Physiological observations or vital sign monitoring is a fundamental tenet of nursing care within an acute care setting. Surveillance of vital signs with algorithmic early warning frameworks aids the nurse in monitoring for early symptoms of clinical deterioration. The nurse must be cognizant of the factors that can influence the vital sign measurements because the framework score is only as reliable as the data inserted. Vital sign technology has made significant progress in its ability to objectify nursing subjective assessments. Early (...) scientists have struggled with its relationship with subjectivity, claiming it has no relevance in true science. Quantitative measurements, regardless of how objectively they were created or obtained, need a subjective lens to interpret and act on the results. The skill of “making” the vital signs can be easily taught or done with technology, but it is the “taking” of the data for analysis of truth and action that requires a higher level of expertise. This paper will examine the truth of vital sign methodology and monitoring to explore the question, “Is true objectivity in the nursing practice of vital sign measurement possible?” The truth in vital sign recognition through a subjective lens will also be explored to challenge the philosophical scientific claims that objective data are the absolute truth. (shrink)

Leaders who express an ethical identity are proposed to affect followers’ attitudes and work behaviors. In two multi-source studies, we first test a model suggesting that work engagement acts as a mediator in the relationships between ethical leadership and employee initiative (a form of organizational citizenship behavior) as well as counterproductive work behavior. Next, we focus on whether ethical leadership always forms an authentic expression of an ethical identity, thus in the second study, we add leader Machiavellianism to the model. (...) For Machiavellian leaders, the publicly expressed identity of ethical leadership is inconsistent with the privately held unethical Machiavellian norms. Literature on surface acting suggests people can at least to some extent pick up on such inauthentic displays, making the effects less strong. We thus argue that the positive effects of ethical leader behavior are likely to be suppressed when leaders are highly Machiavellian. Support for this moderated mediation model was found: The effects of ethical leader behavior on engagement are less strong when ethical leaders are high as opposed to low on Machiavellianism. (shrink)

To investigate the unique kinds of mentality involved in skilled performance, this paper explores the performance ecology of the Māori haka, a ritual form of song and dance of the indigenous people of Aotearoa New Zealand. We respond to a recent proposal to program robots to perform a haka as ‘cultural preservationists’ for ‘intangible cultural heritage’. This ‘Robot Māori Haka’ proposal raises questions about the nature of skill and the transmission of embodied knowledge; about the cognitive and affective experiences cultivated (...) in indigenous practices like haka; and about the role of robots in the archival aspirations of human societies. Reproducing haka, we suggest, requires more than copying physical actions; preserving the ‘intangible’ entails more than programming postures and movements. To make this case, we discuss the history of European responses to the haka, and analyse its diverse performance features in cultural context. Arguing that indigenous movement practices incorporate genuinely embodied knowledge, we claim that skilled performance of haka is deeply mindful, embodying and transmitting dynamic, culturally shared understandings of the natural and social world. The indigenous psychologies incorporated in haka performance are animated by a shared history integrated with its environment. Examining haka performance through the lens of 4E cognitive skill theory for mutual benefit, we discuss the effects of synchrony in collective action, the social and environmental scaffolding of affect and emotion, and the multilayered relations between past and present. Culturally-embedded systems of skilled movement like the Māori haka may, we suggest, constitute specific ways of thinking and feeling. (shrink)

Machiavellians are manipulative and deceitful individuals willing to utilize any strategy or behavior needed to attain their goals. This study explores what occurs when Machiavellian employees have a Machiavellian leader with the same negative, manipulative disposition. We argue that Machiavellian employees have a negative worldview and are likely to trust their leaders less. This reduced trust likely results in these employees experiencing higher stress and engaging in more unethical behavior. In addition, we expect these negative relationships to be exacerbated when (...) such followers experience Machiavellian leadership. Thus, we test a moderated mediation model assessing whether Machiavellianism affects employees and whether combining Machiavellian leaders and Machiavellian employees is toxic in the sense of exacerbating the negative impact of Machiavellianism on employee trust. Results do not support the proposed conditional indirect effect of trust for either stress or unethical behavior. Instead, we find a conditional direct effect of employee Machiavellianism on both trust and stress: When Machiavellian employees have Machiavellian leaders, their trust in their leader significantly decreases, and their level of stress significantly increases. We also find support for an unconditional indirect effect of trust for employee stress, Machiavellianism in employees relates to stress via lowered trust in the leader. For unethical behavior, we only find a main effect of employee Machiavellianism. (shrink)

