Suchergebnisse

Partiality and impartiality in nursing care -- Partiality and professional ethics in nursing care -- On the concept of need for nursing care -- Variations of partiality in nursing care -- Partiality, justice and moral dilemmas -- Towards an ethics of nursing care

Empowerment and evidence-based practice represent two influential principles in nursing care: that decision-making should be based upon the patient's autonomous choice, and the most up-to-date research findings, respectively. In this article, patient empowerment is taken to imply a transfer of control and power from the nurse to the patient through communication and care and acknowledging the patient's perspectives and values. Empowerment-based nursing may thus be central to enhancing a patient's autonomy. Evidence-based nursing combines up-to-date research findings, the nurse's clinical expertise and the patient's preferences. This article concerns some of the potential conflicts these principles may give rise to in everyday deliberations in nursing care. It is argued that patient empowerment and autonomy potentially both have paternalistic connotations. It is also questioned whether an increased emphasis on patient empowerment and autonomy may lead to a risk of diminished professional autonomy.

Nudging is a concept in behavioural science, political theory and economics that proposes indirect suggestions to try to achieve non-forced compliance and to influence the decision-making and behaviour of groups and individuals. Researchers in medical ethics are currently discussing whether nudging is ethically permissible in health care. In this article, we look into current knowledge about how different decisions (rational and pre-rational decisions, major and minor decisions) are made and how this decisionmaking process pertains to patients. We view this knowledge in light of the nursing project and the ongoing debate regarding the ethical legitimacy of nudging in health care. We argue that it is insufficient to discuss nudging in nursing and healthcare in light of free will and patient autonomy alone. Sometimes, nurses must take charge and exhibit leadership in the nurse-patient relationship. From the perspective of nursing as leadership, nudging becomes a useful tool for directing and guiding patients towards the shared goals of health, recovery and independence and away from suffering. The use of nudging in nursing to influence patients' decisions and actions must be in alignment with the nursing project and in accordance with patients' own values and goals. ; This research has been funded by the Oslo and Akershus University College, and the Norwegian Research Council (Grant number: 250503). ; acceptedVersion