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Nursing Ethics
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Guilt and Nursing Practice: Implications for Nurse Education and the Climate of Care

Elizabeth J. Pask

North West London College of Nursing and Midwifery, St Mary's Campus, Mint Wing, Praed Street, London W2 1NY, UK

This paper considers the influence of guilt within nursing practice. The author draws on her experience as a nurse tutor to show how guilt has implications for the well-being of both nurses and patients. It is suggested that nurses' experience of guilt, and the fear that they may be considered guilty, are indicative of a moral climate that rests predominantly upon rules. While rules fulfil a requirement for professional and organizational accountability, they need not be perceived as statements about the trustworthiness of nurses, or as a disciplinary threat. Nurses need to feel trusted to bring judgement to their practice.

Nursing Ethics, Vol. 1, No. 2, 80-85 (1994)
DOI: 10.1177/096973309400100203
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