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A central challenge motivates this work: How, if at all, can philosophical ethics help in the moral development of health professionals? Bandman's three-part response is to argue, first, that there are justifiable answers to questions in health care ethics. To support this idea, he singles out a trilogy of related health care rights that are justifiably held by health consumers and for which health providers are responsible. These include rights to respect, to receive and to refuse treatment. These are vital to the principle of informed consent and to patient and provider autonomy. Secondly, the functioning of these health care rights depends on the ongoing cultivation and habitual practice of relevant virtues, such as dedicated and trained intelligence, practical wisdom, responsibility, caring and integrity. Thirdly, Bandman tries to show how health care ethics makes use of the dynamic interplay between signficant and relevant cases, historical and current, real and imaginary along with recognition of laws, customs, conventions and rules; together with philosophical theories of morality. An underlying theme of this book is the role of conditionals in health care ethics. The aim of Bandman's work is to examine conditions and opportunities that promote the moral development of health professionals. Moral rights and virtues, comprising standards, can be taught and learned, known, understood and accepted. These standards comprise justifiable principles for effectively guiding the conduct of health professionals. Rights and virtues help differentiate right from wrong decisions in health care ethics; and thereby provide an appropriate basis for the moral development of health professionals.
Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.
This book compiles state-of-the art and science of health professions education into an international resource showcasing expertise in many and varied topics. It aligns profession-specific contributions with inter-professional offerings, and prompts readers to think deeply about their educational practices. The book explores the contemporary context of health professions education, its philosophical and theoretical underpinnings, whole of curriculum considerations, and its support of learning in clinical settings. In specific topics, it offers approaches to assessment, evidence-based educational methods, governance, quality improvement, scholarship and leadership in health professions education, and some forecasting of trends and practices. This book is an invaluable resource for students, educators, academics and anyone interested in health professions education.
Dealing primarily with nursing in South Africa and the particular challenges that the country's nurses encounter, this book looks at the ethical questions confronting nurses as well as the moral philosophy behind those considerations. Ubuntu—the African notion that everyone in a community is responsible for the welfare of its members—plays a large part in the moral deliberations of the book, as do problems particular to South Africa. This second edition is updated with new case studies on the AIDS pandemic as well as new ethical questions stemming from the legalization of abortion in South Africa and the rise in the power of health worker unions.
Suffering is an unavoidable reality in health care. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions. Moral suffering is the anguish that occurs when the burdens of treatment appear to outweigh the benefits; scarce human and material resources must be allocated; informed consent is incomplete or inadequate; or there are disagreements about goals of treatment among patients, families or clinicians. Each is a source of moral adversity that challenges clinicians' integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. If moral suffering is unrelieved it can lead to disengagement, burnout, and undermine the quality of clinical care. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. It is vital to shift the focus to solutions and to expanded individual and system strategies that mitigate the detrimental effects of moral suffering. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self-regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.
Every year in this country, some 10,000 college and university courses are taught in applied ethics. And many professional organizations now have their own codes of ethics. Yet social science has had little impact upon applied ethics. This book promises to change that trend by illustrating how social science can make a contribution to applied ethics. The text reports psychological studies relevant to applied ethics for many professionals, including accountants, college students and teachers, counselors, dentists, doctors, journalists, nurses, school teachers, athletes, and veterinarians. Each chapter begins with the research base of the cognitive-developmental approach--especially linked to Kohlberg and Rest's Defining Issues Test. Finally, the book summarizes recent research on the following issues: * moral judgment scores within and between professions, * pre- and post-test evaluations of ethics education programs, * moral judgment and moral behavior, * models of professional ethics education, and * models for developing new assessment tools. Researchers in different professional fields investigate different questions, develop different research strategies, and report different findings. Typically researchers of one professional field are not aware of research in other fields. An important aim of the present book is to bring this diverse research together so that cross-fertilization can occur and ideas from one field can transfer to another.
Build the skills you need to understand and resolve ethical problems! Ethical Dimensions in the Health Professions, 7th Edition provides a solid foundation in ethical theory and concepts, applying these principles to the ethical issues surrounding health care today. It uses a unique, six-step decision-making process as a framework for thinking critically and thoughtfully, with case studies of patients to illustrate ethical topics such as conflict of interest, patient confidentiality, and upholding best practices. Written by Regina F. Doherty, an educator and occupational therapist, this book will help you make caring and effective ethical choices that improve patient care and outcomes. - UNIQUE! Ethical decision-making process provides an organizing framework to use in making the best decisions when faced with ethical problems. - Patient stories depict real-life situations and demonstrate the ethical decision-making process. - Reflection boxes depict important concepts and stimulate critical thinking. - Summary boxes highlight the most important information in each section. - Coverage of interprofessional team decision-making reflects this important, expanding movement in healthcare nationally and internationally. - Questions for thought and discussion encourage students to apply the ethical decision-making process to different situations. - NEW! Updated content throughout the book reflects the changes in the growing interprofessional movement. - NEW! Expanded content on clinician well-being includes tools for supporting moral resilience and preventing burnout in health professionals. - NEW! Updated content addresses the topics of social justice, health disparities, intersectionality, and health outcomes. - NEW! Updated national standards and regulations are provided for electronic health communications, data protections, and clinical research. - NEW! Coverage of scientific literature is expanded with studies on the effects of compassion on patient outcomes, patient safety, and provider and organizational well-being. - NEW! Coverage of ethical issues impacting healthcare and society includes topics such as medical scarcity due to healthcare supply chain shortages and extreme weather events due to climate change.
