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Nursing Ethics
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Sensitive Judgement: an inquiry into the foundations of nursing ethics

Per Nortvedt

University of Oslo, Institute of Nursing Science, PO Box 1120, Blindern, N-0317 Oslo, Norway

This article considers the foundation of nursing as a moral practice. Its basic claim is that all nursing knowledge and action reside on a moral foundation. The clinical gaze meets vulnerability in the patient’s human condition. To see a patient’s wound is to see his or her hurt and discomfort; it is a concerned observation. To see the factual and pathophysiological is at the same time to see the ethical: the moral realities of suffering, pain and discomfort. A nurse’s emotional sensitivities are central to understanding a patient’s experiences of illness. Emotions reveal value and ascribe moral importance to certain situations; they are addressed centrally by vulnerability and the moral realities of illness. Hence, the essence of nursing knowledge and nursing performance cannot be understood merely as ontology (i.e. as being-with-the-other). Nursing is basically being-for-the-other; it is responsibility; it is ethics.

Key Words: emotion • empathy • moral reality • moral responsibility • nursing ontology

Nursing Ethics, Vol. 5, No. 5, 385-386 (1998)
DOI: 10.1177/096973309800500502


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