Are submissive nurses ethical?: Reflecting on power anorexia

Lunardi, Valéria Lerch; Peter, Elizabeth; Gastaldo, Denise

doi:10.1590/s0034-71672002000200012

Cited by 15 publications

(17 citation statements)

References 19 publications

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“…In addition to questioning this apparent lack of power, it has been argued that nurses underestimate or do not acknowledge their power. On the other hand, when nurses and other nursing professionals refuse, during their professional practice, to resist the actions of others, they may be refusing delivery of the best possible care to their patients (16) .…”

Section: Disregards Patient Autonomymentioning

confidence: 99%

Vivência do sofrimento moral na enfermagem: percepção da enfermeira

Barlem

Lunardi

et al. 2012

Rev. esc. enferm. USP

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Objetivando conhecer a percepção do sofrimento moral vivenciado, relacionando frequência e intensidade, realizou-se pesquisa Survey, utilizando escala Likert variando de 0 a 6 pontos, com 124 enfermeiras em hospitais do sul do Brasil, no ano de 2008. Mediante questionário autoaplicável e análise fatorial, foram identificados e validados quatro constructos. Os resultados finais foram obtidos através de três diferentes análises: 1) estatística descritiva; 2) análises de variância 3) regressão múltipla. O constructo que apresentou maior intensidade de percepção de vivência do sofrimento moral foi a falta de competência na equipe de trabalho (4,55), seguido pela negação do papel da enfermeira como advogada do paciente (4,30), obstinação terapêutica (3,60) e desrespeito à autonomia do paciente (3,57). Em relação à percepção da frequência do sofrimento moral, destacou-se, novamente, o constructo falta de competência na equipe de trabalho (2,42), seguido da obstinação terapêutica (2,26), negação do papel da enfermeira como advogada do paciente (1,71) e desrespeito à autonomia do paciente (1,42).

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Section: Disregards Patient Autonomymentioning

confidence: 99%

Vivência do sofrimento moral na enfermagem: percepção da enfermeira

Barlem

Lunardi

et al. 2012

Rev. esc. enferm. USP

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“…Nurses often have to deal with the lack of human and material resources, interpersonal conflicts, and power differences among health professionals, management, patients and families. 44 The concept of ethics through a lens of idealism Philosophy provides a framework for the explanation of phenomena. Ideology is a 'systematic and coherent set of representations (ideas and values) and norms or rules (of conduct) [which indicates] values, thoughts, feelings and actions for members of a society.…”

Section: Collective Healthmentioning

confidence: 99%

The ethical component of professional competence in nursing: An analysis

Paganini

Egry

2011

Nurs Ethics

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The purpose of this article is to initiate a philosophical discussion about the ethical component of professional competence in nursing from the perspective of Brazilian nurses. Specifically, this article discusses professional competence in nursing practice in the Brazilian health context, based on two different conceptual frameworks. The first framework is derived from the idealistic and traditional approach while the second views professional competence through the lens of historical and dialectical materialism theory. The philosophical analyses show that the idealistic view of professional competence differs greatly from practice. Combining nursing professional competence with philosophical perspectives becomes a challenge when ideals are opposed by the reality and implications of everyday nursing practice.

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“…This power is an individualized form of power, in which someone acts as a guide for others [ 31 ]. The leader exercises power through duty and self-denial, because everything they do is for the sake of the “herd” [ 32 , 33 ]. Dingwall and Mclntosh [ 29 ] with other authors [ 34 , 35 ] considered the duality of the paternal stereotype of the doctor, whose goal is curing, and the maternal stereotype of the nurse, with a more affective value on the care provided, in response to the definition of pastoral power.…”

Section: Introductionmentioning

confidence: 99%

Impact of Interprofessional Relationships from Nurses’ Perspective on the Decision-Making Capacity of Patients in a Clinical Setting

Molina-Mula

Gallo-Estrada

Perelló-Campaner³

2017

IJERPH

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Interprofessional relationships may impact the decision making of patients in a clinical setting. The objective of this study was to analyse the decision-making capabilities of patients from nurses’ perspectives of interprofessional relationships using Foucauldian ethics. This qualitative study was based on poststructuralist Foucault references with in-depth interviews of nurses working in internal medicine and specialties in a general hospital. The patients constantly appeared in the definition of teamwork, but also as a passive element used by every professional to communicate with others. Nurses continue modelling a type of patient passivity, or what Foucault called passive subjectivity in relation to oneself, because the patient is guided and directed to take charge of a truth provided by professionals. Nurses must break the rigid design of sections or professional skills, and adopt a model of teamwork that meets the needs of the patient and increases their decision-making power. The quality of care will increase to the extent that professionals establish a relationship of equality with the patient, allowing the patient to make real decisions about their care. An egalitarian model of teamwork is beneficial to the patient, abandoning the idea of a team where the patient and family are constantly excluded from decisions about their care.

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Are submissive nurses ethical?: Reflecting on power anorexia

Cited by 15 publications

References 19 publications

Vivência do sofrimento moral na enfermagem: percepção da enfermeira

Vivência do sofrimento moral na enfermagem: percepção da enfermeira

The ethical component of professional competence in nursing: An analysis

Impact of Interprofessional Relationships from Nurses’ Perspective on the Decision-Making Capacity of Patients in a Clinical Setting

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