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Foreword v
Preface vii
Preparation for ethical decision making 1
Value formation and value conflict 5
The nature of values 6
Cultural values 7
Religious values 9
Personal values 9
Professional values 10
Value conflicts 11
The discipline of ethics 15
Traditional western ethics 16
Theories of ethics 20
Principles of ethics 22
Beyond traditional theories of ethics and principlism 26
Ethics and the law 32
Bioethics 33
Ethical concepts for nursing practice 39
Advocacy 39
Accountability/responsibility 41
Cooperation 43
Caring 45
Consensus on the concepts 46
Standards of ethical conduct in nursing 51
Early standards for nurses' ethical behaviours 51
Development of nursing codes of ethics 53
Purpose of a code of ethics 54
Common themes in nursing codes of ethics 54
Application and enforcement of nursing codes ofethics 56
Ethical analysis and decision making in nursing practice 59
Models for ethical analysis and decision making 59
A model for ethical analysis and decision making in nursing practice 62
Taking ethical action 65
Ethical responsibilities of the nurse 67
Promoting health 69
Preventing illness 81
Restoring health 97
Alleviating suffering 109
Applying ethics to nursing practice 121
Nurses and people 123
Serving people who need nursing care 123
Individual versus collective good 127
Respecting values, customs and spiritual beliefs 129
Protecting human rights and dignity 132
Nurses and practice 139
Allocating nursing care 140
Delegating nursing authority to others 142
Accepting responsibility for nursing care 148
Nurses and the profession 153
Implementing desirable standards of nursing practice and nursing education 154
Participating in research involving human participants 156
Equitable social and economic working conditions in nursing 162
Nurses and co-workers 169
Cooperating with physicians 170
Cooperating with nurses and other co-workers 172
Reporting incompetent nursing care 178
Teaching ethics to nurses 185
Taking moral action 197
Glossary 205
ICN Code of Ethics 211
Index 219
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