Using philosophical guidelines--and applying these guidelines throughout a patient's lifespan--this text assists readers in making ethically sound choices in nursing. It explores both traditional and contemporary ethical theories and acknowledges changing trends in the health field, incorporating issues such as managed care. Includes clinical case studies within each chapter. Incorporates a new organization in Part Two, in three sections entitled "Developmental Highlights," "Issues and Problems," and "Morally Reasoned Nursing Interventions." Provides new "What if?" questions throughout to help apply theory to (...) real events. Offers extensive analysis of euthanasia and assisted suicide. Includes thorough coverage of the HIV/AIDS epidemic and its moral complexities. Discusses organ transplantation and experimental medical treatments in ethical context. Ideal for practicing nurses looking for a reference on professional ethics. (shrink)

By way of conclusion, I have tried to show that rights do not come from nowhere, that is, rights are not sui generis. They come from claims. Rights do not make claims possible; rather claims make rights possible. For out of claims come claims to rights and from the welter of such claims to rights a legal system is established which, after sifting and refining, accepts some claims to rights and dignifies these as deeds, titles, rights and rejects others; and (...) provides rules enabling persons to exercise their rights. A system of rights and rules thus generated gives one the right to make strong claims. Although having a right is not a condition for making a claim, having a right is necessary to sustain and appraise a claim. Appealing to rights enables us to distinguish weak from strong claims. For rights may sustain or rebut claims though they are not themselves claims.How can we appraise claims? A claim to implies a claim that, the latter being an outcome of the former. If the resulting claim is open to appraisal of the sustain/reject or true/false kind, then it is a claim in a sense other than a primitive cry in the wild. If one can go on to say of a claim that is open to appraisal that one has a right to make such a claim or that one has a strong claim, this is to give favorable, initial appraisal to a claim thus made; and is a claim not in a primitive but in a secondary and ultimately more significant sense. (shrink)

In conclusion, I have tried to show that if there are any rights at all, legal, moral and political, there are at least the sorts of human rights cited in the Universal Declaration, rights which extend beyond the slender base provided by Hart's right to be free and which include the right to an adequate human life for everyone, rights shared by all, rights that, as rights, imply correlative duties. Even though the duties thus implied are admittedly imperfect, as rights, (...) they confer upon right-holders, the authority to obligate others.I have argued for the most part against regarding any rights, even some human, rights (interchangable here with manifesto rights, welfare rights, rights of recipience, social and economic rights, “programme rights,” Fawcett calls them, positive in rem rights) as claims to rights or proposals for adoption as rights. I have argued that to have a right of any kind, including especially a human right, one shared by and held equally by all human beings,while not “unconditional” or “unalterable,” is “fundamentally important, ” - to return once again to Feinberg's definition at the opening of this paper. A human right is fundamentally important, however, only if it, too, implies an obligation on the part of other people, one in which other people are obligated to use their power and resources “to make things happen.” To havea right is to be in a position to impose corresponding obligations on others. As Kant pointed out, a right of any kind gives a right holder “a title to compel.” From Kant's Philosophy of Law, in C. Morris, The Great Legal Philosophers, University of Pennsylvania Press, 1959, pp.242–243. Kant points out that every right is conjoined with “an implied Title or warrant to bring compulsion to bear on anyone who may violate it in fact” p. 242. And, “with every right ... there is conjoined a Right to compel.”. (shrink)

This edition identifies and strengthens critical thinking skills in nursing, emphasizing the value of applying systematic reasoning to clarify conflicts experienced by nurses, resolve controversial moral issues, and make sound judgments. It also helps strengthen intellectual and scientific acuity through the use of reason and logic, and examines the use of argument in nursing. Advanced nursing students.

A central challenge motivates this work: How, if at all, can philosophical ethics help in the moral development of health professionals?