Developing the concept of moral sensitivity in health care practice

Nursing Ethics

Volumn 13, Issue 2, 2006, Pages 187-196

  Lützén, Kim ^a,b   Dahlqvist, Vera ^c   Eriksson, Sture ^c   Norberg, Astrid ^c  

^a Ersta Skondal University College   (Sweden)

^b Ersta Skondal University College   (Sweden)

^c UMEÅ UNIVERSITY   (Sweden)

Author keywords

Ethics; Health care; Instrument construction; Moral sensitivity

Indexed keywords

ADULT; ARTICLE; ATTITUDE TO HEALTH; AWARENESS; BIOETHICS AND PROFESSIONAL ETHICS; CONCEPT FORMATION; EDUCATION; EMPIRICAL APPROACH; ETHICS; FACTORIAL ANALYSIS; HEALTH CARE PERSONNEL; HEALTH PERSONNEL ATTITUDE; HUMAN; MEDICAL ETHICS; MIDDLE AGED; MODEL; MORALITY; NURSING METHODOLOGY RESEARCH; PATIENT ADVOCACY; PHILOSOPHY; PROFESSIONAL COMPETENCE; PROFESSIONAL STANDARD; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL MODEL; QUALITATIVE RESEARCH; QUESTIONNAIRE; SELF CONCEPT; SOCIAL BEHAVIOR; STANDARD; SWEDEN;

BIOETHICS AND PROFESSIONAL ETHICS; EMPIRICAL APPROACH;

ADULT; ATTITUDE OF HEALTH PERSONNEL; AWARENESS; CONCEPT FORMATION; ETHICS, MEDICAL; ETHICS, NURSING; FACTOR ANALYSIS, STATISTICAL; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH PERSONNEL; HUMANS; MIDDLE AGED; MODELS, NURSING; MODELS, PSYCHOLOGICAL; MORAL DEVELOPMENT; NURSING METHODOLOGY RESEARCH; PATIENT ADVOCACY; PHILOSOPHY, MEDICAL; PHILOSOPHY, NURSING; PROFESSIONAL COMPETENCE; PROFESSIONAL ROLE; QUALITATIVE RESEARCH; QUESTIONNAIRES; SELF EFFICACY; SOCIAL RESPONSIBILITY; SWEDEN;

EID: 33644552438     PISSN: 09697330     EISSN: 14770989     Source Type: Journal    
DOI: 10.1191/0969733006ne837oa     Document Type: Article

References (40)