​The goal of this open access book is to develop an approach to clinical health care ethics that is more accessible to, and usable by, health professionals than the now-dominant approaches that focus, for example, on the application of ethical principles. The book elaborates the view that health professionals have the emotional and intellectual resources to discuss and address ethical issues in clinical health care without needing to rely on the expertise of bioethicists. The early chapters review the history of bioethics and explain how academics from outside health care came to dominate the field of health care ethics, both in professional schools and in clinical health care. The middle chapters elaborate a series of concepts, drawn from philosophy and the social sciences, that set the stage for developing a framework that builds upon the individual moral experience of health professionals, that explains the discontinuities between the demands of bioethics and the experience and perceptions of health professionals, and that enables the articulation of a full theory of clinical ethics with clinicians themselves as the foundation. Against that background, the first of three chapters on professional education presents a general framework for teaching clinical ethics; the second discusses how to integrate ethics into formal health care curricula; and the third addresses the opportunities for teaching available in clinical settings. The final chapter, "Empowering Clinicians", brings together the various dimensions of the argument and anticipates potential questions about the framework developed in earlier chapters.
A CHOICE Outstanding Academic Title 2014! This class-tested text provides a comprehensive overview of the classical and current theories of moral development and applications of these theories in various counseling and educational settings. Lively and accessible, this text engages students through numerous examples and boxes that highlight applications of moral development concepts in today’s media and/or interviews from some of today’s leading theorists or practitioners. Dilemma of the Day boxes help readers apply theory to real world situations. Each chapter concludes with discussion questions and further resources. Summary tables of theory strengths and weaknesses (Part 1) and tables that connect applications to their theoretical roots are provided in Part 2. Other highlights include: Provides an excellent resource for courses addressing the CACREP program objectives for Human Growth and Development. Emphasis on application helps readers make the connection between theory and moral issues of our time. Examines changes across time and experience in how people understand right and wrong and individual differences in moral judgments, emotions, and actions. Demonstrates how theory is used by today‘s helping professionals (Part 1). Integrates issues of gender and ethnicity throughout to prepare readers for practicing in a global culture. Chapter on global perspectives (ch. 6) reviews theories on the cultural aspects of morality including examples from China, Islam, Latin America, and Africa. Reviews the latest research methods techniques used in the field. Integrates classic work with contemporary guidelines for assessment and treatment. Highlights research on the moral and empathic development of antisocial youth, psychopaths, and individuals diagnosed on the Autism Spectrum. Each chapter in Part 1 provides a comprehensive overview of the theory under review, its strengths and challenges, and examples of how the theory applies to helping professionals. The theories covered include those by Freud, Piaget, Kohlberg, Rest, Gilligan, Nodding, Bandura, Turiel, Nucci, Haidt, and Shweder. Part 1 concludes with a summary of the key points and the strengths and weaknesses of each of the theories reviewed. Part 2 highlights promising applications of moral development theory in education and counseling. These include coverage of character education programs based on sound developmental theory and examples of how drawing on a deep grounding in moral development theory can help future counselors better evaluate their clients’ cognitive, emotional and behavioral challenges. The text explores specific approaches to helping clients with a variety of dysfunctional or developmental behavior problems like conduct disorder and psychopathy. Ideal as a text for advanced undergraduate and/or graduate courses on moral development or moral psychology or as a supplement in courses on human and/or child and/or social and personality development taught in psychology, counseling, education, human development, family studies, social work, and religion, this book’s applied approach also appeals to mental health and school counselors.
Learn to recognize, understand, and resolve ethical problems in the workplace with Ethical Dimensions in the Health Professions, 6th Edition. Ideal for all practicing and aspiring healthcare professionals, this unique text gives readers a solid foundation in basic ethical theory, the terms and concepts of ethics, and the numerous ethical issues surrounding health care today. The new sixth edition centers on the six-step decision-making process and includes expanded patient case studies and an increased emphasis on working within inter-professional care teams toward the resolution of ethical problems. With all of its tools and guidance, Ethical Dimensions gives readers the framework needed to make ethical and effective choices in the workplace. UNIQUE! Process of ethical decision-making provides readers with an organizing framework to use in making the best decisions in the face of ethical problems. Reflection boxes highlight important concepts and stimulate critical thinking. Patient stories depict real-life situations and demonstrate the ethical decision-making process. Summary boxes offer a quick review of the important information in each section. Content on current laws and institutional policies make readers aware of their legal responsibilities as well as their ethical ones. Questions for thought and discussion encourage readers to apply the ethical decision-making process to different situations. NEW! Expanded patient stories include current innovations and issues in ethics. NEW! Additional content on interprofessional team decision-making reflects an important expanding movement in healthcare nationally and internationally.