What Patients Teach

Author: Larry R. Churchill
Publisher: Oxford University Press
ISBN: 9780199331192
Release Date: 2013-08-22
Genre: Medical

Being a patient is a unique interpersonal experience but it is also a universal human experience. The relationships formed when we are patients can also teach some of life's most important lessons, and these relationships provide a special window into ethics, especially the ethics of healthcare professionals. This book answers two basic questions: As patients see it, what things allow relationships with healthcare providers to become therapeutic? What can this teach us about healthcare ethics? This volume presents detailed descriptions and analyses of 50 interviews with 58 patients, representing a wide spectrum of illnesses and clinician specialties. The authors argue that the structure, rhythm, and horizon of routine patient care are ultimately grounded in patient vulnerability and clinician responsiveness. From the short interview segments, the longer vignettes and the full patient stories presented here emerge the neglected dimensions of healthcare and healthcare ethics. What becomes visible is an ethics of everyday interdependence, with mutual responsibilities that follow from this moral symbiosis. Both professional expressions of healthcare ethics and the field of bioethics need to be informed and reformed by this distinctive, more patient-centered, turn in how we understand both patient care as a whole and the ethics of care more specifically. The final chapters present revised codes of ethics for health professionals, as well as the implications for medical and health professions education.

Silent Partners

Author: Rebecca Dresser
Publisher: Oxford University Press
ISBN: 9780190459277
Release Date: 2016-11
Genre: Medical

When is a human study ethical? For years, science and society have struggled with this question. Experts have put great effort into developing ethical principles and rules that adequately protect and respect volunteers in studies aimed at improving human health. But experts have missed something important. They have created a research ethics system without the help of people who know what it is like to be a research subject. This is a serious omission. Experienced research subjects can make valuable contributions to research ethics. People who have been in studies have information about the experience that other people can overlook. Their experience as subjects gives them special insights into ethics, too. Experienced subjects also know about problems that can lead people to refuse to join studies, or drop out before studies are complete. Scientists and ethicists often speak of subjects as partners in research, but the reality is quite different. Experienced subjects are rarely appointed to the advisory groups that create guidelines for ethical research, or to the committees that review individual studies to determine whether they meet ethical and regulatory standards. A large body of work describes the perceptions and viewpoints of people who have participated in research. But experts rarely use this material to guide improvements in human subject protection. Although subjects have the power to decide whether to participate in a study, they have little control over anything else that goes on in research. Silent Partners moves research subjects to the forefront. It examines what research participation is like for healthy volunteers and patients. It explains why subjects' voices should influence research ethics. Silent Partners shows how experienced research subjects can become real-not just symbolic-partners in research.

Expertise in Nursing Practice Second Edition

Author: Patricia Benner RN, PhD, FAAN
Publisher: Springer Publishing Company
ISBN: 082618703X
Release Date: 2009-03-16
Genre: Medical

Named a 2013 Doody's Core Title! Nursing practice is a complex and varied field that requires precision, dedication, care, and expertise. Clinicians must have both the skills and the tools to attend to changes in patients' responses, recognize trends, and understand the nature of their patients' conditions over time. This book clearly delineates the skills needed to become an expert nurse. In this new edition, the editors present a report of a six-year study of over 130 hospital nurses working in critical care. Expanding upon the study conducted in the previous edition, this new book documents and analyzes hundreds of new clinical narratives that track the development of clinical skill acquisition, including caring, clinical judgment, workplace ethics, and more. Highlights of this book: Includes transitional guidance for nurses new to the field Discusses the primacy of caring and the importance of good clinical judgment Includes new practice models, including the Dreyfus Model of Skill Acquisition Provides guidelines for strengthening the nurse-patient relationship Presents implications for nursing education and patient safety Ultimately, this work defines expertise in nursing practice. The book serves as a valuable resource that will enable nurses to expand their knowledge base, cultivate their clinical skills, and become successful experts in nursing practice.

