Key Concepts and Issues in Nursing Ethics
Short case studies, based on real stories from the health care arena, ensure that each chapter of this book is rooted in descriptions of nursing practise that are grounded, salient narratives of nursing care. The reader is assisted to explore the eth
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Key Concepts and Issues in Nursing Ethics
P. Anne Scott Editor
Key Concepts and Issues in Nursing Ethics
Editor P. Anne Scott Vice President for Equality & Diversity National University of Ireland Galway, Ireland
ISBN 978-3-319-49249-0 ISBN 978-3-319-49250-6 (eBook) DOI 10.1007/978-3-319-49250-6 Library of Congress Control Number: 2017933450 © Springer International Publishing AG 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
To John, Shane and Rebecca.
Foreword
Since its establishment in the late 1960s, modern bioethics has been dominated by a focus on respect for rational and autonomous persons as the pivotal actors in medicine and healthcare. This focus reflects the influence of the Kantian philosophy of autonomous human beings, able to identify and prescribe universal ethical standards to themselves, entirely rational and free from any heterogeneous reinforcement. It also mirrors Mill’s appreciation of the high value of human freedom of individuals, only to be restricted when it confines the freedom of others. The prioritisation of respect for autonomy in modern bioethics has radically changed the perspective in which patients are regarded within healthcare. For millennia, patients were seen as fundamentally incapacitated by pain, suffering, ignorance and disease, thus justifying a paternalistic approach in medicine. In contemporary healthcare – at least in most Western countries – patients are now seen as being fundamentally on an equal footing with physicians. As a positive consequence of the stellar status of autonomy in contemporary bioethics, medical paternalism has lost its justification as the default appro
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