Although clarity about HIV transmission biology and effective therapy should mean that an AIDS diagnosis is more socially acceptable today, for some groups the cultural stigma of HIV infection has changed little in the last 30 years. This paper will examine why representations of HIV-positive gay men suggest they pose a special civic risk and how these conceptualizations have harnessed cultural anxieties about racial and sexual minorities to shape public policy and behavior since the advent of Highly Active Antiretroviral Therapy (...) (HAART) in 1996. (shrink)

In recent years Structural Realism has been revived as a compromise candidate to resolve the long-standing question of scientific realism. Recent debate over structural realism originates with Worrall’s (1989) paper “Structural Realism: The best of Both Worlds”. However, critics such as Psillos contend that structural realism incorporates an untenable distinction between structure and nature, and is therefore unworkable. In this paper I consider three versions of structural realism that purport to avoid such criticism. The first is Chakravartty’s “semirealism” which proceeds (...) by trying to show that structural realism and entity realism entail one another. I demonstrate that this position will not work, but follow Chakravartty’s contention that structural realism need not imply that scientific knowledge can only be of mathematical structure. I advance from this conclusion to sketch a version of structural realism that is consistent with recent deflationary approaches to the scientific realism question. Finally, I consider a third approach to structural realism Ladyman’s “metaphysical structural realism” which tries to avoid the difficulties of earlier versions by taking structure to be ontologically primary. I show that the deflationary approach to structural realism undermines the rationale behind Ladyman’s approach. (shrink)

In this paper I address some shortcomings in Larry Laudan's normative naturalism. I make it clear that Laudan's rejection of the "meta-methodology thesis", or MMT is unnecessary, and that a reformulated version MMT can be sustained. I contend that a major difficulty that attends Laudan's account is his contention that a naturalistic philosophy of science cannot accommodate any a priori justification of methodological rules, and consider what sort of naturalism might best replace Laudan's. To do this, I discuss Michael Friedman's (...) account of a relativised a priori and show that it is consistent with naturalistic philosophy of science and that it can help form the basis of a plausible normative naturalism. In particular, this Discussion shows that Laudan's rejection of any a priori justification of methodological rules is unjustified and inconsistent with scientific practice. Finally, I point the way to a version of normative naturalism that includes MMT and accounts for the role of constitutive a priori principles within science. (shrink)

In his book The Mangle of Practice and in other writings, Andrew Pickering purports to resolve the question of scientific realism by recasting the debate in terms of his own view “pragmatic” or “performative” realism. This view is informed by a constructivist view of scientific practice. Therefore it is characterised by Pickering as a species of anti‐realism that claims to take due account of the both the objective and pragmatic aspects of certain versions of scientific realism. This paper analyses Pickering's (...) claims to have resolved the debate and examines the merits and limitations of his proposed replacement.I show that insofar as Pickering conceives scientific practice as eschewing any position concerning the correspondence of theoretical concepts with nature, his position can be compared in several respects to Fine's much discussed alternative to realism, NOA. I contend that Pickering's proposed “performative realism” is no more successful at resolving the scientific realism question in than is NOA. (shrink)

This paper critically contrasts Laudan’s normative naturalism with Friedman’s arguments about the importance of a priori concepts in scientific methodology. I do not take issue with Laudan’s claim that taking philosophy and science to be continuous does not preclude a normative role for the philosophy of science. The main focus of criticism instead is Laudan’s assertion that if normative philosophy employs the methods found in the sciences themselves, then this precludes any a priori or philosophical justification of methodological rules. I (...) make the case that not only are such justifications possible, they are central to any proper philosophical understanding of scientific methodology, and must figure prominently in any plausible version of normative naturalism. To make this case I sketch Laudan’s position and his reasons for the ban on a priori justification. I then contrast Laudan’s position with Friedman’s recent studies on the prominence ofrelativised constitutive a priori principles within science and show that this view can serve as the basis of a contrasting variation of naturalised philosophy of science. I elucidate Friedman’s position in order to identify some prima facie difficulties with Laudan’s ban on the a priori in our understanding of science but also to provide an example of a competing variation of philosophical naturalism. Finally, I further highlight the difficulties that attend Laudan’s position through a case study, the central methodological role of renormalisation in quantum field theory. (shrink)

From its inception, genomics has been a speculative endeavor, fixated on a far-off horizon that would deliver on the promise of targeted diagnostics and individualized therapeutics (Fortun 2008). M...

