Nursing Ethics - Distinctive Nature

Distinctive Nature

Although much of nursing ethics can appear similar to medical ethics, there are some factors that differentiate it. Generally, the focus of nursing ethics is more on developing a caring relationship than concerns about broader principles, such as beneficence and justice. For example, a concern to promote beneficence may be expressed in traditional medical ethics by the exercise of paternalism, where the health professional makes a decision based upon a perspective of acting in the patient's best interests. However, it is argued by some that this approach acts against important values found in nursing ethics. Nursing theory seeks a collaborative relationship with the person in care. Brier-Mackie suggests that nurses' focus on care and nurture rather than cure of illness results in a distinctive ethics. Also, themes that emphasize respect for the dignity of the patient by promoting choice and control over their environment are commonly seen.

The distinction can be examined from different theoretical angles. Despite the move toward more deontological themes by some, there continues to be an interest in virtue ethics in nursing ethics and some support for an ethic of care. This is considered by its advocates to emphasise relationships over abstract principles and therefore to reflect the caring relationship in nursing more accurately than other ethical views.