Quality Caring in Nursing and Health Systems

Author: Joanne R. Duffy, PhD, RN, FAAN
Publisher: Springer Publishing Company
ISBN: 9780826110152
Release Date: 2013-04-23
Genre: Medical

First Edition named an AJN Book of the Year! ìJoanne Duffy makes a compelling argument in this book that relationships have been marginalized and no longer serve as the central organizing principle of health servicesÖThis book resonates with a virtual groundswell of findings regarding the importance of relationships for organizational performance and for human wellbeing.î -Jody Hoffer Gittell Professor of Management, Brandeis University This edition stresses the proven need for a return to the patient-centered care neglected through our health systemís emphasis on procedures, protocols, diagnostic testing, technology, and costs. It addresses the significant challenges to quality care posed by the upcoming changes in our health care system, and focuses on health systems, the role of nursing within them, and the interprofessional health team as the key to change ensuring high quality care. The book responds to the Patient Protection and Affordable Care Actís focus on accountable care organizations, the recent IOMís Future of Nursing Report, the call for radical transformation of nursing education, and current evidence on patient safety and quality of care. This text explores the Quality-Caring Model©, which honors nursingís most deeply felt value, and can be applied to clinical, educational, and leadership practice to advance our nationís health system. Among the bookís strengths are its translation of theoretical knowledge to practical applications that can be used for clinical interventions and resolution of professional issues. Chapters include key terms, case studies along with practical exercises and references, and ìCalls to Actionî offering inspiration and guidance for implementing change. New to the Second Edition: Focuses on current challenges to quality care posed by upcoming changes to our health system Addresses health systems, the interprofessional health team, and the role of nursing within them Combines theoretical foundations for practice with clinical, leadership, and educational applications Examines the powerful role of relationships in promoting nursing excellence, improving patient satisfaction, and patient outcomes Serves as a key guide for graduate nurse educators and students, nurse leaders, and hospital leadership seeking Magnet certification Incorporates recommendations of the Affordable Care Actís focus on accountable care organizations, the IOMís Future of Nursing Report, educational transformation, and current research on safety and quality of care

Educating Nurses

Author: Patricia Benner
Publisher: John Wiley & Sons
ISBN: 9780470557150
Release Date: 2009-10-30
Genre: Education

Praise for Educating Nurses "This book represents a call to arms, a call for nursing educators and programs to step up in our preparation of nurses. This book will incite controversy, wonderful debate, and dialogue among nurses and others. It is a must-read for every nurse educator and for every nurse that yearns for nursing to acknowledge and reach for the real difference that nursing can make in safety and quality in health care." —Beverly Malone, chief executive officer, National League for Nursing "This book describes specific steps that will enable a new system to improve both nursing formation and patient care. It provides a timely and essential element to health care reform." —David C. Leach, former executive director, Accreditation Council for Graduate Medical Education "The ideas about caregiving developed here make a profoundly philosophical and intellectually innovative contribution to medicine as well as all healing professions, and to anyone concerned with ethics. This groundbreaking work is both paradigm-shifting and delightful to read." —Jodi Halpern, author, From Detached Concern to Empathy: Humanizing Medical Practice "This book is a landmark work in professional education! It is a must-read for all practicing and aspiring nurse educators, administrators, policy makers, and, yes, nursing students." —Christine A. Tanner, senior editor, Journal of Nursing Education "This work has profound implications for nurse executives and frontline managers." —Eloise Balasco Cathcart, coordinator, Graduate Program in Nursing Administration, New York University

Clinical Education in the Health Professions

Author: Clare Delany
Publisher: Elsevier Health Sciences
ISBN: 9780729579001
Release Date: 2009-09-28
Genre: Medical

Clinical settings are dynamic educational spaces that present both opportunities and barriers to learning and teaching. Designed to inform, challenge and educate health professionals about the evidence underpinning clinical education practices and outcomes, this multi-disciplinary book brings together important concepts in healthcare education and addresses context and processes of learning, professional identity and socialisation, feedback and assessment, ethics, and inter-professional education. The authors encourage teaching and learning practices based on research findings, expertise and innovation, and the development of individual teaching methods and styles from a theoretical base that provides relevant principles, direction and support. With clear links between theory, research and practice, collaboration from a broad range of clinical disciplines, and models for learning and teaching grounded in empirical research, Clinical Education in the Health Professions will become a standard reference for all health professionals and educators. examines patterns of practice in clinical education in the health professions, using a qualitative research focus identifies the roles of university and clinical educators, students, peers and patients in clinical education highlights implicit tensions in clinical education practice and presents strategies to identify and address such tensions challenges the reader to consider new approaches to clinical education that may optimise students’ learning and enculturation into the health professions Despite claims that clinical education lies at the heart of health care education, little empirical research has explored what constitutes effectiveness in clinical teaching and learning. This book draws on the research, ideas and expertise of researchers who have observed and researched different aspects of clinical education. Their research has spanned clinical education topics including professional identity and socialisation, assessment and feedback, pedagogical methods, clinical reasoning, dealing with ambiguity, dealing with diversity and interprofessional education. This book has been designed to synthesise empirical clinical education research and ideas about the context, value, processes and outcomes of clinical education. Each chapter presents a research based facet of clinical education as a platform from which knowledge and future research in clinical education can occur. The authors entice the reader to reconceptualise facets of their own teaching and learning practices based on research findings, expertise and innovation.