It seems to be commonly understood that sometimes a family lawyer’s advocacy can go too far; however, absent disciplinary proceedings or a claim in negligence, it is not always easy to identify exactly what line a lawyer has crossed. A lawyer’s role, properly understood, is to pursue their client’s interests within the bounds of legality. In this paper, I examine the positivist conception of the bounds of legality in the context of family law. My examination includes consideration of adversarial and (...) non-adversarial advocacy, how much resolve a lawyer can properly use as an advocate, and the means of a lawyer’s craft – both substantive and procedural tactics. In doing so, I provide a theoretical mapping of the bounds of legality, demonstrating that they are insufficient in family law. My aim is to provide the theoretical tools to help inform change to family law, and the law and professional rules governing lawyers. (shrink)

It seems to be commonly understood that sometimes a family lawyer’s advocacy can go too far; however, absent disciplinary proceedings or a claim in negligence, it is not always easy to identify exactly what line a lawyer has crossed. A lawyer’s role, properly understood, is to pursue their client’s interests within the bounds of legality. In this paper, I examine the positivist conception of the bounds of legality in the context of family law. My examination includes consideration of adversarial and (...) non-adversarial advocacy, how much resolve a lawyer can properly use as an advocate, and the means of a lawyer’s craft – both substantive and procedural tactics. In doing so, I provide a theoretical mapping of the bounds of legality, demonstrating that they are insufficient in family law. My aim is to provide the theoretical tools to help inform change to family law, and the law and professional rules governing lawyers. (shrink)

Corporations play a historic role in generating wealth but sometimes have a contentious impact on the environment and society as a whole. In recent years, corporations have become more sensitive to social issues and stakeholder concerns, and are collectively striving to become better corporate citizens. Business schools must prepare their graduates for success within these organizations by ensuring they are exposed to the best practices for implementing corporate sustainability initiatives and for measuring the social and financial impacts of these activities. (...) This article provides implications for curriculum by examining recent editions of Corporate Finance/Financial Management and Financial and Managerial Accounting textbooks commonly used by undergraduate students in North America to see how much space is devoted to these topics. The study finds that Cost/Managerial Accounting textbooks have the highest coverage related to sustainability and environmental topics. (shrink)

Volume 21, Issue 2, December 2018, Page 163-166.

Most research on ethical leadership to date investigates the consequences of ethical leadership rather than its antecedents. Here, we aim to contribute to this field by studying leader personality as a potential antecedent of ethical leader behavior. In two multisource studies, we investigated the relationships between personality traits and ethical leader behavior. Leader personality was measured through self-ratings using the five-factor personality framework. Two subordinates rated their leaders' ethical behavior. Study 1 used a unidimensional Ethical Leadership Scale (ELS). In study (...) 2 we used this scale as well as an instrument distinguishing three different ethical leader behaviors, namely, fairness, role clarification, and power sharing. Further, in study 2 we controlled for the influence of the relationship between leader and followers (LMX). As expected, conscientiousness and agreeableness were most consistently related to ethical leadership. In study 1, after controlling for the other personality traits, conscientiousness related positively with ethical leadership. In study 2, after controlling for other traits and LMX, conscientiousness related positively with ethical leadership and the behavior role clarification, and agreeableness with power sharing and fairness. Also, emotional stability related positively with ethical leadership and role clarification after controlling for LMX. As expected, openness to experience and extraversion were unrelated to ethical leader behaviors. (shrink)

Sexbots are coming. Given the pace of technological advances, it is inevitable that realistic robots specifically designed for people's sexual gratification will be developed in the not-too-distant future. Despite popular culture's fascination with the topic, and the emergence of the much-publicized Campaign Against Sex Robots, there has been little academic research on the social, philosophical, moral, and legal implications of robot sex. This book fills the gap, offering perspectives from philosophy, psychology, religious studies, economics, and law on the possible future (...) of robot-human sexual relationships. (shrink)

Public investments in genomic and precision medicine have begun to yield clinically useful interventions, most recently, for example, two new, FDA-approved gene therapies for sickle cell disease (F...

