Cover -- Title -- Copyright -- Contents -- List of Case Study Dilemmas -- List of Figures and Tables -- Preface -- Focus of a Field of Study -- Everyday Ethics -- The Origin of Ethics and the Underpinnings of Symphonology -- Bioethics -- The Return to Life and Flourishing -- Notes -- Digital Supplement -- References -- Acknowledgments -- Share Bioethical Decision Making in Nursing: Fifth Edition -- Section I: The Basics of Bioethical Decision Making -- Chapter 1: Ethical Foundations -- The Purpose of Ethics -- Bioethics -- Understanding Self and Others -- The Basis of Human Behavior -- Ethics as the Foundation of Human Character -- The Ethical Foundations of Health Care Practice -- Practice-Based Ethics Versus Rule-Based Ethics -- Traditional Ethical Models -- Symphonology: A Practice-Based, Patient-Centered Ethic -- Musings -- Study Guide -- References -- Chapter 2: The Ethical Journey Taken by the Patient and Nurse -- Making Preparations for the Journey of Patient and Nurse -- Finding the Right Direction to Guide Decision Making -- Self-Determination -- Importance of Justification -- Purpose and Justification -- Desire, Reason, and Purpose -- Role of Patient and Nurse -- Ethical Individualism and the Law -- Human Rights -- The Importance of Rights as a Singular -- Agency, Rights, and the Ethical Interaction -- Solitude and Society -- Trust and Obligation -- Ethical Approach of Professional and Patient -- Preparing for the Ethical Journey -- The Nature of Ethical Aspects -- The Final Authority -- Musings -- Study Guide -- References -- Chapter 3: The Nurse-Patient Agreement -- The Nature of Agreements -- Relationship between a Nurse and Patient -- Codes of Ethics -- Agreement: The Foundation of Interaction -- The Nature and Function of the Agreement Between the Nurse and Patient -- The Development of the Agreement -- Agreements and Interaction.

Motivations -- The Role of Benevolence -- Agreements and Communication -- Agreements and Understanding -- The Necessity of Communication and Understanding -- The Wax Tablet Exercise -- The Role of Purpose -- The Fallacy of Assumptions -- Probability and Ethical Decision Making -- The Agreement One has with Oneself -- Rational Self-Interest -- Musings -- Study Guide -- References -- Chapter 4: The Bioethical Standards and Their Role as Preconditions of the Agreement -- The Bioethical Standards as Virtues and Rights -- Autonomy -- The Right to Autonomy -- Autonomy as a Precondition of Agreement -- Freedom -- The Interweaving of Autonomy and Freedom -- Freedom as a Precondition of Agreement -- Thought and Action -- Objectivity -- Objectivity as the Precondition of Agreement -- Beneficence -- Beneficence as a Precondition of Agreement -- Fidelity -- Fidelity as a Precondition of Agreement -- The Classic Virtues -- Reciprocity and Self-Interest -- Musings -- Study Guide -- References -- Chapter 5: The Nature of the Ethical Context -- The Context of Practice -- Agreement and Context -- The Three Elements of Context -- Context of the Situation -- The Context of Knowledge -- The Context of Awareness -- The Interweaving of the Three Elements of the Context -- Contextual Certainty -- Reasoning to and Reasoning from a Decision -- The Necessary, the Sufficient, and the Ethical -- Relevance of the Bioethical Categories to Decision Making -- Purpose and Justification -- Musing -- Study Guide -- References -- Chapter 6: Contemporary Ethical Systems -- Deontology -- Duty and Justification -- Utilitarianism -- Telishment -- Triage -- Social/Cultural Relativism -- Emotivism -- Musings -- Study Guide -- References -- Chapter 7: Nursing Practice Intersections: Legal Decision Making Within a Symphonological Ethical Perspective.

Caring Advocacy (Agency) as a Foundational Framework for Ethical-Legal Decision Making in Nursing -- Advocacy as an Expression of Agency -- Caring Advocacy: The Heart of the Matter -- Legal Reality: Compliance with the Legal Boundaries of Nursing Care is a Necessary Antecedent for the Authorized Practice of the Profession -- Intersections = Challenges + Responses -- The Legal but Immoral Decision-Subtly Coerced Harvesting of Biological Material -- Savior Sibling -- Symphonological Analysis -- The Illegal but Moral Decision-Rule Bending for the Good of the Patient or Unit -- What is Nurse Rule Bending? -- Symphonological Analysis -- Strategies to Facilitate Integrated Ethical-Legal Nursing Decision Making -- Musings -- Study Guide -- References -- Chapter 8: Practice-Based Ethics and the Bioethical Standards as Lenses -- Practice-Based -- The Milieu -- The Analytic Process -- Nurture -- A Different Door -- Understanding -- The Bioethical Standards as Lens -- Lenses in Focus -- Lenses Out of Focus -- Conflict -- Musings -- Study Guide -- References -- Chapter 9: Moral Distress -- The Nature of Moral Distress -- Clinical Issues that Promote Moral Distress -- The Manifestations of Moral Distress on the Person -- Effect of Moral Distress on Nurses and Nursing -- Moral Courage -- Musings -- Study Guide -- References -- Section II: Beyond the Basics-An Extended Perspective -- Chapter 10: The Power of Analysis Through Extremes -- Analysis Through Extremes -- Case Study Analysis Through Extremes -- Discovery Versus Choice -- The Perfect Bioethical Agreement -- Guidelines -- Study Guide -- References -- Chapter 11: Elements of Human Autonomy -- Analyzing Autonomy -- Desire and the Ethical Context -- Desire as "The Essence of Man" -- Desire and the Nurse's Orientation to Nursing -- Desire and Ethical Decision Making -- Self-Preservation of Desire.

Reason as the Basis of the Bioethical Standards -- Reason and Desire -- The Different Aspects of Life -- Life as the Basis of the Bioethical Standards -- Life as the Precondition of All Action and Values -- Life as the Final Value -- The Role of Purpose -- The Anatomy of Purpose -- Purpose as the Basis of the Bioethical Standards -- The Facets of Purpose -- Agency as the Basis of the Bioethical Standards -- The Biological Function of Agency -- Agency and Rights -- Musings -- Study Guide -- References -- Chapter 12: Virtues as Resources -- The Bioethical Agreement and its Standards -- The Swan Principle -- Professionals, Patients, and Caring -- Ways of Caring -- What Goes Around . . . -- Virtues and Happiness -- Musings -- Study Guide -- References -- Section III: Case Study Analyses -- Analyses of Dilemmas -- A Note to the Reader -- Analyses -- References -- Glossary -- References -- Appendix -- The ICN Code of Ethics for Nurses -- Preamble -- The ICN Code -- Elements of the Code -- Suggestions for Use of the ICN Code of Ethics for Nurses -- Applying the Elements of the ICN Code of Ethics for Nurses -- Index.