This book examines the principles and realities of ethics in midwifery practice today. It explains basic ethical theory, looking at how dilemmas occur and the ethical bases on which conflicts can be resolved. Through a series of case studies, options and issues for consideration are reviewed, particularly in areas of increasing concern and debate such as confidentiality, autonomy, screening, abortion, assisted conception and withholding treatment.
This book will be of value to all students and practicing midwives who need to understand the principles and practice of ethics, especially how to apply ethical thought and action in their own day-to-day work.
Is ethical reasoning part of everyday life? What is ethics? What is a moral issue? What is a moral dilemma? How do we resolve the conflicts do we need ethical theories? Ethical theories: - Utilitarianism Act-utilitarianism Rule-utilitarianism Some criticisms of utilitarianism Deontology: Rational monism Traditional deontology Intuitionistic Pluralism Another alternative? Suggested reading References Bibliography
Part Two
Chapter One: Introduction to Part Two References Bibliography
Chapter Two: Ethical Dimensions of the Midwifes Role Practitioner Educator Counsellor Advisor Friend
Chapter Three: Confidentiality Case studies Discussion of questions Further discussions Infringement of confidentiality For whom is confidentiality/privacy important? When do health care workers need to consider confidentiality? Applying the theories Suggested reading References Bibliography
Chapter Four: Accountability Case study Discussion of questions Further discussion FOR whom and what are midwives accountable? TO whom are midwives accountable? Applying the theories Suggested reading References Bibliography
Chapter Five: Autonomy and Consent Case study Discussion of questions Further discussion Autonomy Paternalism Consent Applying the theories Suggested reading References Bibliography
Chapter Six: Conscientious Objection to Participation in Abortion Case study Discussion of questions Further discussion Applying the theories Suggested reading References Bibliography
Chapter Seven: Assisted Conception Case study Discussion of questions Further discussion Applying the theories Suggested reading References Bibliography
Chapter Eight: Withholding and Withdrawing Treatment Case study Discussion of questions Further discussion Applying the theories Suggested reading References Bibliography
Conclusion Glossary Index Index of Authors
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