This mixed-methods study explores how high school students ( n=35) enrolled in a school with a high Latino/a population evaluate the trustworthiness of documents in two historical reasoning tasks: one about the Dust Bowl in the 1930s and the other about the experiences of Mexicans and Mexican Americans in the 1920s. Students indicated whether they trusted each document, provided a rationale for their trust (or distrust) of each document, and ranked the trustworthiness of the documents. We also interviewed 10 focal (...) students to explore students’ reasoning in more in-depth ways than the written responses allowed. We found that students tended to trust the secondary source documents more than the primary source documents because, as they argued, the secondary source documents contained more facts. In contrast, students were less likely to trust the primary source documents, particularly the songs, arguing that they were more opinion-based than factual. We also found that some students had an emotional response to the content of some of the documents, and in some cases, these emotional responses shaped how they viewed the documents’ trustworthiness. Additionally, students’ heritage may have played a role in some students’ trust justifications for some documents in the experiences of Mexicans and Mexican Americans task. We conclude with implications for curriculum and instruction. (shrink)

More than sixty reporters discuss ethical dilemmas facing the journalist and how they have personally coped with such problems as conflicts of interest, gifts, bribes, news leaks, and confidentiality of sources.

In lieu of an abstract, here is a brief excerpt of the content:Symposium Art and Aesthetic Education in Times of Terror: Negotiating an Ethics and Aesthetics of Answerability Deanne Bogdan University of Toronto Claudia Eppert Louisiana State University Candace Yang Louisiana State University Charlene Morton University of Prince Edward Island The terrorist attacks of 1 1 September 2001 have created a climate of loss and fear among many in the western world. Some educators have maintained that any discussion ofthese (...) events so soon after they have happened threatens to dishonor the memory ofthe victims and is too difficult because ofour emotional unsettlement. These concerns are warranted; any discussion would indeed need to be mindful ofthem. The predominant position ofthis symposium, however, is that these events have created such chaos and uncertainty that we are faced with the immediate challenge not of disavowing or deferring discussion but rather of determining the initial terms of an ethical answerability. Thesymposiumparticipants seek to initiate such a difficult conversation in the hope that aspects of it might offer a productive resource forclassroompracticeanddailylivingas we find our way through grief and moral confusion. Thediscussion centers ontheroleaesthetics and aesthetic education haveplayed and continue to play in responding to these events and their aftermath. In particular, it considers the terms on which the arts might variably serve as a vehicle for consolation and healing, for honoring the victims of this event, and for educating present and future generations about what happened and about the requirements ofpeace. Furthermore, the challengefacedbythearts andaestheticeducation in addressingNorthAmerica's psychic and social needs is increased in recognition that these challenges are occurring in a context heavily infused with senseless violence and nationalist rhetoric. This context makes evident the need for artists and educators to help map an ethical and spiritual terrain for re-evaluating the "American way of life," national identities, and democracy itself. It is amappingthat shouldnot takeplace outsidethe arena ofthe political, but should respond to and intervene in it. It is a mapping, therefore, directed toward helping find"a wayofdevelopingapraxis ofeducational consequence that opens the spaces necessary for the remaking ofa democratic community " (Maxine Greene, The Dialectic ofFreedom [New York: Teachers College Press, 1988], 126). The papers in this symposium were originally presented as a panel discussion at a special session of the Philosophy of Education Society (PES) annualmeeting,Vancouver,BritishColumbia, in April 2002.©Philosophy ofMusic Education Review 10, no. 2 (Fall 2002): 124-139.... (shrink)

Use of the concept of `areasonable person and his or her expectations'is widely found in legal reasoning. This legalconstruct is employed in the present article toexamine privacy questions associated withcontemporary information technology, especiallythe internet. In particular, reasonableexpectations of privacy while browsing theworld-wide-web and while sending and receivinge-mail are analyzed.

In the lengthy debate over the question of scientific realism one of the least discussed positions is structural realism. However, this position ought to attract critical attention because it purports to preserve the central insights of the best arguments for both realism and anti-realism. John Worrall has in fact described it as being ‘the best of both worlds’ that recognizes the discontinuous nature of scientific change as well as the ‘no-miracles’ argument for scientific realism. However, the validity of this claim (...) has been called into question by Stathis Psillos. He questions its ability to correctly account for the examples of scientific change that its supporters, like Worrall, claim ought to be understood in a structural realist light. (shrink)

Diminishing awareness is a consequence of the information explosion: disciplines are becoming increasingly specialized; individuals and groups are becoming ever more insular. This paper considers how awareness can be enhanced via abductive knowledge discovery the goal of which is to produce suggestions which can span disparate islands of knowledge. Knowledge representation is motivated from a cognitive perspective. Words and concepts are represented as vectors in a high dimensional semantic space automatically derived from a text corpus. Information flow computation between vectors (...) is proposed as a means of suggesting potentially interesting implicit associations between concepts. Information flow is applied to computational scientific discovery by attempting to simulate Swanson's Raynaud-fish oil discovery in medical texts. Both automatic and semi-automatic attempts were studied and compared against suggestions computed via semantic association. Even though this work is preliminary and speculative in nature, there is some justification to believe that appropriate suggestions can be “abduced” from semantic space. (shrink)

