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Awarded second place in the 2023 AJN Book of the Year Awards in the Professional Issues category! Nursing Ethics: Across the Curriculum and Into Practice continues to provide a solid ethical foundation for nursing students in an updated sixth edition. This comprehensive, easy-to-read text covers ethics across the nursing curriculum, making it a perfect fit for any undergraduate course. Logically divided into three parts, Nursing Ethics, Sixth Edition underscores how ethics is interwoven with nearly every aspect of professional nursing practice. It guides students through the foundations of ethics in nursing, ethical considerations across the lifespan, and ethical considerations for areas such as leadership and public health. Engaging learning features, including case studies, legal perspectives, and research notes bring concepts to life and serve to remind students that ethics really does sit at the heart of professional nursing practice and quality patient care. The Sixth Edition features information on current mainstream topics as related to nursing ethics, including: * Updated content on the status of abortion; * Updated content reflecting and referencing the overturning of Roe v. Wade by the Supreme Court; * Updated content related to women's rights/pro-life arguments; * Contains new information and a case study surrounding the RaDonda Vaught case; * Updated content related to HPV and the.

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• Preface(p. xv)
• Part I Theories and Concepts(p. 1)
• Chapter 1 Introduction to Ethics(p. 3)
• Introduction to Ethics(p. 3)
• The Meaning of Ethics and Morals(p. 4)
• Types of Ethical Inquiry(p. 5)
• Ethical Perspectives(p. 6)
• Ethical Relativism(p. 6)
• Ethical Objectivism(p. 7)
• Values and Moral Reasoning(p. 7)
• Ancient Greece(p. 8)
• The Middle Ages(p. 10)
• Modern Philosophy and the Age of Enlightenment(p. 11)
• Postmodern Era(p. 12)
• Care-Based Versus Justice-Based Reasoning(p. 12)
• Learning from History(p. 13)
• Ethical Theories and Approaches(p. 13)
• Western Ethics(p. 13)
• Religion and Western Ethics(p. 13)
• Virtue Ethics(p. 14)
• Natural Law Theory(p. 16)
• Deontology(p. 17)
• Consequentialism(p. 18)
• Prima Facie Rights(p. 19)
• Principlism(p. 19)
• Casuistry(p. 20)
• Narrative Ethics(p. 20)
• Critical Theory(p. 21)
• Feminist Ethics(p. 22)
• Eastern Ethics(p. 22)
• Indian Ethics(p. 23)
• Chinese Ethics(p. 24)
• Chapter 2 Introduction to Bioethics and Ethical Decision Making(p. 27)
• Introduction to Bioethics(p. 27)
• Ethical Principles(p. 28)
• Autonomy(p. 30)
• Informed Consent(p. 31)
• Intentional Nondisclosure(p. 33)
• Patient Self-Determination Act(p. 35)
• The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules(p. 35)
• Nonmaleficence(p. 37)
• The Case of RaDonda Vaught: First, Do No Harm(p. 37)
• Date of Incident(p. 38)
• Relevant Background Information(p. 38)
• Events on the Day of the Medication Error: December 26, 2017(p. 38)
• Vaught's Work Repercussions(p. 39)
• The Cover-up(p. 40)
• TN Bureau of Investigation Report(p. 40)
• After Exposure of the Medication Error(p. 41)
• Other Information to Consider(p. 42)
• Futility(p. 43)
• Rule of Double Effect(p. 44)
• Slippery Slope Arguments(p. 44)
• Beneficence(p. 45)
• Paternalism(p. 46)
• Second Victim Phenomenon(p. 46)
• Justice(p. 48)
• Social Justice(p. 48)
• The Patient Protection and Affordable Care Act(p. 49)
