This chapter helps to reader to identify prominent leadership theories in nursing, and describes components of ethical leadership and their relation to leadership theories used in nursing. It provides the behaviors and responsibilities of ethical leaders at the micro-, meso- and macro-levels, and applies strategies to develop ethical leadership. At the department and unit levels, nurse leaders engage nurses in decision making about patient flow and staffing, quality improvement activities, and continuous learning opportunities to improve overall care delivery. The American Association of Colleges of Nursing (AACN) documents on baccalaureate and master’s essentials support the development of leadership competencies in all nurses. At the macro-level, ethical nursing leaders are political strategists and researchers for social justice and health care reform. In ethical leadership, the principles of autonomy, beneficence, nonmaleficence, and justice, in conjunction with caring and virtue ethics, are applicable to patient/ family care and interactions with peers/staff and others.
Your search for all content returned 10 results
Ethics is a topic that is important to revisit at each level of a nurse’s education. The role of ethics in nursing must be understood to completely understand the role of nursing in research. To frame the role of ethics in nursing research, it is important to discuss examples of ethics in nursing and how the current experiences apply to ethics in the context of nursing research. This chapter covers an overview of ethics in nursing, and discusses the role of ethics in nursing research. The terms that one needs to know as the basic backbones of ethics are beneficence, justice, respect for persons, and nonmaleficence. These are the terms one learned in Ethics, but when related to the professional role of the master’s-prepared nurse, they become real-world tools used to make decisions. These terms are defined and discussed in the context of their presence in nursing research ethics.
Telehealth is “the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status”. In today’s healthcare environment, telehealth is usually operationalized by the Advanced Practice Registered Nurses (
APRNs) as the use of live video conferencing, store-and-forward information exchange, and the use and interpretation of wearable device data. It is therefore important that APRNsunderstand telehealth practice and the policy and ethical implications of using telehealth as a part of new practice patterns. This chapter outlines the history of telehealth, a conceptual framework for its growth, and application of its use for APRNs. It uses the nursing code of ethics; Autonomy, Beneficence, Justice, and Non-Maleficence. One should also reflect on the driving purpose for starting a telehealth initiative whether they be to correct inequity or to become an entrepreneur.
Culturally competent care includes the knowledge, attitudes, and skills that can support caring for diverse populations such as
LGBTQpeople. Cultural competence is a lifelong journey as our world continues to grow and populations become more diverse. This chapter explores the concept of cultural competence, the connection to LGBTQpeople, and how the nurse can integrate cultural competence into their care delivery at all levels
This chapter imagines a far more equitable world than the one we live in today. Advancing these report recommendations will require everyone to come together and make advancing health equity the top priority during the next decade. The nation’s health inequities emanate from a 400-year legacy of slavery, segregation, and structural racism-and have been exacerbated by the pandemic. No single profession or sector can dismantle health inequities, but every sector working together with a shared goal can make substantial progress in advancing health equity. Nurses must think broadly and form or join multisector partnerships with groups who have long sought to advance health equity, including social justice organizations, community groups, consumer advocacy organizations, faith-based organizations, and others. Health systems need to be involved, too. The nursing field must address injustices within its own profession and prioritize nurse well-being.
The criminalization of HIV nondisclosure creates disadvantages for and promotes discrimination toward people living with HIV/AIDS (PLWHA) and may therefore be considered a threat to social justice. Despite the fact that HIV is now considered a chronic manageable condition, criminalization continues to mark it as exceptional in regard to other sexually transmitted infections. This chapter reviews key criminal cases from the United States, Canada, the UK, and Australia to better illustrate the shifting legal context and to demonstrate the injustices these proceedings inflict upon PLWHA. Critically examining the outcomes of the criminalization of HIV nondisclosure is required not only by governmental agencies, but also by healthcare and nursing professionals working on the frontlines of HIV/AIDS care. The goal of public health is to empower people to practice safer sex, get routine testing to learn their HIV status and if positive, and to comply with treatment.
In the global health partnership process identified by Leffers and Mitchell, nurse partner factors include cultural perspectives, personal attributes and expectations, and knowledge of the host country. This chapter explores these nurse factors from the perspective of the nurse as an individual and the nurse situated within an organization. Compassion, curiosity, and courage have been identified as principles of program development in global service-learning programs. Attributes and expectations intrinsic to the nurse are essential to developing a successful global partnership. Clarifying the nurse’s role within the organization provides the boundaries of the partnership, and knowing what to possibly expect on arrival and throughout the partnership facilitates ongoing understanding of the partners within the context. The standards of practice for culturally competent nursing care relevant to global health partnerships include: Social justice, Critical reflection, Knowledge of cultures, and Cross-cultural communication.
The health challenges and disparities faced by developing nations of the world have increased attention to the need for global nursing research. Contemporary global health is guided by the ethical principles of respect for persons, beneficence, and social justice. These principles are vital to the conduct of nursing research for it to contribute to an evidence-based model needed to guide practice, research, and policy development. This chapter reviews contextual factors that influence global nursing research, models used to guide the development of sustainable partnerships, ethical issues of global nursing research, and research methods appropriate for global settings. It explores community-based participatory research (CBPR) as an approach to engage communities and addresses global health challenges. The chapter presents a case study of nursing research in Uganda to explore the development of academic exchange program with a U.S. university for the purpose of providing global health learning experiences for health profession students.
Officially, this Christian denomination is known as the Universal Fellowship of Metropolitan Community Churches (
MCC). This chapter describes the social and historical background, and worship and devotional practices of MCC. The first MCCworship service occurred in 1968 in the living room of a former Pentecostal minister who had been defrocked because of his homosexual orientation. Although this Christian denomination provides a home for LGBTpersons, it is purposefully accepting of diverse people and of diverse theologies. The desire for social justice leads MCCto work toward the protection of human and civil rights, including LGBTequality. It presents their belief and practices on illness and healing, beginning of life, end-of-life and describes their diet and lifestyle. The chapter presents additional miscellaneous nursing implications while providing care to MCCand ways and words to comfort.
This chapter helps the student to define public health and public health ethics, to differentiate public health ethics from clinical ethics, and to describe the ethical tensions inherent in addressing public health problems. It also helps the student to discuss different theoretical approaches and principles used in public health ethics and to apply a public health framework in analyzing the development of a new program or policy. The chapter presents ethical principles involved in implementing programs and designing policies in the community. Within both clinical and public health ethics, it is important to examine the theory and principles guiding normative behavior. The principles that have particular relevance of public health ethics are paternalism, human rights, and social justice. Disparities in health are often driven by social determinants that include socioeconomic status, social structure, education, social position, racism, and discrimination.