There is increased use of technology and informatics, heavier workloads and constant changes in the way in which disease processes are managed. Yet, when compared with other health professionals, nurses still spend a great deal of time in direct contact with patients and clients. They stay at the bedside, listen to their stories, give comfort and advocate.
The Ethic of Care: A Moral Compass for Canadian Nursing Practice is unique from other nursing ethics textbooks in several key ways. The book adds a heightened dimension to the already rich knowledge in the field of applied nursing ethics and the ethic of care. The author argues that the ethic of care, or the moral imperative to act justly, be the guiding compass for everything that nurses do. It is with passion and conviction that nurses are encouraged to embody the ethic of care as a ""lived virtue."" Nurses are also inspired to be the leaders of tomorrow by working toward achieving accountability and sustainability in the Canadian publicly funded health care system and by effectively addressing social inequities. At the end of each chapter the author conveys real-life case studies, as derived from her experiences as a critical care nurse, psychiatric nurse clinician and former Coroner. These vignettes bring the subject to life and serve as a means for applying newly acquired ethical knowledge. The aim of this book is to inspire nurses to be as skillful, and compassionate as they can be so that they will leave every encounter with their clients, better than when they first arrived. The book attempts to inspire nurses to be ethical leaders for social change at the patient/client, community and global level.
This revised edition of the book includes additional information about trauma-informed care to combat systemic racism and improve the health outcomes for Indigenous peoples; ethics, gender and sexual orientation is dealt with in an inclusive and sensitive way, and a new Code of Conduct has been included.
Table of Contents
Chapter 1 The Ethics Of Care: Our Moral Compass
- Learning Guide
- After Completing This Chapter, The Reader Should Be Able To
- Introduction
- Ethics
- Philosophical Ethical Theories: A Basic Overview
- Utilitarianism
- Act Utilitarianism Versus Rule Utilitarianism
- Utilitarianism, Distributive Justice & Health Care Service
- Criticisms Of Utilitarianism
- Deontology
- How Deontology Differs From Utilitarianism
- Act Deontology
- Rule Deontology
- Kantian Rule Deontology: The Hypothetical Imperative & Categorical Imperative
- Criticisms Of Kantianism
- Principlism
- Applied Nursing Ethics & Ways Of Knowing
- The Origins Of The Ethic Of Care
- The Ethic Of Care, Feminism, Humanism & Phenomenology
- Feminism
- Carl Rogers, The Forefather Of Humanism & Phenomenology
- The Ethic Of Care & The Ethic Of Justice
- The Case For The Ethic Of Care
- Is The Ethic Of Care Still Valid For Today’S Nursing Practice?
- Care As A Foundation For Nursing
- The Ethic Of Care As A Lived Virtue
- Florence Nightingale, Virtue Ethics & Nursing As A Calling
- The Multifaceted Aspects Of Care
- Mayerhoff’S Qualities Of Care
- Knowledge & Care
- Alternating Rhythms Of Care
- Demonstrating Patience
- Being Honest And Trustworthy
- Showing Humility
- Having Hope
- Maintaining Courage
- Perlman’S Inventory Of Caring Traits
- Warmth
- Acceptance
- Caring-Concern
- Genuineness
- Empathy
- What Deliberate Actions Are Associated With Empathy?
- What Impedes Empathy?
- We Can Learn To Be More Empathetic
- Stephany’S Components Of The Mosaic Of Care
- Compassion
- The Importance Of Self-Compassion
- Generosity & Care
- Unconditional Positive Regard
- Presencing & Silence
- Questions Pertaining To The Case In Point:
- Reflecting Back
- Summary Of Key Points Covered In Chapter 1
- Something To Ponder
- Classroom Group Exercises
- Recommended Readings
- Web Resource
- Consent For Publication
- Conflict Of Interest
- Acknowledgements
- References
Chapter 2 Integrating Sound Moral Principles Into Practice
- Learning Guide
- After Completing This Chapter, The Reader Should Be Able To
- How Moral Principles Fit In With The Ethic Of Care
- Integrity: The Ethical Value That Guarantees All Other Values
- Veracity: Only The Truth Will Do
- Fidelity
- The Importance Of Keeping Promises
- Respect For Self-Worth: Planting The Seeds Of Self-Esteem
- Blaming The Victim Poses A Barrier To Honouring Self-Worth
- Deliberately Looking For The Good In Others
- Beneficence
- Non-Maleficence
- Non-Maleficence & Choosing Less Harmful Treatment Options
- Respecting Client Autonomy
- Threats To Client Autonomy
- Mental Health Clients & Autonomy
- Moral Courage: Daring To Be Brave
- Moral Courage, The Ethic Of Care & Advocacy
- Key Attributes Of Moral Courage In Nursing
- Impediments To Moral Courage
- Questions Pertaining To The Case In Point:
- Reflecting Back
- Summary Of Key Points Covered In Chapter 2
- Something To Ponder
- Classroom Group Exercises
- On Your Own
- Recommended Reading
- Web Resource
- Consent For Publication
- Conflict Of Interest
- Acknowledgements
- References
Chapter 3 The Cna Code Of Ethics Part I: Integrating Nur- Sing Ethical Values & Responsibilities Into Care
- Learning Guide
- After Completing This Chapter, The Reader Should Be Able To
- The Relationship Between Ethics & The Law
- How Laws Are Made In Canada
- The Province Of Quebec & Civil Law
- Canadian Democracy & The Canadian Constitution
- The Canadian Nurses Association (Cna)
- The Cna Code Of Ethics
- The Purpose Of The Cna Code Of Ethics
- The Foundation Of The Cna Code Of Ethics
- The Cna Code Of Ethics & The Ethic Of Care
- Part I Of The Cna Code Of Ethics: Nursing Values & Ethical Responsibilities
- Value A: Providing Safe, Compassionate, Competent & Ethical Care
- Safety First
- Safety & Nursing Research
- Compassionate Care
- Competent Nursing Care & Client Safety
- When You Suspect That A Member Of The Health Care Team May Be Practicing Unsafely Or
- Unethically
- Value B: Promoting Health & Wellbeing
- Value C: Promoting & Respecting Informed Decision-Making
- The Sensitive Issue Of Deferred Decision-Making
- Value D: Honouring Dignity
- Dignity In Death
- The Role Of The Nurse Practitioner (Np) & Registered Nurse (Rn) In Medical Assistance In
- Dying (Maid)
- Value E: Maintaining Privacy And Confidentiality
- Ensuring That Clients Have Access To Their Own Records
- When Breaching Confidentiality Is Necessary
- When Is Self-Disclosure Okay & When Is It Not Appropriate?
