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Nurse Autonomy as Relational

Nursing Ethics 9 (2):194-201 (2002)

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  1. Health Care Providers’ Ethical Perspectives on Waiver of Final Consent for Medical Assistance in Dying (MAiD): A Qualitative Study.Dianne Godkin, Lisa Cranley, Elizabeth Peter & Caroline Variath - 2022 - BMC Medical Ethics 23 (1):1-14.
    BackgroundWith the enactment of Bill C-7 in Canada in March 2021, people who are eligible for medical assistance in dying, whose death is reasonably foreseeable and are at risk of losing decision-making capacity, may enter into a written agreement with their healthcare provider to waive the final consent requirement at the time of provision. This study explored healthcare providers’ perspectives on honouring eligible patients’ request for MAiD in the absence of a contemporaneous consent following their loss of decision-making capacity. MethodA (...)
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  • Beyond Individualism: Is There a Place for Relational Autonomy in Clinical Practice and Research?Edward S. Dove, Susan E. Kelly, Federica Lucivero, Mavis Machirori, Sandi Dheensa & Barbara Prainsack - 2017 - Clinical Ethics 12 (3):150-165.
    The dominant, individualistic understanding of autonomy that features in clinical practice and research is underpinned by the idea that people are, in their ideal form, independent, self-interested and rational gain-maximising decision-makers. In recent decades, this paradigm has been challenged from various disciplinary and intellectual directions. Proponents of ‘relational autonomy’ in particular have argued that people’s identities, needs, interests – and indeed autonomy – are always also shaped by their relations to others. Yet, despite the pronounced and nuanced critique directed at (...)
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  • Aspirational Solidarity as Bioethical Norm: The Case of Reproductive Justice.Alexis Shotwell - 2013 - International Journal of Feminist Approaches to Bioethics 6 (1):103-120.
    In this paper, I attend to a current strand in bioethics that forwards solidarity as a promising direction for bioethics theory and health-promoting practices. Drawing on resources from social and political philosophy, I argue that we can gain useful insight in bioethics if we understand solidarity as a political relation grounded not on shared social location but rather on shared visions for the sorts of worlds in which collective health and dignity proliferate. I consider what traction this conception of solidarity (...)
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  • Preserving Client Autonomy When Guiding Medicine Taking in Telehomecare: A Conversation Analytic Case Study.Sakari Ilomäki & Johanna Ruusuvuori - 2022 - Nursing Ethics 29 (3):719-732.
    Background: Enhancing client autonomy requires close coordination of interactional practices between nurse and client, which can cause challenges when interaction takes place in video-mediated settings. While video-mediated services have become more common, it remains unclear how they shape client autonomy in telehomecare. Research aim: To analyse how video mediation shapes client autonomy when nurses guide medicine taking remotely through video-mediated home care. Research design: This is a conversation analytic case study using video recordings of telehomecare encounters. The theoretical approach draws (...)
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  • Serving Two (or More) Masters: Accomplishing Autonomous Nursing Practice in Chronic Disease Management.Sally Kimpson & Mary E. Purkis - 2011 - Nursing Philosophy 12 (3):191-199.
  • Integrity and Moral Residue: Nurses as Participants in a Moral Community.Lorraine B. Hardingham - 2004 - Nursing Philosophy 5 (2):127-134.
  • 'There but for the Grace of God': Moral Responsibility and Mental Illness.Pamela Bjorklund - 2004 - Nursing Philosophy 5 (3):188-200.
  • Moral Distress and the Contemporary Plight of Health Professionals.Wendy Austin - 2012 - HEC Forum 24 (1):27-38.
    Once a term used primarily by moral philosophers, “moral distress” is increasingly used by health professionals to name experiences of frustration and failure in fulfilling moral obligations inherent to their fiduciary relationship with the public. Although such challenges have always been present, as has discord regarding the right thing to do in particular situations, there is a radical change in the degree and intensity of moral distress being expressed. Has the plight of professionals in healthcare practice changed? “Plight” encompasses not (...)
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  • Whistleblowing and Organizational Ethics.Susan L. Ray - 2006 - Nursing Ethics 13 (4):438-445.
    The purpose of this article is to discuss an external whistleblowing event that occurred after all internal whistleblowing through the hierarchy of the organization had failed. It is argued that an organization that does not support those that whistle blow because of violation of professional standards is indicative of a failure of organizational ethics. Several ways to build an ethics infrastructure that could reduce the need to resort to external whistleblowing are discussed. A relational ethics approach is presented as a (...)
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  • Whistleblowing and Boundary Violations: Exposing a Colleague in the Forensic Milieu.Cindy Peternelj-Taylor - 2003 - Nursing Ethics 10 (5):526-537.
    The purpose of this article is to examine the phenomenon of whistleblowing as it relates to a reconstructed case study of an erotic boundary violation that emerged from a clinical situation in forensic psychiatric nursing practice. The unique features of this case are illustrated with the help of a model for decision making. Although the ramifications of exposing a colleague are many, it is argued that, in this particular case, it was morally and ethically the right thing to do.
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  • Editorial Comment.Maria Cristina Paganini - 2010 - Nursing Ethics 17 (3):285-287.
  • Nursing Instructors’ Perception of Students’ Uncivil Behaviors: A Qualitative Study.Anahita Masoumpoor, Fariba Borhani, Abbas Abbaszadeh & Maryam Rassouli - 2017 - Nursing Ethics 24 (4):483-492.
  • Advance Care Planning with Chronically Ill Patients: A Relational Autonomy Approach.Tieghan Killackey, Elizabeth Peter, Jane Maciver & Shan Mohammed - forthcoming - Nursing Ethics:096973301984803.
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  • The Power and Politics of Collaboration in Nurse Practitioner Role Development.Judith Burgess & Mary Ellen Purkis - 2010 - Nursing Inquiry 17 (4):297-308.
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  • The Moral Agency of Institutions: Effectively Using Expert Nurses to Support Patient Autonomy.Sonya Charles - 2017 - Journal of Medical Ethics 43 (8):506-509.
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  • Aspirational Solidarity as Bioethical Norm: The Case of Reproductive Justice.Alexis Shotwell - 2013 - International Journal of Feminist Approaches to Bioethics 6 (1):103-120.
    It is foundational to ethics and bioethics that individuals will have to make hard decisions, frequently in challenging circumstances. But the scenarios and standard modes of theorizing in bioethics may fail to address important ethical questions, in part because of a paradigmatic focus on individual rights and freedoms in the context of decision making. There is a growing conviction that theorists of ethics and bioethics must reframe our core units of analysis to attend to health in public, collective, relational terms.1 (...)
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