The Cambridge Medical Ethics Workbook

Author: Donna Dickenson
Publisher: Cambridge University Press
ISBN: 9780521734707
Release Date: 2010-10-14
Genre: Law

This edition of a widely praised case-based introduction to bioethics includes an interactive CD-ROM, for reference and group teaching.

Everyday Ethics

Author: Rosalie A. Kane
Publisher:
ISBN: UOM:49015000775594
Release Date: 1990
Genre: Medical

Offers authoritative explorations of the way ethical principles involving respect for autonomy, beneficience, and justice interplay in the world of case management.

The Cambridge Medical Ethics Workbook

Author: Michael Parker
Publisher: Cambridge University Press
ISBN: 0521788633
Release Date: 2001-03-22
Genre: Medical

This is a case-based introduction designed to examine the ethical questions raised by modern medical practice.

Health Care Ethics

Author: Benedict M. Ashley, OP
Publisher: Georgetown University Press
ISBN: 1589013379
Release Date: 2006-11-22
Genre: Medical

Health Care Ethics is a comprehensive study of significant issues affecting health care and the ethics of health care from the perspective of Catholic theology. It aims to help Christian, and especially Catholic, health care professionals solve concrete problems in terms of principles rooted in scripture and tested by individual experience; however, its basis in real medical experience makes this book a valuable resource for anyone with a general interest in health care ethics. This fifth edition, which includes important contributions by Jean deBlois, C.S.J., considers everyday ethical questions and dilemmas in clinical care and deals more deeply with issues of women's health, mental health, sexual orientation, artificial reproduction, and the new social issues in health care. The authors devote special attention to the various ethical theories currently in use in the United States while clearly presenting a method of ethical decision making based in the Catholic tradition. They discuss the needs of the human person, outlining what it means to be human, both as an individual and as part of a community. This volume has been significantly updated to include new discussions of recent clinical innovations and theoretical issues that have arisen in the field: • the Human Genome Project• efforts to control sexual selection of infants• efforts to genetically modify the human genotype and phenotype• the development of palliative care as a medical specialty• the acceptance of non-heart beating persons as organ donors• embryo development and stem cell research• reconstructive and cosmetic surgery• nutrition and obesity• medical mistakes• the negative effects of managed care on the patient-physician relationship• recent papal allocution regarding care of patients in a persistent vegetative state and palliative care for dying patients

Patients Rights Law and Ethics for Nurses Second Edition

Author: Paul Buka
Publisher: CRC Press
ISBN: 9781482217414
Release Date: 2014-07-14
Genre: Medical

The second edition of this acclaimed text integrates health care law and ethics in relation to patients’ rights and in the context of everyday nursing and health care practice. Focusing on principles of law and including clear outlines of the essential legal precedent, the author lays a solid foundation for understanding the intersection of law, ethics and the rights of the patient. Comprehensive yet pocket-sized, this is essential reading for nurses, midwives and allied health professionals. Provides a clear understanding not only of basic legal provisions in health care, but also of wider issues relating to human rights Covers topics such as ethical decision making, confidentiality, laws concerning older people, fraud and abuse, and employment regulations Uses an easy-to-read style that conveys key principles in an accessible way Includes thinking points, case studies and relevant case law to help link theory to practice

Nursing Ethics in Everyday Practice

Author: Connie M. Ulrich
Publisher: Sigma Theta Tau
ISBN: 9781935476504
Release Date: 2012
Genre: Medical

This book is written specifically for bedside/staff nurses at the front lines of health care in hospitals, hospice, long-term care, and home health care. Presented in a simple, easy-to-read and engaging style so that nurses can readily put the information to use in a clinical setting. Provides a framework that staff nurses can implement to resolve the ethical dilemmas they frequently encounter in practice. Great for students and covers both theory and practical applications.

