palliative Care and End-of-Life Care | |
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| Multidisciplinary Approaches | |
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| International Perspectives | |
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| Ethical Decision Making: Identifying a Decision Maker | |
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| Pediatrics | |
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| Adults and Decision Making | |
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| Futility at the End of Life: What Does It Mean? Who Decides? | |
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| Defining Futility | |
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| Problems with Futility at the End of Life | |
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| Approaches to Help Minimize Futile Interventions | |
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| Honoring Patient Wishes: Requests for Help with Dying | |
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| Palliative Sedation | |
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| Discussion | |
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| The Rule of Double Effect | |
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| Autonomy in End-of-Life Decision Making | |
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| Advance Directives | |
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| Enhancing End-of-Life Decision Making | |
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| Withdrawing and Withholding Nutrition and Hydration | |
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| The Role of the Advanced Practice Nurse | |
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| Summary | |
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| Discussion Questions | |
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| Supplemental Resources | |
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| Glossary | |
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| Index | |