Leaders who express an ethical identity are proposed to affect followers’ attitudes and work behaviors. In two multi-source studies, we first test a model suggesting that work engagement acts as a mediator in the relationships between ethical leadership and employee initiative (a form of organizational citizenship behavior) as well as counterproductive work behavior. Next, we focus on whether ethical leadership always forms an authentic expression of an ethical identity, thus in the second study, we add leader Machiavellianism to the model. (...) For Machiavellian leaders, the publicly expressed identity of ethical leadership is inconsistent with the privately held unethical Machiavellian norms. Literature on surface acting suggests people can at least to some extent pick up on such inauthentic displays, making the effects less strong. We thus argue that the positive effects of ethical leader behavior are likely to be suppressed when leaders are highly Machiavellian. Support for this moderated mediation model was found: The effects of ethical leader behavior on engagement are less strong when ethical leaders are high as opposed to low on Machiavellianism. (shrink)

This article examines the question of whether universities and colleges should attempt to ban all student-faculty relationships, as many have tried to do. It argues that, because adults have a fundamental right to engage in intimate relationships without interference, supporters of relationship bans must meet a high standard in defending them. But outright bans on such relationships cannot meet this standard. Though the desire to create a secure environment for students is legitimate and important, it cannot be shown that relationship (...) bans are necessary or proportional means of doing so. Besides being a violation of the rights of the people involved, relationship bans have a negative impact on the larger university community. The argument is not a defense of such relationships per se. Romantic interactions between students and faculty are invariably complicated and perilous, and should be approached with caution. (shrink)

In recent years a general consensus has been developing in the philosophy of science to the effect that strong social constructivist accounts are unable to adequately account for scientific practice. Recently, however, a number of commentators have formulated an attenuated version of constructivism that purports to avoid the difficulties that plague the stronger claims of its predecessors. Interestingly this attenuated form of constructivism finds philosophical support from a relatively recent turn in the literature concerning scientific realism. Arthur Fine and a (...) number of other commentators have argued that the realism debate ought to be abandoned. The rationale for this argument is that the debate is sterile for it has, it is claimed, no consequence for actual scientific practice, and therefore does not advance our understanding of science or its practice. Recent “softer” accounts of social constructivism also hold a similar agnostic stance to the realism question. I provide a survey of these various agnostic stances and show how they form a general position that I shall refer to as “the anti-philosophical stance”. I then demonstrate that the anti-philosophical stance fails by identifying difficulties that attend its proposal to ban philosophical interpretation. I also provide examples of instances where philosophical stances to the realism question affect scientific practice. (shrink)

In this paper I claim that Quinean naturalist accounts of science, that deny that there are any a priori statements in scientific frameworks, cannot account for the foundational role of certain classes of statements in scientific practice. In this I follow Michael Friedman who claims that certain a priori statements must be presupposed in order to formulate empirical hypotheses. I also show that Friedman's account, in spite of his claims to the contrary, is compatible with a type of non-Quinean naturalism (...) that I sketch. Finally I also show that Friedman's account needs amending because it cannot provide a rational account of theory change. I accomplish this by arguing for a structural realist view of theory change. I show how this view fits well with an account like Friedman's and helps it deal with the problem of theory change and in retaining its superiority over Quinean naturalism. (shrink)