• Professional-Patient Relationships(p. 51)
• Unavoidable Trust(p. 51)
• Human Dignity(p. 51)
• Patient Advocacy(p. 52)
• Moral Suffering(p. 52)
• Ethical Dilemmas(p. 54)
• Introduction to Critical Thinking and Ethical Decision Making(p. 55)
• Critical Thinking(p. 55)
• Moral Imagination(p. 56)
• The High, Hard Ground and the Swampy, Low Ground(p. 58)
• Reflective Practice(p. 58)
• The Four Topics Approach to Ethical Decision Making(p. 60)
• The Healthcare Team(p. 62)
• Chapter 3 Ethics in Professional Nursing Practice(p. 67)
• Introduction to Nursing Ethics(p. 68)
• Professional Codes of Ethics in Nursing(p. 70)
• ANA Code of Ethics for Nurses(p. 71)
• ICN Code of Ethics for Nurses(p. 72)
• Common Threads Between the ANA and ICN Codes(p. 72)
• Professional Boundaries in Nursing(p. 72)
• Ideal Nursing Ethical Competencies(p. 75)
• Moral Integrity(p. 75)
• Moral Distress(p. 76)
• Honesty(p. 77)
• Truthfulness and Truthtelling(p. 78)
• Withholding Information from Patients(p. 78)
• Benevolence(p. 79)
• Wisdom(p. 81)
• Moral Courage(p. 82)
• Communication(p. 84)
• Mindfulness(p. 84)
• Effective Listening(p. 86)
• Concern(p. 86)
• Advocacy(p. 86)
• Power(p. 87)
• Culturally Sensitive Care(p. 88)
• Nursing Professional Relationships(p. 91)
• Nurse-Physician Relationships(p. 91)
• Nurse-Nurse Relationships(p. 91)
• Horizontal Violence and Wounded Healers(p. 93)
• Improving Nurse-Nurse Relationships(p. 94)
• Nurses and Social Media(p. 94)
• Moral Spaces and Blurred Lines(p. 94)
• Social Media, Email, and Cell Phones(p. 95)
• Benefits of Using Social Media(p. 95)
• Perils of Using Social Media(p. 95)
• Actual Cases of Violations(p. 96)
• Strategies for Using Social Media(p. 98)
• Part II Nursing Ethics Across the Life Span(p. 105)
• Chapter 4 Reproductive Issues and Nursing Ethics(p. 107)
• Introduction to Ethics in Reproductive Health(p. 108)
• Reproductive Health(p. 108)
• Moral Standing of Humans(p. 109)
• Potentiality View(p. 110)
• Biological View(p. 111)
• Interests View(p. 111)
• Maternal-Fetal Conflict(p. 112)
• Conflict of Rights Issues(p. 112)
• Reproductive Rights(p. 112)
• Civil Liberties and Legal Decisions(p. 113)
• Abortion(p. 115)
• Federal Abortion Ban Preventing Partial-Birth Abortion(p. 116)
• Pro-Choice Versus Pro-Life Views(p. 118)
• Pro-Choice View(p. 118)
• Pro-Life View(p. 119)
• Speaking Out(p. 120)
• Reproductive Technology(p. 122)
• Ethical Issues of Reproductive Technology(p. 123)
• Issues of Other Reproductive Services(p. 125)
• Genetic Screening and Testing(p. 126)
• Maternal Substance Abuse(p. 127)
• Nursing Care of Childbearing Women(p. 128)
• Chapter 5 Infant and Child Nursing Ethics(p. 133)
• Mothering(p. 133)
• Foundations of Trust(p. 134)
• Vaccinations(p. 135)
• Undocumented Immigrant Children(p. 138)
• Global Problems of Childhood Poverty and Infectious Diseases(p. 139)
• Abused and Neglected Children(p. 141)
• Surrogate Decision Making(p. 143)
• Withholding Information from Children(p. 143)
• Refusal of Treatment(p. 144)
• Impaired and Critically Ill Children(p. 145)
• Quality of Life(p. 145)
• Withholding and Withdrawing Treatment(p. 146)
• 1971: Johns Hopkins Cases(p. 147)
• 1984: Child Abuse Amendments (Baby Doe Rules)(p. 147)
• Baby Jane Doe: Kerri-Lynn(p. 148)
• 1993: In the Matter of Baby K(p. 150)
• The Influence of Nurses: Character(p. 150)
• Chapter 6 Adolescent Nursing Ethics(p. 155)
• The Age of Adolescence(p. 155)
