The purpose of this article is to explore a fundamental ethical approach to nursing and to suggest some proposals, based on this approach, for nursing ethics education. The major point is that the kind of nursing ethics education that is given reflects the theory that is held of nursing. Three components of a fundamental ethical view on nursing are analysed more deeply: (1) nursing considered as moral practice; (2) the intersubjective character of nursing; and (3) moral perception. It is argued that the fundamental ethical view on nursing goes together with a virtue ethics approach. Suggestions are made for the ethics education of nurses. In particular, three implications are considered: (1) an attitude versus action-orientated ethics education; (2) an integral versus rationalistic ethics education; and (3) a contextual model of ethics education. It will also be shown that the European philosophical background offers some original ideas for this endeavour.
Scott PA.Ethics education and nursing practice . Nurs Ethics1996; 3: 53-63 .
2.
Kanne M.Professional nurses should have their own ethics: the current status of nursing ethics in the Dutch curriculum . Nurs Ethics1994; 1: 25-33 .
3.
Fry S.Teaching ethics in nursing curricula . Nurs Clin North Am1989; 24: 485-497 .
4.
Fleming CM.The establishment and development of nursing ethics committees . Healthc Ethics Committee Forum1997; 9: 7-19 .
5.
Davis A.Ethics rounds with intensive care nurses . Nurs Clin North Am1979; 14: 45-56 .
6.
Redman BK.Responsibility of healthcare ethics committees towards nurses . Healthc Ethics Committee Forum1996; 8: 52-60 .
7.
Prevos B , van der Arend A.Nurses’ participation in the institutional bioethical debate in the Netherlands . Healthc Ethics Committee Forum1994; 6: 235-256 .
8.
Oddi LF , Cassidy VR.Participation and perception of nurse members in the hospital ethics committee . West J Nurs Res1990; 12: 307-317 .
9.
Bishop AH , Scudder JR.The practical, moral and personal sense of nursing. A phenomenological philosophy of practice. Albany, NY: State University of New York Press , 1990.
10.
MacIntyre A.After virtue. A study in moral theology. Notre Dame, IN: University of Notre Dame Press , 1981.
11.
Gastmans C , Dierckx de Casterlé B , Schotsmans P.Nursing considered as moral practice. A philosophical-ethical interpretation of nursing . Kennedy Inst Ethics J1998; 8: 43-69 .
12.
Benner P.From novice to expert. Excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley , 1984.
13.
Scott PA.Emotion, moral perception, and nursing practice . Nurs Philos2000; 1: 123-133 .
14.
Noddings N.Caring. A feminine approach to ethics and moral education. Berkeley, CA: University of California Press , 1984.
15.
Selling JA ed. Personalist morals. Essays in honor of Professor Louis Janssens. Leuven: Leuven University Press , 1988.
Tronto J.Moral boundaries. A political argument for an ethic of care. New York: Routledge , 1993.
19.
Gilligan C.In a different voice. Psychological theory and women’s development. Cambridge, MA: Harvard University Press , 1982.
20.
Gastmans C.Towards an integrated clinical ethics approach. caring, clinical and organizational. In: Schotsmans P , Lie R , Hansen B , Meulenbergs T eds. Healthy thoughts. European perspectives on healthcare ethics. Leuven: Peeters , 2002: 81-102.
21.
van Heijst A.‘Vrouwelijke’ waarden en zorgethiek . Streven1995; 62: 778-790 .
22.
Anckaert L.Mensbeeld en zorgverlening . Ethische perspectieven1996; 6: 126-131 .
23.
Blum LA.Friendship, altruism and morality. London: Routledge & Kegan Paul , 1980.
24.
Carse A.The ‘Voice of care’. Implications for bioethical education . J Med Philos1991; 16: 5-28 .
25.
Blum LA.Moral perception and particularity. Cambridge: Cambridge University Press , 1994.
26.
Lützén K , Evertzon M , Nordin C.Moral sensitivity in psychiatric practice . Nurs Ethics1997; 4: 472-482 .
27.
Oddi LF , Cassidy VR , Fisher C.Nurses’ sensitivity to the ethical aspects of clinical practice . Nurs Ethics1995; 2: 197-209 .
Sher G.Knowing about virtue. In: Chapman JW , Gaston WA eds. Nomos XXXIV: virtue. New York: New York University Press , 1992; 91-116.
30.
Steutel J , Carr D.Virtue ethics and the virtue approach to moral education. In: Carr D , Steutel J eds. Virtue ethics and moral education. London: Routledge , 1999: 3-18.
31.
Trianosky G.What is virtue ethics all about ? Am Philos Q1990; 27: 335-344 .
32.
van Tongeren P.Virtues. In: De Stexhe G , Verstraeten J eds. Matter of breath. Foundations for professional ethics. Leuven: Peeters , 2000: 227-238.
33.
Becker LC.The neglect of virtue . Ethics1975; 85: 110-122 .
34.
Louden RB.On some vices of virtue ethics. In: Crisp R , Slote M eds. Virtue ethics. Oxford: Oxford University Press , 1997: 201-216.
35.
Foot P.Virtues and vices and other essays. Oxford: Blackwell , 1978.
36.
Wallace JD.Virtues and vices. Ithaca, NY: Cornell University Press , 1978.
37.
Dondorp WJ. The rehabilitation of virtue [Dissertation]. Amsterdam: Vrije Universiteit Amsterdam Press, 1994.
38.
Etxeberria X.Teaching professional ethics. In: De Stexhe G , Verstraeten J eds. Matter of breath. Foundations for professional ethics. Leuven: Peeters , 2000: 309-323.
39.
Doona ME , Haggerty LA , Chase SK.Nursing presence. An existential exploration of the concept . Schol Inquiry Nurs Pract1997; 11: 3-16 .
40.
van Tongeren P.Ethical manipulations. An ethical evaluation of the debate surrounding genetic engineering . Hum Gene Ther1991; 2: 71-75 .
41.
Gauthier CC.Teaching the virtues. Justifications and recommendations . Camb Q Healthc Ethics1997; 6: 339-346 .
42.
Friedman M.Care and context in moral reasoning. In: Kittay EF , Meyers DT eds. Women and moral theory. Totowa, NJ: Roman and Littlefield Savage , 1987: 190-204.
43.
Sherman N.Character development and Aristotelian virtue. In: Carr D , Steutel J eds. Virtue ethics and moral education. London: Routledge , 1999: 35-48.
44.
Shermin S.Moral perception and global visions . Bioethics2001; 15: 175-188 .
45.
Reinders H.De grenzen van het rechtendiscours. In: Manschot H , Verkerk M eds. Ethiek van de zorg. Een discussie. Amsterdam: Boom , 1994: 74-96.
46.
Shotton L.The ethics of teaching nursing ethics . Health Care Anal1997; 5: 259-263 .
47.
Gastmans C.Challenges to nursing values in a changing nursing environment . Nurs Ethics1998; 5: 236-245 .
48.
Sus C.The work environment as a factor in continuous ethical training. In: Carmi A , Schneider S eds. Nursing law and ethics. Berlin: Springer-Verlag , 1985: 109-114.
49.
van der Arend A. Beroepscodes. Morele kanttekeningen bij een professionaliseringsaspect van de verpleging. Baarn: Intro, 1992.
50.
Winslow BJ , Winslow GR.Integrity and compromise in nursing ethics . J Med Philos1991; 16: 307-323 .
51.
Jaeger S.Teaching health care ethics. The importance of moral sensitivity for moral reasoning . Nurs Philos2001; 2: 131-142 .