- Value F: Promoting Justice
- There Is Never A Right Time To Discriminate
- Value G: Being Accountable
- Questions Pertaining To The Case In Point
- Reflecting Back
- Summary Of Key Points Covered In Chapter 3
- Something To Ponder
- Classroom Group Exercises
- On Your Own
- Recommended Readings
- Web Resources
- Consent For Publication
- Conflict Of Interest
- Acknowledgements
- References
Chapter 4 Values Clarification: Identifying What Matters To Nurses And Clients & Respecting The Differences
- Learning Guide
- After Completing This Chapter, The Reader Should Be Able To
- When Nurse & Client Values Differ: Respecting Client Autonomy
- What Are Values?
- What Is The Relationship Between Values, Beliefs & Attitudes?
- The Importance Of Values Clarification
- Using Self-Awareness To Unlock Hidden Values
- Reflective Journaling Is The Key To Self-Awareness
- Journaling For Answers
- Utilizing Empathetic Listening To Respect Values That Differ From Your Own
- Moral Agency, Moral Residue, Moral Disengagement: When Caring Becomes Challenging
- When Client’S Moral Decisions Conflict With Your Own: The Importance Of Self-Care
- Moral Outrage
- Determining Your Inherent Value
- Questions Pertaining To The Case In Point
- Reflecting Back
- Summary Of Key Points Covered In Chapter 4
- Something To Ponder
- Classroom Group Exercises
- On Your Own
- Recommended Readings
- Web Resources
- Consent For Publication
- Conflict Of Interest
- Acknowledgements
- References
Chapter 5 Utilizing Tools For Ethical Decision Making
- Learning Guide
- After Completing This Chapter, The Reader Should Be Able To:
- Setting The Stage: Determining The Association & Differences Between Key Ethical Terms
- The Utility Of Ethical Decision-Making Models & Frameworks
- The Mosaic Model For Ethical Decisions
- A Framework For Ethical Decision Making
- Apply An Ethical Decision-Making Model Or Framework To The
- Case In Point:
- Reflecting Back
- Summary Of Key Points Covered In Chapter 5
- Something To Ponder
- Classroom Group Exercise
- On Your Own
- Recommended Readings
- Web Resources
- References
Chapter 6 Professionalism & Accountability: Inspiring Nur- Ses To Act Responsibly
- Learning Guide
- After Completing This Chapter, The Reader Should Be Able To:
- Professionalism
- Key Components Of The Nursing Profession
- I. Professional Responsibility And Accountability
- Ii. Knowledge-Based Practice
- Iii. Competent Application Of Knowledge
- Iv. Professional Code Of Ethics
- Ethics Committees
- V. Provision Of Services In The Public Interest
- Vi. Self-Regulation
- Setting Boundaries In Professional Relationships
- The Nursing Profession As A Call To Care
- Accountability & The Ethic Of Care
- Universal Connectedness
- Caring Action & Protecting The Vulnerable
- Being Accountable: An Overview Of Cna Code Of Ethics
- Responsibilities
- Scope Of Practice
- Fitness To Practice
- Conflict Of Interest
- Mental Health Advocacy & Additional Responsibilities
- Accountability & The Order Of Priorities
- 1. Clients Come First
- 2. Society Deserves To Be Protected
- 3. Nurses Are Responsible To Their Profession
- 4. Where Do Institution’S Policies Fit In?
- 4. Questions Pertaining To The Case In Point:
- Questions Pertaining To The Case In Point:
- Reflecting Back
- Summary Of Key Points Covered In Chapter 6
- Something To Ponder
- Classroom Group Exercises
- On Your Own
- Recommended Readings
- Web Resources
- References
Chapter 7 Advocacy: The Heart Of Nursing
- Learning Guide
- After Completing This Chapter, The Reader Should Be Able To
- Nursing Advocacy & The Individual
- Advocacy & Informed Consent
- Paternalism & Advocacy
- Nursing Advocacy & Protecting Public Access To Health Care
- Historical Underpinnings: Why Canada Has Publicly Funded Health Care
- Health Care For All People
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Author
- Kathleen Stephany