Clinical Medical Ethics

Author: Laura Weiss Roberts
Publisher: Springer
ISBN: 9783319538754
Release Date: 2017-05-18
Genre: Medical

This instant gold standard title is a major contribution to the field of clinical medical ethics and will be used widely for reference and teaching purposes for years to come. Throughout his career, Mark Siegler, MD, has written on topics ranging from the teaching of clinical medical ethics to end-of-life decision-making and the ethics of advances in technology. With more than 200 journal publications and 60 book chapters published in this area over the course of his illustrious career, Dr. Siegler has become the pre-eminent scholar and teacher in the field. Indeed his work has had a profound impact on a range of therapeutic areas, especially internal medicine, pediatrics, surgery, oncology, and medical education. Having grown steadily in importance the last 30 years, clinical ethics examines the practical, everyday ethical issues that arise in encounters among patients, doctors, nurses, allied health workers, and health care institutions. The goal of clinical ethics is to improve patient care and patient outcomes, and almost every large hospital now has an ethics committee or ethics consultation service to help resolve clinical ethical problems; and almost every medical organization now has an ethics committee and code of ethics. Most significantly, clinical ethics discussions have become a part of the routine clinical discourse that occurs in outpatient and inpatient clinical settings across the country. This seminal collection of 46 landmark works by Dr. Siegler on the topic is organized around five themes of foundational scholarship: restoring and transforming the ethical basis of modern clinical medicine, the doctor-patient relationship, education and professionalism, end-of-life care, and clinical innovation. With introductory perspectives by a group of renowned scholars in medicine, Clinical Medical Ethics: Landmark Works of Mark Siegler, MD explains the field authoritatively and comprehensively and will be of invaluable assistance to all clinicians and scholars concerned with clinical ethics.

Handbook of Veterinary Nursing

Author: Hilary Orpet
Publisher: John Wiley & Sons
ISBN: 9781118279458
Release Date: 2011-11-28
Genre: Medical

Handbook of Veterinary Nursing presents essentialguidance and helpful tips on developing and delivering high qualitynursing care and skills. Fully updated, this easy-to-follow guide reflects recent changesto veterinary nursing qualifications, current terminology and drugsin use. The emphasis is on the importance of working methodically,using high quality procedures, to help the whole veterinary teamensure the most successful outcomes in animal care. Written in note form for quick reference by veterinary nursesand technicians at all stages of their training and career, thiswill be invaluable for both exam revision and quick reference inclinic. Contents include: The nursing process in veterinary care, physical assessment ofthe patient, managing the hospital environment, managing theoperating room, surgical nursing activities, anaesthesia,diagnostic imaging, diagnostic tests, triage and emergencyprocedures, and essential calculations for drugs, fluids, nutritionand radiographic exposures. Key features: •Gives clinical advice quickly and simply •Written by authors with many years experience of veterinarynurse training and education •Contains essential calculations •Illustrated in colour throughout

Ethics

Author: Leathard, Audrey
Publisher: Policy Press
ISBN: 1861347553
Release Date: 2007-01-10
Genre: Medical

While ethics has been addressed in the health care literature, relatively little attention has been paid to the subject in the field of social care. This book redresses the balance by examining theory, research, policy and practice in both fields. The analysis is set within the context of contemporary challenges facing health and social care, not only in Britain but internationally. Contributors from the UK, US and Australia consider ethical issues in health and social care research and governance; interprofessional and user perspectives; ethics in relation to human rights, the law, finance, management and provision; key issues of relevance to vulnerable groups such as children and young people, those with complex disabilities, older people and those with mental health problems and lifecourse issues - ethical perspectives on a range of challenging areas from new technologies of reproduction to euthanasia. This book is intended for academics, students and researchers in health and social care who need an up-to-date analysis of contemporary issues and debates. It will also be useful to practitioners in the public, private and voluntary sectors, including social workers, community workers, those working in the fields of disability and mental health and with older people.