The Ethic of Care: A Moral Compass for Canadian Nursing Practice


by

Kathleen Stephany

DOI: 10.2174/97816080530491120101
eISBN: 978-1-60805-304-9, 2012
ISBN: 978-1-60805-394-0



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Indexed in: Scopus

The Ethic of Care: A Moral Compass for Canadian Nursing Practice is unique from other nursing ethics textbooks in several key ways. Th...[view complete introduction]

Table of Contents

Dedication

- Pp. i

Kathleen Stephany and Piotr Majkowski

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About the Author

- Pp. ii

Piotr Majkowski

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Foreword

- Pp. iii

Piotr Majkowski

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Preface

- Pp. iv

Kathleen Stephany

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Acknowledgements

- Pp. v

Kathleen Stephany

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The Ethic of care: Our moral compass

- Pp. 3-19 (17)

Kathleen Stephany and Piotr Majkowski

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WITHIN THE FRAMEWORK OF RELATIONSHIP: Integrating sound moral principles into care

- Pp. 20-33 (14)

Kathleen Stephany and Piotr Majkowski

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The cNA Code of Ethics: IMPLEMENTING NURSING ETHICAL VALUES & RESPONSIBILITIES INTO CARE

- Pp. 34-57 (24)

Kathleen Stephany and Piotr Majkowski

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VALUES CLARIFICATION: IDENTIFYING WHAT MATTERS TO NURSES AND CLIENTS & RESPECTING THE DIFFERENCES

- Pp. 58-70 (13)

Kathleen Stephany and Piotr Majkowski

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THE MOSAIC MODEL FOR ETHICAL DECISIONS: HOW WE DECIDE WHAT TO DO WHEN CONFRONTED WITH MORAL ISSUES IN PRACTICE

- Pp. 71-89 (19)

Kathleen Stephany and Piotr Majkowski

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Professionalism: A CALL TO CARE

- Pp. 90-103 (14)

Kathleen Stephany and Piotr Majkowski

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ACCOUNTABILITY: INSPIRING NURSES TO ACT RESPONSIBLY

- Pp. 104-115 (12)

Kathleen Stephany and Piotr Majkowski

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ADVOCACY: THE HEART OF NURSING

- Pp. 116-130 (15)

Kathleen Stephany and Piotr Majkowski

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TECHNOLOGICAL UTILITY : HOW IT SOMETIMES INTERFERES WITH CARING PRACTICE

- Pp. 131-144 (14)

Kathleen Stephany and Piotr Majkowski

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EMBRACING DIVERSITY : TOWARD A MORALLY INCLUSIVE PRACTICE

- Pp. 145-161 (17)

Kathleen Stephany and Piotr Majkowski

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GENDER & SEXUAL ORIENTATION: MOVING BEYOND TOLERANCE TO ACCEPTANCE

- Pp. 162-171 (10)

Kathleen Stephany and Piotr Majkowski

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THE ROLE OF RELIGION & SPIRITUALITY IN NURSING : RESPECTING WHAT THE CLIENT BELIEVES

- Pp. 172-185 (14)

Kathleen Stephany and Piotr Majkowski

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PUBLIC ACCESS TO QUALITY HEALTHCARE & THE ROLE OF THE NURSE

- Pp. 186-201 (16)

Kathleen Stephany and Piotr Majkowski

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THE CNA CODE OF ETHICS PART II: NURSES WORKING TOWARD ENDING SOCIAL INEQUITIES

- Pp. 202-212 (11)

Kathleen Stephany and Piotr Majkowski

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References:

- Pp. 213-219 (7)

Kathleen Stephany and Piotr Majkowski

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Glossary

- Pp. 220-228 (9)

Kathleen Stephany and Piotr Majkowski

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Index

- Pp. 229-233 (5)

Kathleen Stephany and Piotr Majkowski

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Foreword

Nursing ethics is often seen as taking a back seat to the more technical, psychomotor skills of nursing. When nurses do learn about ethics, it’s often in a context that teaches us to be kind angels that are there to heal the sins of the world. Indeed, new nurses tend to emerge from nursing school with the concepts of discipline and respect ringing in their ears. Too often, nurses aren’t taught the true nature of nursing. Instead, nurses graduate knowing to fear their managers, pour their sweat and tears into the systems in which they work, and never complain.

The very call of the profession is to be a united, coordinated and strong voice of health. Because Canadian nurses are public servants, numerous, organized, and with a broad body of health knowledge, Canadian nurses are uniquely positioned to serve this role. The way Dr. Stephany puts it in her class, nurses should graduate nursing school ready to not only do their day-to-day job, but also to change the world. In a sense, to care enough for the patient, whether it’s a single person or an entire society, to live not only one’s vocational life, but one’s entire life in the path of service to others.

Understanding nursing ethics from a perspective of the Ethic of Care is a strong asset in this regard. While nurses share the objective domains of health with the rest of the healthcare system, their unique ability to provide a firm bridge into the subjective domains is what makes nurses an indispensable component of any healthy society.

Piotr Majkowski, RN, BSN
Nurse Case Manager in Community Mental Health
Vancouver Coastal Health Authority, BC Canada


Preface

“We do not live as isolated fragments, completely separate, but as parts of a great, dynamic, mutable whole.” Sharon Salzberg, author of Lovingkindness.

The ethic of care is the moral imperative to act justly. It has been almost thirty years since the ethic of care began to inform moral decision making in nursing. I chose to write about this topic because it is as valid for nursing today as it was at its inception. Nurses are still the ones who spend a great deal of time directly caring for others, not just by administering medications and treatments but also through touching, feeling, sensing and listening to what is said and what remains untold. In the writing of this textbook I have endeavoured to inspire nurses to be as compassionate and integral as they can be, so that they will leave every encounter with another human being, better than when they first arrived.

As a nurse and psychologist, I have sought to bring a slightly different voice to the subject of the ethic of care, one that marries the richness of the wisdom from both professions. The intertwining of the two sources is evident throughout the pages of this book, and made real through the application of scholarly knowledge; the telling of compelling stories of lived experiences; and through the application of what is learned.

I have also approached the ethic of care from the perspective of a nurse educator. My belief is that a good teacher does not merely impart knowledge but stirs up a passionate desire in their students to want to learn. I seek to challenge my students and have them question their preconceived assumptions and beliefs in order to open their eyes and minds to something more. Ultimately, my goal is to motivate the nurses of today and tomorrow to become responsible stewards who will shape the future and make it better, not just for some of us, but for all of us. In this fashion nurses will personify the wise advice of Mahatma Gandhi and, “Be the change you want to see in the world.”

A small editing note is needed. Throughout the writing of this textbook the term client is used more often than patient but both concepts are meant to interchangeably represent client and patient groups.

Kathleen Stephany, RN, BSN, BA, MA, PhD, CCCP, Psychologist
Full-Time Faculty in Health Sciences
Douglas College, BC Canada

List of Contributors

Author(s):
Kathleen Stephany
Full-Time Faculty in Health Sciences
Douglas College
BC Canada




Contributor(s):
Piotr Majkowski
Nurse Case Manager in Community Mental Health
Vancouver Coastal Health Authority
BC Canada




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