Moral Responsibility: A Relational Way of Being

Lindh, Inga-Britt; Severinsson, Elisabeth; Berg, Agneta

doi:10.1177/0969733007073693

Cited by 31 publications

(37 citation statements)

References 24 publications

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“…Nurses in this study identified that finding someone to talk to about the experience was a primary means for working through moral distress. This finding is in line with other researchers who point out moral identity and moral action are relational, contextual, and situational (Doane, 2002;Hardingham, 2004;Lindh, Severinsson, & Berg, 2007;Varcoe et al, 2004) and suggests that ameliorating the experience of moral distress is also relational.…”

Section: Discussionsupporting

confidence: 92%

Doing the Best I Can Do: Moral Distress in Adolescent Mental Health Nursing

Musto

Schreiber

2012

Issues in Mental Health Nursing

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The purpose of this research was to explore the process used by mental health nurses working with adolescents to ameliorate the experience of moral distress. Using grounded theory methodology, a substantive theory was developed to explain the process. All the incidents that led to the experience of moral distress were related to safety and resulted in the nurses asking themselves the question, "Is this the best I can do?" Engaging in dialogue was the primary means nurses used to work through the experience of moral distress. Engaging in dialogue was an ongoing process, and nurses sought out dialogue with a variety of people as they tried to make sense of their experience. Participants identified qualities of dialogue that were helpful or unhelpful as they sought to resolve their moral distress. Participants who had a positive experience of dialogue were able to answer the "Is this the best I can do" question satisfactorily and continue working with adolescents with a renewed focus on the therapeutic relationship. Participants who had a negative experience of dialogue are unable to answer the question and either left the unit or agency or talked about leaving.

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Section: Discussionsupporting

confidence: 92%

Doing the Best I Can Do: Moral Distress in Adolescent Mental Health Nursing

Musto

Schreiber

2012

Issues in Mental Health Nursing

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“…This increased the opportunities to enhance the understanding of the phenomenon under study more deeply. A focus group schedule was developed covering the two main areas: meaning of moral responsibility (Lindh, Severinsson, & Berg, 2007) and expressions of moral responsibility in nursing practice. The present study focuses on the latter area.…”

Section: Data Collectionmentioning

confidence: 99%

“…This, in turn, contributed to a reliance by student nurses on unreflected ethical knowledge in clinical situations. In a study of moral responsibility in nursing practice (Lindh, Severinsson, & Berg, 2007) student nurses understood that reflection together with others was important for the development of an inner compass, which in their view guided their practice.…”

Section: Introductionmentioning

confidence: 98%

Exploring student nurses' reflections on moral responsibility in practice

Lindh

Severinsson

Berg

2008

CREP

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Inga-BrittLindh inga-britt.lindh@hkr.se Student nurses are faced with a demand for moral responsibility during their clinical education. In order to gain an understanding of how they reflect on the phenomenon of moral responsibility in nursing practice, repeated focus group interviews were conducted. Fourteen student nurses in their final year of the three year baccalaureate programme in nursing were interviewed during their final placement. The interpretive content analysis disclosed the manifestations of moral responsibility as being available for the patient, shielding the patient and being confronted with the voice of conscience. The findings highlighted the importance of space given to ethical reflection on a regular basis as a joint activity. This included by both student nurses and professionals.

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“…Nurses' moral identities are dialogical, narrative, relational, and contextual, 97,98 where moral responsibility in nursing involves striving to do good in situations that are never the same twice. 99 In their everyday practice, nurses have the opportunity, when collaborating with other members of the interprofessional team, to bring forth and encourage individual and team-based ethical reflection that encompasses nurses' moral understanding of patients' experiences and needs. Furthermore, nurses should be able to articulate clearly the links between their own moral understandings of patient situations, the care they provide based on such understanding, and outcomes observed in response to such care.…”

Section: Concluding Reflectionsmentioning

confidence: 99%

Relational and embodied knowing: Nursing ethics within the interprofessional team

Wright

Brajtman

2011

Nurs Ethics

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In this article we attempt to situate nursing within the interprofessional care team with respect to processes of ethical practice and ethical decision making. After briefly reviewing the concept of interprofessionalism, the idea of a nursing ethic as 'unique' within the context of an interprofessional team will be explored. We suggest that nursing's distinct perspective on the moral matters of health care stem not from any privileged vantage point but rather from knowledge developed through the daily activities of nursing practice. Because of their position vis-à-vis patients and families in everyday clinical care, nurses cultivate ethical knowledge of at least two forms: (1) relational knowledge; and (2) embodied knowledge. Through the integration of these forms of knowledge, nurses develop a unique moral perspective and can make a meaningful contribution to the realm of ethics in interprofessional care.

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Moral Responsibility: A Relational Way of Being

Cited by 31 publications

References 24 publications

Doing the Best I Can Do: Moral Distress in Adolescent Mental Health Nursing

Doing the Best I Can Do: Moral Distress in Adolescent Mental Health Nursing

Exploring student nurses' reflections on moral responsibility in practice

Relational and embodied knowing: Nursing ethics within the interprofessional team

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