Ethical inquiry and the concept of research

Jameton, Andrew; Fowler, Marsha

doi:10.1097/00012272-198904000-00006

Cited by 19 publications

(16 citation statements)

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“…In line with the interpretivist/constructivist paradigm (Lincoln & Guba 1985), we wanted to inquire descriptively into ‘what is’ (current thinking and practice) and use this descriptive data to generate normative (value‐based) work about what should be (Jameton & Fowler 1989). To capture the depth of information likely to emerge in such an inquiry, focus groups were selected as the means of data collection.…”

Section: Designmentioning

confidence: 99%

Ethical practice in nursing: working the in‐betweens

Varcoe¹,

Doane²,

Pauly³

et al. 2004

Journal of Advanced Nursing

149

156

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Section: Designmentioning

confidence: 99%

Ethical practice in nursing: working the in‐betweens

Varcoe¹,

Doane²,

Pauly³

et al. 2004

Journal of Advanced Nursing

149

156

View full text Add to dashboard Cite

show abstract

“…An example of an empirical approach is to describe real examples of difficult ethical problems in an attempt to identify the moral thinking or principles that are behind the decisions that are made. 2 Each approach, characterized by the phenomenon of concern and its methodology, makes a valuable contribution to health care ethics. However, there are limits to both of the above described approaches.…”

Section: Introductionmentioning

confidence: 99%

Moral Sensitivity: some differences between nurses and physicians

2000

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We report the results of an investigation of nurses' and physicians' sensitivity to ethical dimensions of clinical practice. The sample consisted of 113 physicians working in general medical settings, 665 psychiatrists, 150 nurses working in general medical settings, and 145 nurses working in psychiatry. The instrument used was the Moral Sensitivity Questionnaire (MSQ), a self-reporting Likert-type questionnaire consisting of 30 assumptions related to moral sensitivity in health care practice. Each of these assumptions was categorized into a theoretical dimension of moral sensitivity: relational orientation, structuring moral meaning, expressing benevolence, modifying autonomy, experiencing moral conflict, and following the rules. Significant differences in responses were found between health care professionals from general medical settings and those working in psychiatry. The former agreed to a greater extent with the assumptions in the categories 'meaning' and 'autonomy' and to a lesser degree with the categories 'benevolence' and 'conflict'. Moreover, those from the psychiatric sector agreed to a greater extent to the use of coercion if necessary. Significant differences were also found for some of the MSQ categories, between physicians and nurses, and between males and females.

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“…In stating that truth is constructed, my position is that our understanding of reality is influenced by the social structures in which we live. As well, in aligning with GTM, I aligned with the normative aspects of qualitative research and understood that facts and values cannot be fully separated (Charmaz, 2006(Charmaz, , 2011Jameton & Fowler, 1989). Consistent with the application of constructionism to the research question that I articulated in Chapter Three, I emphasized that actions cannot truly be understood outside of the context in which those actions occurred.…”

Section: Situating Myself and The Researchmentioning

confidence: 85%

Risking vulnerability: Enacting moral agency in the is/ought gap in mental health care

Musto

Schreiber

Rodney

2021

Journal of Advanced Nursing

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Aim To explore how healthcare providers in acute care mental health settings navigate ethically challenging situations, enact moral agency, practice in congruence with ethical standards and mitigate moral distress (MD). Design Grounded theory, a qualitative methodology. Methods Over 18 months between 2015 and 2017, we reviewed documents, conducted observations and interviewed multidisciplinary participants (N = 27) from inpatient and emergency departments. Participants either provided direct care (N = 14) or were in leadership positions (N = 13). Data were analysed iteratively using constant comparison, coding, memoing and theorizing, which continued until saturation was reached in July 2016. Findings The basic social process of how healthcare professionals enacted moral agency, Risking Vulnerability, occurred in the context of Systemic Inhumanity, a constant source of MD. Participants Risked Vulnerability, balancing professional obligations, clinical expertise and organizational processes with their own vulnerability in the system as they strove to practice ethically. Risking Vulnerability was composed of Pushing Back, Working Through Team Relationships and Struggling with Inhumanity. Conclusion Healthcare professionals’ moral agency occurred at the nexus of structure (organizational constraints) and agency (persons). Given this, interventions for MD should be directed at all levels of healthcare to support moral agency, promote ethical practice and improve care. Impact Sociopolitical elements such as austerity measures undermined ethical practice at the level of direct care. Enactment of moral agency is dynamic, influencing experiences of MD: participants supported by leadership or colleagues to enact moral agency noted that they were not stuck in MD. Interventions supporting moral agency throughout the healthcare system are necessary to mitigate experiences of MD. Findings enhance our understanding of the role of action in the experience of MD.

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Ethical inquiry and the concept of research

Cited by 19 publications

References 0 publications

Ethical practice in nursing: working the in‐betweens

Ethical practice in nursing: working the in‐betweens

Moral Sensitivity: some differences between nurses and physicians

Risking vulnerability: Enacting moral agency in the is/ought gap in mental health care

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