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Nursing Ethics
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Nurse Leaders as Stewards At the Point of Service

Norma Murphy

Dalhousie University School of Nursing, Halifax, NS, Canada, norma.murphy{at}dal.ca

Deborah Roberts

Queen Elizabeth Hospital, Charlottetown, PE, Canada

Nurse leaders, including clinical nurse educators, who exercise stewardship at the point of service, may facilitate practising nurses' articulation of their shared value priorities, including respect for persons' dignity and self-determination, as well as equity and fairness. A steward preserves and promotes what is intrinsically valuable in an experience. Theories of virtue ethics and discourse ethics supply contexts for clinical nurse educators to clarify how they may facilitate nurses' articulation of their shared value priorities through particularism and universalism, as well as how they may safeguard nurses' self-interpretation and discursive reasoning. Together, clinical nurse educators and nurses may contribute to management decisions that affect the point of service, and thus the health care organization.

Key Words: discourse ethics in stewardship • discursive reasoning • leaders as stewards • self-interpretation • shared value priorities • virtue ethics in stewardship

Nursing Ethics, Vol. 15, No. 2, 243-253 (2008)
DOI: 10.1177/0969733007086022
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