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BIOETHICS: A CLINICAL GUIDE FOR MEDICAL STUDENTS By Dan C. English 1994,244 pp $19.95 paperback lthough the title of this book implies it is directed solely at medical students, its valuable information also is applicable to nursing professionals. Most chapters are written in a tutorial style, and the content is comprehensive and applicable to any practice situation. Indeed, the author states the book’s purpose is to help professionals begin development of ethical awareness and case analysis. The text is organized into 11 chapters that address ethical questions medical students might encounter during clinical training. For example, one chapter addresses student-specificissues, including coping with stress, conflicts of interest, honesty, abuse of students, health, and debt management. In the first chapter, the author defines differing concepts of medicine and provides an in-depth review of the eight medical models of patient-professional relationships. He indicates his preference for the managerial model, in which the professional serves as a guide in the healing process, encouraging assessment based on patient defined needs. The model reflects the same core issues raised in perioperative nursing competencies. After reading this section, I believe there is little difference between the medical and nursing models of care. In chapter two, the author provides a 13-page summary of ethical theories and principles. Although this chapter may be interesting for the beginning student studying bioethics, it does not contain much practical information and, therefore,
needs to be supplemented by other reading. The subsequent chapter on rules of bioethics has cogent sections on informed consent, confidentiality, truth, and beneficence and will be of interest to the perioperative nurse. The author carefully weaves ethical, moral, legal, and religious considerations throughout the text and includes reflection questions at 13 strategic points. Each chapter is supported with a comprehensive list of recommended readings. For the student of bioethics or the perioperative nurse struggling with current ethical dilemmas in the practice setting, this book serves as a primer in formulating a philosophical approach to practice issues. This book is available from W. W. Norton and Co, Inc, 500 Fifth Ave, New York, NY 10110. MARGARET F. FAY RN, PHD GLOBAL MEDICAL AFFAIRS DIRECTOR REGENTHOSPITAL PRODUCTS, LTD GREENVILLE, SC ILLUSTRATED MANUAL OF NURSING PRACTICE, second ed Edited by Judith Ann Lewis 1994, I ,460 pp $49.95 hardcover his useful text is well organized and easy to understand. It is a strong reference source for nurses in all aspects of nursing practice. The illustrations are timely, understandable, and adaptable to patient teachingearning. I began reading this book while I was helping another nurse prepare for a cancer prevention seminar for our staff members. The book’s illustrations were helpful and enlightening. We had not seen such timely information. Much of the material helped us complete a proposal for the clinic 1015 AORN JOURNAL
and promote health care among our staff members. 1 recommend this book as an addition to most hospitals’ libraries. This book is available from Springhouse Publishing Co, 11 I 1 Bethlehem Pike, PO Box 908, Springhouse, PA 19477. JANET CLAMON RN, C, CNOR OR STAFF NURSE VETERANSAFFAIRSMEDICAL CENTER HOUSTON
NURSING RESEARCH: A QUALITATIVE PERSPECTIVE By Patricia L. Munhall, Carolyn Oiler Boyd 1993,504 pp $35.95 paperhack his book explains how to initiate qualitative research and provides thought-provoking updates for theexperienced nurse researcher. The stated purpose of the book is to promote the scientific legitimacy of qualitative research in nursing. The book is arranged into three parts. Part one explains the language, epistemology, and philosophical foundations of the qualitative paradigm. Part two discusses various research methods and provides an example of each. Part three considers ethics, proposals, institutional review boards, reports, evaluations, and approaches to combining quantitative and qualitative research. The first edition of the book was published in 1986 and received the 1986 American Journal of Nursing Co Book of the Year Award. The authors cite the following changes in the second edition: parts one and three are revised to reflect new developments, the case study replaces philosophical inquiry
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because of the number of researchers using it, and the methods chapters are revamped to include new studies for illustration. All the book’s contributors hold doctoral degrees, the majority are professors in collegiate nursing programs, and half are Fellows of the American Academy of Nurses. These factors contribute to the book’s distinctive scholarly orientation. This book is written at the graduate level, and the style is similar to that of a research journal article. Part one and the methods chapters are very conceptual, but part three and the book’s examples are concrete and, therefore, easier to read. The most fascinating aspects of the book are in part two, which succinctly explores various issues including nursing rituals, infant death, caring, bipolar equanimity, and the development of organized nursing. There is valuable information on how to get qualitative research proposals approved by various institutional review boards. Special features of the book include tables, figures, an index, and bibliographies. There are 20 tables and 14 figures that facilitate the understanding of theory. A list of tables and figures in future editions would be helpful for readers. The index is cross-referenced for ease of use. There are extensive, topic-specific bibliographies at the end of each chapter. The book is accurate and thorough and has current and classic references. This book contains significant contributions to nursing literature. It sparks interest in conducting qualitative research and provides a scientific basis for it. It would be useful to students and professors in graduate programs and to perioperative nurses in advanced practice roles.
This book is available from the National League for Nursing, 350 Hudson St, New York, NY 10014.
examples make the book an appropriate reference for other health care professionals. Of particular interest to the JANICE MARIE PARFITT RN, MSN, CNOR penoperative nurse is the section OR STAFF NURSE on informed consent. The author PASSAVANT HOSPITAL AND examines the historical, ethical, SHADYSIDE SURQICENTERand legal aspects of informed PITSBURGH consent (eg, patient rights, patient refusal, assault, battery, the stanLEGAL ASPECTS OF dards/elements of disclosure). Do-not-resuscitate guidelines DOCUMENTING PATIENT CARE are addressed in the chapter on By Ronald W. Scott 1994,242 p p special circumstances. Special circumstances, as explained by $52 hardcover the author, include advance directives, patient abandonment, HIV his text will be of interest to anyone who has ever wondisclosure, reimbursement, nondered about the accuracy, compliance, and mandatory legality, or comprehensiveness of reporting. Patient care monitoring their nursing documentation. and evaluation activities as relatObjective and precise documened to risk management and contation of patient care has always tinuous quality improvement are been of concern to nurses. This addressed throughout the book. book provides many legal tips, For example, the book provides strategies, and guidelines for information on monitoring recording and monitoring patient informed consent as a continuous care, risk management, and conquality improvement indicator. tinuous quality improvement. Aside from the relevant conEach chapter of the book iden- tent, one great virtue of this book tifies an area of documentation, is that it is easy to read and underaddresses a specific issue (eg, stand. The reader will be pleased clinical, legal), and defines and with the notable lack of discusses them thoroughly. The “legalese.” In addition, the glostable of contents and the index sary is comprehensive and serves are complete and facilitate locatas a simple “resource within a ing particular topics or terms. resource” for the reader. Each chapter ends with a summaThis publication will be of ry of key concepts and review interest and value to a variety of questions with answers and health care providers, including detailed discussions. nurses, managers, educators, and Many pertinent examples of clinicians. documentation are listed, providThis book is available from ing useful resources for nurses in Aspen Publishers, Inc, 200 all areas of nursing. The author Orchard Ridge Dr, Gaithersburg, describes legal principles and MD 20878. cites legal cases as the basis for KATHRYN SCHROETER discussion. Samples of forms, RN, MS OR EDUCATOR (eg, consent forms, releases) are helpful additions to each section. FROEDTERTMEMORIAL LWHERAN HOSPITAL The wide variety of samples and MILWAUKEE 1016 AORN JOURNAL