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| Preface | |
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| Introduction to the Book | |
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| Introduction to Ethics and Ethical Dilemmas | |
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| Definitions and Sources of Knowledge | |
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| Ways of Thinking about Ethics | |
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| Ethical Theories | |
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| Ethical Dilemmas | |
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| Ethical Reasoning Using Ethical Theories | |
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| Health Care Ethics | |
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| Health Care Ethics and the Law | |
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| Values and Moral Development | |
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| Moral Development and World View | |
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| Examples of Ethical Dilemmas | |
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| Professional Codes of Ethics in the Health Sciences | |
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| The Role of the Ethicist | |
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| Some Questions to Consider | |
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| References | |
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| Selected Ethical Approaches: Theories and Concepts | |
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| Elements of a Decision-Making Framework | |
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| Focus on Virtue and Character | |
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| Focus on Principles | |
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| Focus on Caring | |
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| Ethical Theories and Concepts in Nursing Practice | |
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| References | |
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| Nursing's Ethical Tradition: The 1870s to the Rise of Bioethics | |
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| The Nursing Ethical Literature | |
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| The First Hundred Years of Ethics in Nursing | |
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| Codes of Ethics for Nursing | |
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| The Development of an Official Code of Ethics for the Profession | |
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| Notes | |
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| References | |
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| Professional Ethics and Institutional Constraints in Nursing Practice | |
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| The Importance of Nursing: Some Facts | |
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| Multiple Ethical Obligations/Responsibilities | |
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| Nursing Roles and Ethics-Historical Background | |
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| Moral Distress | |
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| Dynamics and Loyalties | |
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| Nurse-Doctor Relations | |
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| Nursing: A Traditional Female Occupation | |
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| Paternalism | |
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| Enduring Issues in Nursing | |
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| Can Nurses Be Ethical? | |
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| Advocacy | |
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| Mechanisms for Discussing Dilemmas | |
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| How Do We Know Right from Wrong? | |
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| Notes | |
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| References | |
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| Rights, Obligations, and Health Care | |
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| Concepts of Rights | |
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| Rights and Obligations in Health Care | |
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| Patient Rights and Obligations in Health Care | |
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| Further Thoughts for Nursing Practice | |
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| Case Study I | |
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| Case Study II | |
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| Notes | |
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| References | |
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| Ethical Principles of Informed Consent | |
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| Research and Informed Consent | |
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| Regulations and Human Subjects | |
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| Informed Consent and the Research Subject | |
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| Informed Consent and Selected Human Subjects | |
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| Informed Consent and Treatment | |
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| Informed Consent and Nursing | |
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| Case Study I | |
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| Case Study II | |
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| Notes | |
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| References | |
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| Abortion | |
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| Introduction | |
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| The Religious and Historical Context | |
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| The Legal and Political Context | |
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| The Medical and Scientific Context | |
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| The Ethical Dilemma of Abortion | |
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| Rights of the Fetus | |
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| Rights and Obligations of the Pregnant Woman | |
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| Rights and Obligations of Society | |
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| Abortion and Nursing | |
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| Case Study I | |
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| Case Study II | |
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| Notes | |
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| References | |
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| Dying and Death | |
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| Introduction | |
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| Determining When Someone Is Dying or Dead | |
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| Euthanasia: The Good Death | |
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| Suicide and Assisted Suicide as an Ethical Dilemma | |
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| Further Thoughts for Nursing Practice | |
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| Case Study I | |
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| Case Study II | |
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| Notes | |
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| References | |
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| Mental Illness and Development Disability | |
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| Introduction | |
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| Deviancy and Mental Illness | |
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| Coercion and Freedom | |
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| Ethical Dilemmas and Mental Illness | |
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| Implications for Nursing Practice | |
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| Developmental Disability | |
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| Definition and Labeling | |
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| Developmental Disability: Law, Ethics, and Social Policy | |
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| Ethical Implications for Nursing Practice | |
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| Case Study I Mentally III | |
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| Case Study II Developmentally Disabled | |
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| References | |
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| Policy, Ethics, and Health Care | |
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| Historical, Legislative, and Political Background | |
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| Health Care Policy-Recent Decades | |
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| Ethical Dimensions of Health Policy | |
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| Further Thoughts for Nursing | |
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| Case Study I | |
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| Case Study II | |
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| Note | |
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| References | |
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| Where to Next: Gathering the Issues | |
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| Changes in Science and Technology | |
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| Changes in Society | |
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| Changes in the World | |
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| Conclusion | |
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| Notes | |
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| References | |
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| Appendix: Resources | |
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| Index | |