1. Gastmans C. A fundamental ethical approach to nursing: some proposals for ethics education. Nurs Ethics 2002; 9: 494-507.
2. Söderberg A, Gilje F, Norberg A. Transforming desolation into consolation: the meaning of being in situations of ethical difficulty in intensive care. Nurs Ethics 1999; 6: 357-73.
3. Sørlie V, Jansson L, Norberg A. The meaning of being in ethically difficult care situations in pediatrics as narrated by female registered nurses. Scand J Caring Sci 2003; 17: 285-92.
4. Sørlie V, Kihlgren AL, Kihlgren M. Meeting ethical challenges in acute care work as narrated by enrolled nurses. Nurs Ethics 2004; 11: 179-88.
5. Cronqvist A, Theorell T, Burns T, Lützén K, Caring about - caring for: moral obligations and work responsibilities in intensive care nursing. Nurs Ethics 2004; 11: 63-76.
6. von Post I. Perioperative nurses, encounter with value conflicts: a descriptive study. Scand J Caring Sci 1998; 12: 81-88.
7. Jansson L, Norberg A. Ethical reasoning concerning the feeding of terminally ill cancer patients. Interviews with registered nurses experienced in the care of cancer patients. Cancer Nurs 1989; 12: 352-58.
8. Aström G, Norberg A, Jansson L, Hallberg I. Nurses' narratives about difficult care situations. Interpretation by means of Løgstrup's ethics. Psychooncology 1994; 3: 27-34.
9. Rasmussen BH, Norberg A, Sandman PO. Stories about becoming a hospice nurse: reasons, expectations, hopes and concerns. Cancer Nurs, 1995; 18: 344-54.
10. Rasmussen BH, Sandman PO, Norberg A. Stories of being a hospice nurse: a journey towards finding one's footing. Cancer Nurs 1997; 20: 330-41.
11. Söderberg A. The practical wisdom of enrolled nurses, registered nurses and physicians in situations of ethical difficulty in intensive care. (Umeå University Medical Dissertations, New Series no. 603.) Umeå University, 1999.
12. Strandberg G, Jansson L. Meaning of dependency on care as narrated by nurses. Scand J Caring Sci 2003; 17: 84-91.
13. Strandberg G, Norberg A, Jansson L. Meaning of dependency on care as narrated by 10 patients. Res Theory Nurs Pract 2003; 17: 65-84.
14. Nordvedt P. Emotions and ethics. In: Storch J, Rodney P, Starzomski R eds. Toward a moral horizon: nursing ethics in leadership and practice. Pearson Prentice Hall, 2004: 447-63.
15. Moral sense. The encyclopedia of philosophy, vol. 5. Macmillan, 1967: 385-87.
16. Tymieniecka A. Introducing the moral sense into the conception of the human person: the context of the inquiry. In: Tymieniecka A ed. Analecta Husserliana. Yearbook of phenomenological research, vol. xx. World Institute for Advanced Phenomenological Research, 1986: 4-44.
17. Bishop AH, Scudder JR. The practical, moral, and personal sense of nursing: a phenomenological philosophy of practice. State University of New York Press, 1990.
18. Lützén K. Moral sensitivity. A study of subjective aspects of the process of moral decision making in psychiatric nursing [Dissertation]. Karolinska Institute, 1993.
19. Ersoy N, Gündoǧmuş ÜN. A study of the ethical sensitivity of physicians in Turkey. Nurs Ethics 2003; 10: 472-84.
20. Jaeger SM. Teaching health care ethics: the importance of moral sensitivity for moral reasoning. Nurs Philos 2001; 2: 131-42.
21. Rest J, Narvaez D. Moral development in the professions: psychology and applied ethics. Lawrence Erlbaum, 1995.
22. Narvaez D, Rest J, Thoma SJ. A neo-Kohlbergian approach to morality research. J Moral Educ 2000; 29: 381-95.
23. Kohlberg L. The psychology of moral development. Harper & Row, 1984.
24. Davis WH. The authority of the moral sense. J Value Inquiry 1979; 13: 115-26.
25. Freud S. Civilization and its discontents. (Strachey J trans.) In: Strachey J ed. The standard edition of the complete psychological works of Sigmund Freud. Norton, 1989: 5-112.
26. Frankl V. The will to meaning: foundations and applications of logotherapy. (English original published 1969.) Penguin Books Australia, 1990.
27. Hoose J ed. Conscience in world religions. Gracewing, 1999.
28. Heidegger M. Being and time. (Macquarrie J, Robinson E trans.) (German original published 1927.) Blackwell, 1963.
29. Ricoeur P. Oneself as another. (Blarney K trans.) (French original published 1990.) University of Chicago Press, 1992.
30. Lützén K, Nordin C. Conceptualisation and instrumentation of moral sensitivity in psychiatric nursing practice. Int J Methods Psychiatr Res 1994; (4): 241-48.
31. Lützén K, Barbosa da Silva A, Nordin C. Analysis of some dimensions of the concept of moral sensing, exemplified in psychiatric nursing practice. Sch Inq Nurs Pract 1995; 4: 57-66.
32. Lützén K, Evertzon M, Nordin C. Moral sensitivity in psychiatric practice. Nurs Ethics 1997; 4: 472-82.
33. Lützén K, Johansson A, Nordström G. Moral sensitivity: some differences between nurses and physicians. Nurs Ethics 2000; 7: 520-30.
34. Nunnally E. Psychometric theory, second edition. McGraw Hill, 1978.
35. Cronqvist A, Burns T, Theorell T, Lützén K. Dissonant imperatives in intensive care nursing. Intensive Crit Care Nurs 2001; 17: 228-36.
36. Astrom G, Jansson L, Norberg A, Hallberg IR. Experienced nurses' narratives of their being in ethically difficult care situations: the problem to act in accordance with one's ethical reasoning and feelings. Cancer Nurs 1993; 16: 179-87.
37. Johnstone M-J. Bioethics: a nursing perspective, third edition. Harcourt Saunders, 1999.
38. Frankena V. Ethics. Prentice Hall, 1971.
39. Lützén K, Schreiber R. Moral survival in a non-therapeutic environment. Issues Ment Health Nurs 1998; 19: 303-15.
40. Dyer JG, McGuinness TM. Resilience: analysis of the concept. Arch Psychiatr Nurs 1996; 10: 276-82.