Nursing Law and Ethics

  - 3.5 The new context for professional regulation

  - 3.6 Notes and references

     - Health Care Provision

        - 4.1 The `new' complaints systems Arnold Simanowitz

        - 4.2 The Health Service Commissioner /Ombudsman)

        - 4.3 Complaints in the independent health care sector

        - 4.4 Disciplinary issues

        - 4.5 Help for complainants

        - 4.6 Complaints and litigation

        - 4.7 The ethical aspect

        - 4.8 Notes and references

• 5 The Policy Dimension: the Legal Environment of the New NHS
  
  
  • 5.1 The Government's health policy agenda John Tingle
  
  
  • 5.2 Focus on health litigation
  
  
  • 5.3 Law and health policy: changing the balance of power
  
  
  • 5.4 The cumulative effect of the reforms
  
  
  • 5.5 Notes and references
  
  
  
  


• Part Two: The Perspectives
  
  
  • 6 Negligence
    
    
    • A The Legal Perspective
      
      
      • 6.1 The elements of the tort of negligence Charles Foster
      
      
      • 6.2 The existence of a duty of care
      
      
      • 6.3 Breach of duty
      
      
      • 6.4 Causation
      
      
      • 6.5 Clinical negligence: the future
      
      
      • 6.6 Notes and references
      
      
      
      
    
    
    • BAnEthical Perspective ± Negligence and Moral Obligations
      
      
      • 6.7 Harm and risk Harry Lesser
      
      
      • 6.8 The Code of Professional Conduct
      
      
      • 6.9 Personal ethics
      
      
      • 6.10 The ethical duty of care
      
      
      • 6.11 Conflicts between law and ethics
      
      
      • 6.12 Conclusion
      
      
      • 6.13 Notes and references
      
      
      
      
    
    
    
    
  
  
  
  


• 7 Consent and the Capable Adult Patient
  
  
  • A The Legal Perspective
    
    
    • 7.1 Consent to treatment ± some general issues Jean McHale
    
    
    • 7.2 Civil law liability
    
    
    • 7.3 Conflicts in disclosure
    
    
    • 7.4 Conclusions
    
    
    • 7.5 Notes and references
    
    
    
    
  
  
  • BAnEthical Perspective ± Consent and Patient Autonomy
    
    
    • 7.6 Voluntariness, coercion and consent Bobbie Farsides
    
    
    • 7.7 Consent and autonomy
    
    
    • 7.8 Deliberation
    
    
    • 7.9 The right to refuse or accept
    
    
    • 7.10 The consent process: translating theory into practice
    
    
    • 7.11 Conclusion
    
    
    • 7.12 Notes and references
    
    
    
    
  
  
  
  


• 8 Responsibility, Liability and Scarce Resources
  
  
  • A The Legal Perspective
    
    
    • 8.1 Standards of care Robert Lee
    
    
    • 8.2 The problem of inexperience
    
    
    • 8.3 Risk and precautions
    
    
    • 8.4 Staff shortages
    
    
    • 8.5 Lack of resources
    
    
    • 8.6 From vicarious to direct liability
    
    
    • 8.7 Case study
    
    
    • 8.8 Scarce resources and professional responsibility
    
    
    • 8.9 Case study
    
    
    • 8.10 Conclusion
    
    
    • 8.11 Notes and references
    
    
    
    
  
  
  • BAnEthical Perspective ± How to Do the Right Thing
    
    
    • 8.12 Introduction David Seedhouse
    
    
    • 8.13 Nursing in scarcity
    
    
    • 8.14 A number ± or a free person?
    
    
    • 8.15 Principled solutions?
    