• Ethical Issues and Concerns Involving Adolescents(p. 156)
• Adolescent Relationships and Communication(p. 157)
• Confidentiality, Privacy, and Trust(p. 157)
• Trust-Privacy-Confidentiality Dilemma(p. 158)
• Limits of Confidentiality(p. 159)
• Respect for Autonomy and Consent Process(p. 160)
• Covid-19 Vaccines for Adolescents, Autonomy, Nonmaleficence, and Beneficence(p. 161)
• Monitoring Systems and Side Effects(p. 161)
• The Ethics of Covid-19 Vaccines and Adolescents(p. 162)
• Adolescent Health Risk Behaviors, Nonmaleficence, and Beneficence(p. 163)
• Prevention Education for Adolescent Health Risk Behaviors(p. 165)
• Abstinence-Only Programs or Comprehensive Sex Education Programs(p. 166)
• Pregnancy and Abortion Related to Unprotected Sex(p. 168)
• HPV, HPV Vaccines and Benefits, HIV, and other STDs Related to Unprotected Sex(p. 169)
• HPV Infections(p. 169)
• HPV Vaccines and Benefits(p. 169)
• HIV Infection(p. 170)
• Other STDs(p. 172)
• Alcohol and Other Drug Abuse Related to Adolescents(p. 172)
• Eating Disorders Related to Adolescents(p. 174)
• Sexual Abuse Related to Adolescents(p. 175)
• Depression and Suicide ideation Related to Adolescents(p. 176)
• Facing Death(p. 178)
• Losing a Loved One(p. 178)
• Adolescents Facing Their Own Deaths(p. 179)
• Nursing Care of Adolescents(p. 179)
• Trustworthiness(p. 180)
• Genuineness(p. 180)
• Compassion(p. 180)
• Honesty(p. 180)
• Spiritual Considerations(p. 181)
• Chapter 7 Adult Health Nursing Ethics(p. 187)
• Medicalization(p. 187)
• Compliance, Adherence, and Concordance(p. 188)
• Valuing Self-Determination in a Medicalized Environment(p. 189)
• Cultural Views on Medicalization and Treatment Regimens(p. 190)
• Chronic Disease and Illness(p. 191)
• Ethical Concerns and Suffering(p. 193)
• Providing Ethical Care(p. 194)
• Organ Transplantation(p. 195)
• Organ Transplant Ethical Issues During the Early Years(p. 196)
• Organ Procurement(p. 196)
• Fair Allocation of Organs(p. 197)
• Ethical Issues of Death and the Dead Donor Rule(p. 197)
• Nurses and Organ Donors(p. 200)
• Chapter 8 Ethics and the Nursing Care of Elders(p. 203)
• Aging in America(p. 203)
• Life Meaning and Significance(p. 205)
• The Search for Meaning(p. 206)
• Updating the Eriksonian Life Cycle(p. 207)
• Moral Agency(p. 208)
• Decisional Capacity(p. 208)
• Autonomy and Paternalism(p. 209)
• Vulnerability and Dependence(p. 211)
• Dementia(p. 211)
• Virtues Needed by Elders(p. 212)
• Courage(p. 212)
• Humility(p. 213)
• Patience(p. 213)
• Simplicity(p. 213)
• Benignity(p. 213)
• Integrity(p. 213)
• Wisdom(p. 213)
• Detachment and Nonchalance(p. 214)
• Courtesy(p. 214)
• Hilarity(p. 214)
• Quality of Life(p. 215)
• Assessing the Capacity to Remain at Home(p. 217)
• Long-Term Care(p. 218)
• Elder Abuse(p. 220)
• Humanistic Nursing Care of Elders(p. 221)
• Chapter 9 Ethical Issues in End-of-Life Nursing Care(p. 225)
• What Is Death?(p. 226)
• The Ideal Death(p. 227)
• The Concept of Human Suffering of Dying Patients(p. 228)
• Responsibility of Nurses Toward Suffering Patients(p. 229)
• Euthanasia(p. 229)
• Salvageability and Unsalvageability Principle(p. 231)
• Historical Influences on the Definition of Death(p. 231)
• The Definition of Death(p. 232)
• Decisions About Death and Dying(p. 234)
• Advance Directives(p. 234)
• Surrogate Decision Makers(p. 235)
• Medical Futility(p. 237)
• Palliative Care(p. 240)
• The Right to Die and the Right to Refuse Treatment(p. 240)
