After reading the Hoeck and Delmar (2017)
After reading the Hoeck and Delmar (2017) publication, analyze the article for ethical and philosophical considerations related to theory development. Select a minimum of two ethical/philosophical considerations and discuss their actual or potential impact on theory development, the discipline, and nursing practice. A minimum of two resources should be used in your response. Hoeck, B., & Delmar, C. (2017). Theoretical development in the context of nursing-the hidden epistemology of nursing theory. Nursing Philosophy, 19(1). https://doi.org/10.1111/nup.12196 This article is about nursing theories, the development of nursing knowledge and the underlying, hidden epistemology. The current technical-economical rationality in society and health care calls for a specific kind of knowledge based on a traditional Western, Socratic view of science. This has an immense influence on the development of nursing knowledge. The purpose of the article was therefore to discuss the hidden epistemology of nursing knowledge and theories seen in a broad historical context and point to an alternative epistemology for a future context. It is a about which nursing theories and what nursing knowledge should be developed in order to benefit patients and relatives of the future. We suggest that future knowledge development in nursing be developed in an interchange between theory and practice and guided by philosophy like a kind of pendulum where all three elements are treated as equals. We suggest a framework for the development of nursing knowledge based on a caring-ethical practice, a theory on life phenomena in suffering and relationship-based nursing, and thereby, we may be able to help patients to be cured, to recover, to be alleviated or comforted when suffering. Noureddine, S. (2001). Development of the ethical dimension in nursing theory. International Journal of Nursing Practice, 7(1), 2-7. https://doi.org/10.1046/j.1440-172x.2001.00253.x Nurses encounter ethical dilemmas in their practice and need guidance in making relevant patient-care decisions. Nursing theory is believed to be the best source of such guidance. The aim of this paper is to describe the ethical dimension in nursing theory. A literature review shows the intricate relationship between ethics and nursing, yet there is lack of elaboration of ethical features in nursing theories. The identified elements of the ethical dimension include ethical theories and principles, values, ethical practice issues, moral reasoning, and contextual factors. Criteria for the development and evaluation of the ethical dimension are presented, with an example using a middle-range theory. The ethical components pertinent to a nursing theory need to be made explicit if theory is to guide practice. Nursing scholars are invited to elucidate the ethical dimension in their theories in order to enhance moral reasoning and provide a framework for ethical practice. Klugman, C. M. (2016). Recognizing ethical terms, theories, and principles. Ethical Competence in Nursing Practice. https://doi.org/10.1891/9780826126382.0001 We all make ethical decisions every day. To walk or take public transportation. To buy organic or commercially raised food. To take an extra shift or attend a child’s performance. Over a lifetime, we learn how to consider and make choices among these types of situations where we weigh values, consider outcomes, and make choices with consequences. In life, ethics is about being a good person, thinking logically, and making reasoned choices. Ethics helps guide our behavior so that we can live civilly with other people in society. As a registered nurse, one studies ethics because the everyday ethics we spend a lifetime developing often do not consider the kind of life-and-death decisions that nursing practice requires. Nurses often encounter competing interests/conflicts between their own beliefs, what the profession asks, what the patient wants and needs, what the institution requires, and what other health professionals demand. Studying nursing ethics and bioethics helps one develop tools to navigate the ethical labyrinth of the professional environment. Examining topics and issues that one is likely to encounter helps the nurse consider how she or he would act in a situation. Having considered varied cases, one has a better idea of how to act when confronted with a real-life dilemma. In short, ethical nursing is good nursing. As a registered nurse you need to understand that ethics is the process of moral deliberation, of asking and reflecting on questions about how one ought to act or decide in a given situation. Ethics is an essential part of nursing that forms the backbone of how we treat our patients, our health care colleagues, our profession, and each other. You will need to understand Rest’s four components of moral competence that includes moral sensitivity, moral judgment, moral motivation, and moral character. Finally, it is important that you clearly understand six tenets of nursing ethics: virtue, caring, beneficence, nonmaleficence, and autonomy. SCIENCE HEALTH SCIENCE NURSING NURS 5323
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