    
    • 8.16 Conclusion
    
    
    • 8.17 Notes and references
    
    
    
    
  
  
  
  


• 9 Mental Health Nursing
  
  
  • A The Legal Perspective
    
    
    • 9.1 Treatment under the Mental Health Act Michael Gunn and M.E. Rodgers
    
    
    • 9.2 Treatment outside the Mental Health Act
      
      
      • behalf of incapacitated adultsandMaking Decisions 9.3 Looking to the future:Who Decides? Making decisions on
      
      
      • Mental Health Act 9.4 The nurse's holding power ± section 5/4) of the
      
      
      
      
    
    
    • 9.5 Detention by informal methods
    
    
    • 9.6 The management of violent or aggressive patients
    
    
    • 9.7 Patients or individuals with personality disorders
    
    
    • 9.8 Treatment in the community
    
    
    • 9.9 Reforms
    
    
    • 9.10 Notes and references
    
    
    
    
  
  
  • BAnEthical Perspective ± Compulsion and Autonomy
    
    
    • 9.11 The ethical use of compulsion Harry Lesser
    
    
    • 9.12 Ethics and the current law: Szasz's view
    
    
    • 9.13 Ethics and forms of treatment
    
    
    • 9.14 Proposed changes in the law
    
    
    • 9.15 Consequences for nurses
    
    
    • 9.16 Acknowledgements
    
    
    • 9.17 Notes and references
    
    
    
    
  
  
  
  


• 10 The Critically Ill Patient
  
  
  • A The Legal Perspective
  
  
  • 10.1 Babies and young children Linda Delany
  
  
  • 10.2 Teenagers
  
  
  • 10.3 Adults able to make their own decisions
  
  
  • 10.4 Adults unable to make their own decisions
  
  
  • 10.5 Conclusion
  
  
  • 10.6 Notes and references
  
  
  • BAnEthical Perspective ± Declining and Withdrawing Treatment
  
  
  • 10.7 Consent Robert Campbell
  
  
  • 10.8 Refusing treatment
  
  
  • 10.9 Advance directives
  
  
  • 10.10 Withdrawing treatment
  
  
  • 10.11 Notes and references
  
  
  
  


• 11 Clinical Governance
  
  
  • A The Legal Perspective
  
  
  • 11.1 Principles of clinical governance Jo Wilson
  
  
  • 11.2 Clinical governance processes
  
  
  • 11.3 Dimensions of clinical governance
  
  
  • 11.4 Elements of clinical governance
  
  
  • 11.5 Risk management
  
  
  • 11.6 Risk
  
  
  • 11.7 Risk modification
  
  
  • 11.8 Controls assurance
  
  
  • 11.9 Developing best clinical practice
  
  
  • 11.10 Conclusions
  
  
  • 11.11 Notes and references
    
    
    • BAnEthical Perspective ± Quality and Judgement
    
    
    
    
  
  
  • 11.12 Setting standards Lucy Frith
  
  
  • 11.13 Putting clinical governance into practice
  
  
  • 11.14 Monitoring
  
  
  • 11.15 Conclusion
  
  
  • 11.16 Notes and references
  
  
  
  


• 12 Clinical Research and Patients
  
  
  • A The Legal Perspective
  
  
  • 12.1 Definition of clinical research Marie Fox
  
  
  • 12.2 Regulation of clinical research
  
  
  • 12.3 Ethical review
  
  
  • 12.4 Vulnerable groups of research subjects
  
  
  • 12.5 Case study ± xenotransplantation
  
  
  • 12.6 Conclusions
  
  
  • 12.7 Notes and references
    
    
    • BAnEthical Perspective ± Nursing Research
    
    
    
    
  
  
  • 12.8 The sources of nursing ethics Richard Ashcroft
  
  
  • 12.9 Ethics and the design of research
  
  
  • 12.10 The competence of the research staff and research governance
  
  
  • 12.11 Recruitment and consent
  
  
  • 12.12 Research and care
  
  
  • 12.13 Conclusion
  
  
  • 12.14 Acknowledgements
  
  
  • 12.15 Further reading
  
  
  
  


• Useful Links


• Table of Cases


• Table of Statutes


• Index