Abstract
The values of nursing arise from a concern with human flourishing. If the desire to become a nurse is a reflection of an aspiration to care for others in need then we should anticipate that those who choose to nurse have a tendency towards the values we would normally associate with a caring profession (care, compassion, perhaps altruism, and so on). However, these values require a secure base if they are not to succumb to the corrupting pressures of the increasingly instrumental nature of the values of the institutions in which healthcare in general and nursing in particular takes place. One way of securing a base for withstanding the corrupting influences of the institution is to understand nursing as a practice in the sense in which Alasdair MacIntyre uses that term. In this brief paper I will outline ways in which the managerial imperative of meeting targets is both distorting practice and undermining nursing’s values. I conclude that understanding nursing as a MacIntyrean practice provides a refuge from what might otherwise be overwhelming pressures for nurses to adopt instrumental values to the detriment of professional caring values.
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References
Bishop, A.H., and J.R. Scudder. 1991. Nursing: The practice of caring. New York: National League for Nursing Press.
DH (Department of Health). 2003. SITREPS 2003–2004 final version: Definitions and guidance. London: DH.
Drummond, J.S., and P. Standish. 2007. Introduction: Philosophical enquiry into education. In The philosophy of nurse education, ed. J.S. Drummond, and P. Standish, 1–33. Basingstoke: Palgrave Macmillan.
Edgar, A. 1993. Nursing as a moral tradition. Journal of Advances in Health and Nursing Care 2(3): 3–20.
Edgar, A. 1994. The value of codes of conduct. In Ethical issues in nursing, ed. G. Hunt, 148–163. London: Routledge.
Edwards, S.D. 2001. Philosophy of nursing: An introduction. Palgrave: Basingstoke.
Healthcare Commission. 2009. Investigation into mid staffordshire NHS foundation trust. London: Healthcare Commission.
ICN (International Council of Nurses). 2006. The ICN code of ethics for nurses. ICN: Geneva.
NMC (Nursing, Midwifery Council). 2008. The code: Standards of conduct, performance and ethics for nurses and midwives. London: NMC.
MacIntrye, A. 1985. After virtue: A study in moral theory. London: Duckworth.
MacIntyre, A. 1988. Whose justice, which rationality?. London: Duckworth.
MacIntyre, A. 1999. Dependant rational animals: Why human beings need the virtues. London: Duckworth.
Oakley, J., and D. Cocking. 2001. Virtue ethics and professional roles. Cambridge: Cambridge University Press.
Pattison, S. 2001. Are nursing codes of practice ethical? Nursing Ethics 8(1): 5–18.
Power, M. 1997. The audit society: Rituals of verification. Oxford: Oxford University Press.
Sellman, D. 2000. Alasdair MacIntyre and the professional practice of nursing. Nursing Philosophy 1(1): 26–33.
Laming, The.Lord. 2009. The protection of children in england: A progress report. London: The Stationery Office.
UKCC (United Kingdom Central Council for Nursing, Midwifery). 1983. Code of professional conduct for nurses, midwives and health visitors (based on ethical principles). London: UKCC.
Van Hooft, S. 2004. Life, death, and subjectivity: Moral sources in bioethics. Amsterdam: Rodopi.
Wainwright, P. 1997. The Practice of Nursing: An investigation of professional nursing from the perspective of the virtue ethics of Alasdair MacIntyre. Unpublished PhD thesis, University of Swansea, UK.
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Sellman, D. Professional values and nursing. Med Health Care and Philos 14, 203–208 (2011). https://doi.org/10.1007/s11019-010-9295-7
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DOI: https://doi.org/10.1007/s11019-010-9295-7