A definitive theory for ethical decision making in nursing is still only conjecture. The literature confirms that there have been numerous examinations of ethical decision making in nursing, with most proposing either the justice or the care orientation, or a combination of both. In the absence of a definitive theory, this exploratory work sets out, via grounded theory, to shed some light on the methods used every day by nurses to make ethical decisions in the clinical area. The data show (...) that some factors, such as doctors, colleagues and the organization, profoundly influence ethical decision making. The informants used both care and justice to formulate decisions, which is known as the combined approach. As a result of these findings, this article concludes with tentative suggestions and recommendations for practice. (shrink)

Today's Zeitgeist dictates that physicians not only care for their patients, but also care deeply about them. According to a recent article in a prominent journal, It may well be that the Zeitgeist says more about how we feel as potential patients than what we actually expect of physicians. Nonetheless, this Zeitgeist poses an important problem for the physician who cares for a sentimental patient. here describes a contrived exaggeration of the emotional availability of physicians. Despite the impossibility of articulating (...) precisely how much emotional engagement clinical encounters demand, sentimental patients expect too much of their caregivers. (shrink)