• Withholding and Withdrawing Life-Sustaining Treatment(p. 241)
• Alleviation of Pain and Suffering in the Dying Patient(p. 244)
• Rule of Double Effect(p. 245)
• Terminal Sedation(p. 245)
• Physician-Assisted Suicide(p. 246)
• Rational Suicide(p. 246)
• Care for Dying Patients(p. 248)
• Compassionate Nurses and Dying Patients(p. 250)
• Physical and Emotional Pain Management(p. 250)
• Types of Pain(p. 250)
• Spiritual Considerations(p. 251)
• Part III Special Issues(p. 257)
• Chapter 10 Psychiatric/Mental Health Nursing Ethics(p. 259)
• Characteiistics of Psychiatric Nursing(p. 259)
• A Value-Laden Specialty(p. 260)
• The Practice Area of Mental Health: Unique Characteristics(p. 262)
• Ethical Implications of Diagnosis(p. 263)
• Anosognosia(p. 266)
• Stigma(p. 266)
• Advocacy(p. 267)
• Boundaries(p. 269)
• Whose Needs Are Being Served?(p. 270)
• Privacy, Confidentiality, and Privileged Communication(p. 271)
• Privacy(p. 271)
• Confidentiality(p. 273)
• Privileged Communication(p. 273)
• Decisional Capacity(p. 274)
• Statutory Authority to Treat(p. 274)
• Competence and Informed Consent(p. 275)
• Psychiatric Advance Directives(p. 275)
• Person-Centered Approach(p. 276)
• Humanistic Nursing Practice Theory(p. 276)
• Human-to-Human Relationship Model(p. 277)
• Recognizing Inherent Human Possibilities(p. 277)
• Chapter 11 Public Health Nursing Ethics(p. 281)
• Introduction(p. 281)
• Setting the Stage: Public Health Is Controversial(p. 282)
• Ethical Theories and Approaches to Public Health(p. 288)
• Kantian Ethics (Deontology)(p. 288)
• Utilitarianism (Consequentiaiism)(p. 288)
• Communitarian Ethics(p. 288)
• Social Justice(p. 290)
• Virtue Ethics: Just Generosity(p. 291)
• Health Disparities(p. 292)
• The Precautionary Principle(p. 294)
• Environmental Justice(p. 295)
• Communicable Diseases(p. 296)
• Malaria(p. 298)
• Tuberculosis(p. 298)
• HIV/AIDS(p. 299)
• HIV Testing(p. 300)
• Pandemics: Influenza and Covid-19(p. 302)
• The Mann Gulch Fire(p. 308)
• Utilitarianism(p. 309)
• Communitarianism(p. 310)
• Respect for Autonomy(p. 310)
• Beneficence(p. 312)
• Justice(p. 313)
• Terrorism and Disasters(p. 313)
• Genomics(p. 315)
• Public Health Nursing: Contributing to Building the World(p. 317)
• Service Learning(p. 317)
• Servant Leadership(p. 318)
• Chapter 12 Ethics in Organizations and Leadership(p. 323)
• Organizational Ethics(p. 323)
• Organizational Culture and the Ethical Climate(p. 324)
• Organizational Integrity and Trust(p. 325)
• Jennings's Seven Signs of Organizational Ethical Collapse(p. 327)
• Pressure to Maintain Numbers(p. 327)
• Fear and Silence(p. 327)
• Young 'Uns and a Bigger-than-Life CEO(p. 327)
• Weak Board(p. 327)
• Conflicts(p. 328)
• Innovation Like No Other(p. 328)
• Goodness in Some Areas Atones for Evil in Others(p. 328)
• Compliance and Ethics Programs(p. 328)
• Occupational Fraud and Abuse(p. 329)
• Conflicts of Interest(p. 329)
• Healthcare Fraud(p. 332)
• Leadership Ethics(p. 335)
• Normative Leadership Theories(p. 335)
• Servant Leaders(p. 336)
• Transformational Leaders(p. 336)
• Authentic Leaders(p. 337)
• Leader Challenges(p. 337)
• Using Power to Achieve Leader Success(p. 339)
• Collaboration(p. 340)
• Quality(p. 340)
• Leader Succession Planning(p. 340)
• Appendix A Case Studies(p. 343)
• Appendix B ICN Code of Ethics(p. 371)
• Appendix C Mississippi Advance Directive(p. 405)
• Glossary(p. 425)
• Index(p. 437)