Recent years have witnessed the publication of numerous articles that draw a critical alignment between ethics and caring. In essence, this theme suggests that caring is a moral pursuit centred on the beneficent attention of one person shown to another. Yet, if such language is to have real poignancy, it must be geared towards an inclusive agenda that meets the needs of all within the community. Research evidence suggests that this is not always the case, especially in terms of the (...) care offered to members of minority ethnic groups. This article will focus on the findings of a qualitative research study that explored the expectations and perceived experiences of nursing care among members of the Pakistani community in Bradford, West Yorkshire, UK. The findings suggest that nurses should develop a more informed narrative that readily reflects the needs of the Pakistani community. (shrink)

In the West, the term ‘tender, loving care’ (TLC) has traditionally been used as a defining term that characterizes nursing. When this expression informs practice, it can comfort the human spirit at times of fear and vulnerability. Such notions offer meaning and resonance to the ‘lived experience’ of giving and receiving care. This suggests that, in a nursing context, TLC is rooted firmly in relationship, that is, the dynamic that exists between carer and cared for. Despite this emphasis on relationship, (...) there is a scarcity of literature that draws a connection between TLC and the moral challenge that is so much a part of human interaction. In this article we will address this deficit and present a narrative that places TLC at the centre of moral engagement between nurse and patient; in essence, we offer an alternative means of viewing relational ethics. (shrink)

Recent times have witnessed a groundswell in the number of British television programmes that deal with the ‘real life’ experiences of people in various health care settings. Such programmes tend to focus upon the two interrelated strands of the experience of those who deliver professional care and those who are at the receiving end of it. The usual rationale given for such programmes is that they offer insights about the delivery of health care that are not readily accessible to members (...) of the public. This article will look beneath the rationale and reasons offered by programme makers for the existence of such documentaries. It will explore insidious and questionable elements that go beyond revealing the ‘lived experience’ of professional carers and those for whom they care. Emerging from this is the challenging notion that such programmes deliver the opportunity to experience the vulnerability, suffering and even death of others through a voyeuristic gaze. (shrink)

Ethics has traditionally been taught in the 'ivory towers' of academia. Recent develop ments and reforms in nurse education have given ethics a prominent position in most curricula. However, the vast majority of ethics teaching continues to take place in academic departments. This approach fuels the practitioner's views that nursing is a pragmatic activity whilst ethics is a cognitive endeavour; such perspectives entrench ethics firmly in the traditional gap between theory and practice. The focus of this paper presents an argument (...) that the teaching of ethics must be versed in clinical reality if bridges are ever to be built and the theory-practice gap crossed. Suivant la tradition, l'éthique est enseigné dans les tours d'ivoire des universités. Des développements et réformes récents dans l'éducation infirmier donnent à l'éthique une position prominante dans la plupart des programmes d'études. Mais la majorité de l'enseignement éthique continue dans les départements académiques. Cette façon d'enseigner alimente la vue des infirmiers/ères que soigner est une activité pragmatique pendant que l'éthique est un effort intellectuel. Ces attitudes retranchent l'éthique dans le vide traditionel entre la théorie et le pratique. Le thème de cet article présent l'argument que l'enseignement de l'éthique doit être posé dans la réalité clinique, si des ponts peuvent jamais être bâtis et le vide entre théorie et pratique peut être traversve. Ethik wurde traditionsmässig im Elfenbeinturm einer Universität gelehrt. Neuliche Entwicklungen und Reformen in der Ausbildung des Pflegepersonals haben der Ethik eine prominente Position gegeben in ihren Lehrplänen. Die meiste Lehre von Ethik findet jedoch weiterhin in akademischen Abteilungen statt. Dieses Vorgehen treibt die Ansicht des praktizierenden Pflegepersonals, dass Krankenpflege eine pragmatische Aktivitat ist und Ethik eine wissenschaftliche Bemühung. Solche Ansichten verwurzeln die Ethik in der traditionellen Kluft zwischen Theorie und Praxis. Das Zentrum dieses Artikels ist die These, dass die Lehre von Ethik auf klinischer Realität basiert sein muss so dass Brücken gebaut werden können und die Kluft zwischen Theorie und Praxis überschritten werden kann. (shrink)

Intensive care units are challenging and technologically advanced environments. Dealing with situations that have an ethical dimension is an intrinsic part of working in such a milieu. When a moral dilemma emerges, it can cause anxiety and unease for all staff involved with it. Theoretical and abstract papers reveal that having to confront situations of ethical difficulty is a contributory factor to levels of poor morale and burnout among critical care staff. Despite this, there is a surprising dearth of published (...) nursing research in the UK that investigates how staff deal with ethical issues in intensive care units. The purpose of this paper is to explore and discuss the development of a research framework designed to explore how staff deal with moral dilemmas in a British inten sive care unit. (shrink)