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Nursing Ethics
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Autonomous Decision Making and Moral capacities

Albine Moser

Maastricht University, Maastricht, The Netherlands, a.moser{at}hes.unimaas.nl

Rob Houtepen

Maastricht University, Maastricht, The Netherlands

Harry van der Bruggen

Maastricht University, Maastricht, The Netherlands

Cor Spreeuwenberg

Maastricht University, Maastricht, The Netherlands

Guy Widdershoven

Maastricht University, Maastricht, The Netherlands

This article examines how people with type 2 diabetes perceive autonomous decision making and which moral capacities they consider important in diabetes nurses' support of autonomous decision making. Fifteen older adults with type 2 diabetes were interviewed in a nurse-led unit. First, the data were analysed using the grounded theory method. The participants described a variety of decision-making processes in the nurse and family care-giver context. Later, descriptions of the decision-making processes were analysed using hermeneutic text interpretation. We suggest first- and second-order moral capacities that nurses specializing in diabetes need to promote the autonomous decision making of their patients. We recommend nurses to engage in ongoing, interactive reflective practice to further develop these moral capacities.

Key Words: autonomy • decision making • diabetes specialist nurses • grounded theory • hermeneutics • moral capacities

Nursing Ethics, Vol. 16, No. 2, 203-218 (2009)
DOI: 10.1177/0969733008100080


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