I. Foundational Concepts in Ethics
Two Basic Schools of Thought (Derivation of Ethical Theories)
II. Deontology and Kantian Ethics
II. Teleology and Consequentialism (Utilitarianism)
C. Major Historical Figures
D. Types of Utilitarianism
E. Utilitarianism in Healthcare
Value and Virtue Classifications
B. Modern Proponents of Virtue Ethics
C. Virtue Ethics in Nursing
V. Moral Particularism and Core Ethical Knowledge
VI. Autonomy, Competence, and Beneficence
B. Autonomy and the Deontological Tradition
Six. Principles and Theories of Justice
Major Categories and Applications of Justice
B. Distributive Justice Realities
Distributive Justice at All Levels:
Nonmaleficence and Philosophical Definitions of Harm
A. Ethical Theories on Harm: "Harm is What?"
B. Harm in the Clinical Setting
C. Harm Beyond the Physical
Clinical Misconduct, Autonomy, and Violations
B. Harm as a Violation of Autonomy
Beneficence as a Professional Expectation
A. Beneficence Tied to Key Frameworks
B. Beneficence in Practice
The Shift Beyond Beneficence: The Rise of Autonomy
B. Paternalism versus Autonomy
C. Modern Patient Dynamics Patients now:
Respect for Persons and Veracity in Nursing Practice
C. Violations of Veracity in Nursing Ethics
Andrew Jameton's Classifications:
D. Accountability and Deception in Nursing
Truth-Telling and Trust in Nursing
Veracity and Patients' Rights
Veracity in Nursing and Medicine
Truth-Telling versus Beneficence
Joseph Ellin on Medical Truth-Telling
Sissela Bok's Critique of Medical Deception
Historical Silence on Veracity in Healthcare Ethics
Differences Between Nursing and Medicine on Disclosure
Privacy and Confidentiality in Nursing
Nursing Responsibility in Safeguarding Privacy
Commitment to Confidentiality-Nightingale Pledge
Privacy as an Expression of Autonomy
Hazel Markus and Brian Lockwood on Privacy
Confidentiality as Respect for Persons
Ethical Arguments for Maintaining Confidentiality
Privacy as Respect for Autonomy
Risks of Casual Disclosure and Record Access
Protecting Sensitive Information in Practice
The Importance of Confidentiality in Protecting Vulnerable Patients
Confidentiality and Utility (Practical Benefits)
Confidentiality and the "Chilling Effect"
Limits of Confidentiality-When Exceptions May Apply
Exceptions to Confidentiality in the Interest of Public Safety
Foreseeability and the Duty to Warn
The Vulnerability Principle
Ethical versus Legal Considerations
Confidentiality Carries Legal Weight
Fidelity as a Professional Obligation
Faithfulness to Society and Professional Commitments
Fidelity Within the Nurse-Patient Relationship
Limits of Fidelity: Weighing Promises
Understanding Paternalism in Nursing
Parentalism in Health Care
Advocacy and Justified Parentalism
Parentalism, Advocacy, and Patient Autonomy
Concerns About Paternalism in Nursing
Respecting the Whole Person in Decision-Making
Perspectives on Paternalism in Nursing and Medicine
Historical and Cultural Influences on Views of Paternalism
Assessing Patients' Ability to Follow the Plan of Care
Barriers to Compliance in Health Care
Ethical Principles and Respect
Respecting Patient Autonomy in Health Care Decisions