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The Role of Caring in a Theory of Nursing Ethics

Published online by Cambridge University Press:  25 March 2020

Abstract

The development of nursing ethics as a field of inquiry has largely relied on theories of medical ethics that use autonomy, beneficence, and/or justice as foundational ethical principles. Such theories espouse a masculine approach to moral decision “making and ethical analysis. This paper challenges the presumption of medical ethics and its associated system of moral justification as an appropriate model for nursing ethics. It argues that the value foundations of nursing ethics are located within the existential phenomenon of human caring within the nurse/patient relationship instead of in models of patient good or rights-based notions of autonomy as articulated in prominent theories of medical ethics. Models of caring are analyzed and a moral-point-of-view (MPV) theory with caring as a fundamental value is proposed for the development of a theory of nursing ethics. This type of theory is supportive to feminist medical ethics because it focuses on the subscription to, and not merely the acceptance of, a particular view of morality.

Type
Research Article
Copyright
Copyright © 1989 by Hypatia, Inc.

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References

Ackerman, Terrance F. 1980. What bioethics should be. Journal of Medicine and Philosophy 5:260275.CrossRefGoogle ScholarPubMed
Ackerman, Terrance F. 1983. Experimental ism in bioethics research. Journal of Medicine and Philsophy 8:169180.10.1093/jmp/8.2.169CrossRefGoogle Scholar
Aikens, Charlotte A. 1916. Studies in ethics for nurses. Philadelphia: W.B. Saunders Company.Google Scholar
Alexander, Cheryl S., Weisman, Carol S. and Chase, Gary A. 1982. Determinants of staff nurses' perceptions of autonomy within different clinical contexts. Nursing Research 31 (1):4852.CrossRefGoogle ScholarPubMed
American Nurses' Association. 1980. Nursing: A social policy statement. Kansas City: The Association.Google Scholar
Basson, Marc D. 1983. Bioethical decision‐making: A reply to Ackerman. Journal of Medicine and Philosophy 8:181185.CrossRefGoogle ScholarPubMed
Beauchamp, Tom L. and Childress, James F. 1983. Principles of biomedical ethics (2nd. ed.). New York: Oxford University Press.Google Scholar
Benjamin, Martin and Curtis, Joy. 1986. Ethics in nursing. New York: Oxford University Press.Google Scholar
Bishop, Anne H. and Scudder, John R. Jr. 1987. Nursing ethics in an age of controversy. Advances in Nursing Science 9 (3):3443.CrossRefGoogle Scholar
Caplan, Arthur 1982. Applying morality to advances in biomedicine: Can and should this be done? In New Knowledge in the Biomedical Sciences. 10.1007/978-94-009-7723-5_11CrossRefGoogle Scholar
Bondeson, William B., Tristram Engelhardt, H., Spiker, Stuart F. and White, John M. eds., Boston: D. Reidel.Google Scholar
Caplan, Arthur. 1983. Can applied ethics be effective in health care and should it strive to be? Ethics 93:311319.10.1086/292436CrossRefGoogle ScholarPubMed
Cooper, C. Carolyn. 1988. Covenantal relationships: Grounding for the nursing ethic. Advances in Nursing Science 10 (4):4859.10.1097/00012272-198807000-00008CrossRefGoogle ScholarPubMed
Crisham, Patricia. 1981. Measuring moral judgment in nursing dilemmas. Nursing Research 30:104110.CrossRefGoogle ScholarPubMed
Davis, Anne J. and Aroskar, Mila A. 1983. Ethical dilemmas and nursing practice. Norwalk, Conn.: Appleton‐Century‐Crofts.Google Scholar
Engelhardt, H. Tristram Jr. 1986. The foundations of bioethics. New York: Oxford University Press.Google Scholar
Fletcher, Joseph. 1966. Situation ethics: The new morality. Philadelphia: Westminister Press.Google Scholar
Frankena, William K. 1983. Moral‐point‐of‐view theories. In Ethical theory in the last quarter of the twentieth century. Bowie, Norman E. ed., Indianapolis: Hackett Publishing Company.Google Scholar
Fry, Sara T. 1988. The ethic of caring: Can it survive in nursing? Nursing Outlook 36 (1):48.Google Scholar
Gadow, Sally. 1985. Nurse and patient: The caring relationship. In Caring, curing, coping: Nurse, physician, patient relationships. Bishop, Anne H. and Scudder, John R. Jr eds., Birmingham, Ala.: University of Alabama Press.Google Scholar
Gilligan, Carol. 1977. In A different voice: Women's conception of self and of morality. Harvard Educational Review 47:481517.CrossRefGoogle Scholar
Gilligan, Carol. 1979. Woman's place in man's life cycle. Harvard Educational Review 49:431446.10.17763/haer.49.4.h136573541l3g463CrossRefGoogle Scholar
Gilligan, Carol. 1982. In a different voice. Cambridge, Mass.: Harvard University Press.Google Scholar