In recent years Structural Realism has been revived as a compromise candidate to resolve the long-standing question of scientific realism. Recent debate over structural realism originates with Worrall's (1989) paper "Structural Realism: The best of Both Worlds". However, critics such as Psillos contend that structural realism incorporates an untenable distinction between structure and nature, and is therefore unworkable. In this paper I consider three versions of structural realism that purport to avoid such criticism. The first is Chakravartty's "semirealism" which proceeds (...) by trying to show that structural realism and entity realism entail one another. I demonstrate that this position will not work, but follow Chakravartty's contention that structural realism need not imply that scientific knowledge can only be of mathematical structure. I advance from this conclusion to sketch a version of structural realism that is consistent with recent deflationary approaches to the scientific realism question. Finally, I consider a third approach to structural realism Ladyman's "metaphysical structural realism" which tries to avoid the difficulties of earlier versions by taking structure to be ontologically primary. I show that the deflationary approach to structural realism undermines the rationale behind Ladyman's approach. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Journal of Aesthetic Education 37.2 (2003) 80-98 [Access article in PDF] Musical Spirituality:Reflections on Identity and the Ethics of Embodied Aesthetic Experience in/and the Academy Deanne Bogdan Music in/and My Life Several years ago, I attended a Pontifical High Mass at St. Stephen's Cathedral in Vienna. It was the feast of the Epiphany, a public holiday in the predominantly Roman Catholic country of Austria. 1 A "lapsed" (...) Catholic myself, my intention as part of the congregation that day was not primarily one of worship as it was to listen to a performance of the Pauckenmesse of Joseph Haydn, complete with soloists, full choir, and orchestra (in overcoats), including, of course, timpani.As I stepped from the brilliant winter morning into the narthex of that gothic splendor, the pungency of the incense propelled me into Proustian recollections of growing up female, Catholic, and Italian-Canadian in the cathedral parish in Hamilton, Ontario, Canada's steel town. My mother and father, first generation Italian-Canadians, whose own parents had emigrated as teen-agers, had been partners in a corner grocery located in another part of the city that was largely professional and white-Anglo-Saxon Protestant. Eager to assimilate (they never spoke Italian to my sister or me, and we never learned the language), my parents realized early on that their most valuable legacy to their two daughters would be the advantages of a solid education, religious and secular. For them that meant enrolling us in the local co-educational Catholic elementary school. Later we attended a convent secondary school as day students, and were the only members of our extended family, male or female, to attend university.It was memories of those elementary school years that were conjured up for me that crisp January morning at St. Stephen's. (In hindsight, I am struck by the synchronicity 2 of the fact that my original surname is Di Stefano, or rather "Distefan," as it had become in its anglicized form). 3 For a [End Page 80] whole complex of reasons, I identified strongly with my parochial school and the church that sheltered/shadowed it — a soaring pseudo-gothic structure reputed to have been replicated, stone by stone, wood carving by hand wood carving, from some European cathedral. The romance of that basilica — The Cathedral of Christ the King — its "daughter" school, and the priests and nuns who were our guides and teachers became my second family for the whole of my grade school education. For me, being at school was like a recognition scene. As Italian-American literary theorist Marianna de Marco Torgovnick writes: When I was a child, school was...a light-filled, wide awake world in which fear did not erupt except on rare occasions. I saw school as a place where I was valued for my intelligence, even though I was female — and this probably had something to do with my absence of fear there. I quite naturally chose to stay in school through college and into graduate school. It's in these relatively late years that I first became fully conscious of how even within the world of school I was and always would be female. 4My identification with my church/school centered around my musical development, which began at age four when the piano I grew up on arrived like a beacon in our home. Coterminous with my eager entry into first grade, piano lessons were begun with Sister Cecile, a somewhat nervous, gentle nun predisposed to mystical experience, who shepherded me through exams and recitals until high school. Because I could sight-read fairly well, I was regularly pulled out of class to accompany soloists and dancing groups rehearsing for annual Christmas and St. Patrick's Day concerts. Something about this made me feel special; I both reveled in and felt isolated by my difference from my classmates. I had found a sense of community through my music, and enjoyed a feeling of security in the knowledge that my schoolwork was strong enough... (shrink)

Deanne Bogdan; Toward a Rationale for Literary Literacy, Journal of Philosophy of Education, Volume 24, Issue 2, 30 May 2006, Pages 199–212, https://doi.org/10.

This discussion paper aims to explore potential ethical and moral implications of (patient) centredness in nursing and healthcare. Healthcare is experiencing a philosophical shift from a perspective where the health professional is positioned as the expert to one that re‐centres care and service provision central to the needs and desires of the persons served. This centred approach to healthcare delivery has gained a moral authority as the right thing to do. However, little attention has been given to its moral and (...) ethical theoretical grounding and potential implications for nurses, persons served and the healthcare system. Based upon a review of academic and grey literature, centredness is proposed as a value‐laden concept in nursing inquiry. Potential moral and ethical implications of centredness on nurses/healthcare providers, persons served and the healthcare system are discussed. These challenges are then considered within the context of normative and relational ethical theories. These perspectives may offer guidance relative to how one should act in those circumstances as well as an understanding as to how interdependency and engagement with the other person(s) can help navigate the challenges of a centred care approach. Viewing centredness through an ethical theoretical lens provides a valuable discourse to nursing in efforts to expand the knowledge base and integrate centred approaches into practice and policy. (shrink)