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Nursing Ethics
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Relational Narratives: Solving an Ethical Dilemma Concerning an Individual’s Insurance Policy

Robin Lindsay

Ricks College Nursing School, Rexburg, ID, USA

Helen Graham

Penrose Main Hospital, Colorado Springs, CO, USA

Decisions based on ethics confront nurses daily. In this account, a cardiac nurse struggles with the challenge of securing health care benefits for Justin, a patient within the American system of health care. An exercise therapy that is important for his well-being is denied. The patient’s nurse and an interested insurance agent develop a working relationship, resulting in a relational narrative based on Justin’s care. Gadow’s concept of a relational narrative and Keller’s concept of a relational autonomy guide this particular case. As an ethics framework influenced by feminist ethical theory, Gadow’s, Keller’s and Tisdale’s ideas demonstrate the fluidity with which the nurse and others can work while maintaining both autonomy and engagement without being self-sacrificing.

Key Words: feminist ethical theory • health insurance • postmodern ethics • relational narratives

Nursing Ethics, Vol. 7, No. 2, 148-157 (2000)
DOI: 10.1177/096973300000700208
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T. A Abma
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[Abstract] [PDF]