Gilligan, Carol. 1987. Gender difference and morality: The empirical base. In Women and moral theory. Kittay, E.R. and Meyers, D.T. eds., Totowa, N.J.: Rowman & Littlefield.Google Scholar
Gladwin, Mary E. 1937. Ethics: A texbook for nurses. Philadelphia: W.B. Saunders Company.Google Scholar
Griffin, Anne P. 1983. A philosophical analysis of caring in nursing. Journal of Advanced Nursing 8:289295.10.1111/j.1365-2648.1983.tb00328.xCrossRefGoogle Scholar
Heidegger, Martin. [1927] 1962. Being and time. J., Macquarrie and E., Robinson, trans. New York: Harper & Row.Google Scholar
Huggins, Elizabeth A. and Sclazi, Cynthia C. 1988. Limitations and alternatives: Ethical practice theory in nursing. Advances in Nursing Science 10 (4):4347.10.1097/00012272-198807000-00007CrossRefGoogle Scholar
Hume, David. [1751] 1957. An inquiry concerning the principles of morals. Indianapolis: Bobbs‐Merrill Company.Google Scholar
Jameton, Andrew. 1984. Nursing practice: The ethical issues. Englewood Cliffs, N.J.: Prentice‐Hall.Google Scholar
Kant, Immanuel. [1785] 1964. Groundwork of the metaphysic of morals. H. J. Paton, trans. New York: Harper & Row.Google Scholar
Ketefian, Shake. 1981a. Critical thinking, educational preparation, and development of moral judgment among selected groups of practicing nurses. Nursing Research 30:98103.CrossRefGoogle Scholar
Ketefian, Shake. 1981b. Moral reasoning and moral behavior among selected groups of practicing nurses. Nursing—Research 30:171176.CrossRefGoogle Scholar
Ketefian, Shake. 1985. Professional and bureaucratic role conceptions and moral behavior among nurses. Nursing Research 32:248253.Google Scholar
May, William F. 1975. Code, covenant, contract, or philanthropy. Hastings Center Report 5 (1):2938.CrossRefGoogle ScholarPubMed
Mill, John S. [1863] 1971. Utilitarianism. Gorovitz, S. ed., Indianapolis: Bobbs‐MerrillCo., Inc.Google Scholar
Munhall, Patricia. 1980. Moral reasoning levels of nursing students and faculty in a baccaluareate nursing program. Image 12 (3):5761.10.1111/j.1547-5069.1980.tb01467.xCrossRefGoogle Scholar
Murphy, Catherine C. 1976. Levels of moral reasoning in a selected group of nursing practitioners. New York, Teachers College, Columbia University (unpublished doctoral dissertation).Google Scholar
Muyskens, James L. 1982. Moral problems in nursing: A philosophical investigation. Totowa, NJ: Rowman & Littlefield.Google Scholar
Noddings, Nel. 1984. Caring: A feminine approach to ethics & moral education. Berkeley, CA: University of California Press.Google Scholar
Packard, John S. and Ferrara, Mary. 1988. In search of the moral foundation of nursing. Advances in Nursing Science 10 (4):6071.CrossRefGoogle ScholarPubMed
Pellegrino, Edmund D. 1985. The caring ethic: The relation of physician to patient. In Caring, curing, coping: Nurse, physician, patient relationships. Bishop, Anne H. and Scudder, John R. Jr eds., Birmingham, Ala. :University of Alabama Press.Google Scholar
Pellegrino, Edmund D. and Thomasma, David C. 1988. For the patient's good. New York: Oxford University Press.Google Scholar
Prescott, Patricia A., Dennis, Karen E., and Jacox, Ada K. 1987. Clinical decision making of staff nurses. Image 19 (2):5662.Google ScholarPubMed
Ramsey, Paul. 1970. The patient as person. New Haven: Yale University Press.Google Scholar
Rawls, John. 1971. A theory of justice. Cambridge, Mass.: Harvard University Press.Google Scholar
Robb, Isabel H. 1900. Nursing ethics: For hospital and private use. Cleveland: E.C. Loeckert.Google Scholar
Self, Donnie J. 1987. A study of the foundations of ethical decision‐making of nurses. Theoretical Medicine 8:8595.CrossRefGoogle Scholar
Silva, Mary C. 1984. Ethics, scarce resources, and the nurse executive: Perspectives on distributive justice. Nursing Economics 2:1118.Google Scholar
Stenberg, Margorie J. 1979. The search for a conceptual framework as a philosophic basis for nursing ethics: An examination of code, contract, context, and covenant. Military Medicine 144:922.CrossRefGoogle ScholarPubMed
Thompson, Joyce B. and Thompson, Henry O. 1985. Bioethical decision making for nurses. Norwalk, Conn.: Appleton‐Century‐Crofts.Google Scholar
Toulmin, Stephen 1981. The tyranny of principles. The Hastings Center Report 11 (6):3139.CrossRefGoogle Scholar
Veatch, Robert M. 1981. A theory of medical ethics. New York: Basic Books.Google Scholar
Veatch, Robert M. and Fry, Sara T. 1987. Case studies in nursing ethics. Phildelphia: J.B. Lippincott Company.Google Scholar
Watson, Jean. 1985. Nursing: Human science and human care. Norwalk, Conn.: Appleton‐Century‐Crofts.Google Scholar
Yarling, Roland B. and McElmurry, Beverly J. 1986. The moral foundation of nursing. Advances in Nursing Science 8 (2):6373.CrossRefGoogle ScholarPubMed