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Rethinking moral reasoning theory.

K M Nokes

    Image--The Journal of Nursing Scholarship
    |January 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Kohlberg's theory of moral development is often used in nursing, but it has limitations. A new, more holistic theory is needed to better understand nurses' moral reasoning, considering both principles and context.

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    Area of Science:

    • Nursing Ethics
    • Moral Development Theory

    Background:

    • Kohlberg's theory of moral development is widely applied in nursing studies.
    • Previous research indicates nurses and nursing students exhibit lower than expected moral reasoning levels.
    • Educational interventions have been created to enhance moral reasoning in nurses.

    Purpose of the Study:

    • To explore the applicability of cognitive-developmental theory in assessing nurses' moral development.
    • To identify the limitations of existing moral reasoning theories in the nursing context.
    • To advocate for the development of a new, more comprehensive theory of morality for nursing.

    Main Methods:

    • Literature review and theoretical analysis of Kohlberg's cognitive-developmental theory.
    • Critical evaluation of the theory's focus on rational thought versus environmental influences.
    Keywords:
    Bioethics and Professional EthicsEmpirical Approach

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  • Conceptual exploration for a new moral development framework.

    • Main Results:

    • Kohlberg's theory, focusing solely on rational thought, has limited applicability in nursing.
    • The theory fails to adequately incorporate environmental and contextual factors crucial to nursing practice.
    • Existing frameworks do not fully capture the complexity of moral decision-making in nursing.

    Conclusions:

    • A new, holistic theory of morality is necessary for nursing.
    • This theory should integrate universal ethical principles with specific contextual considerations.
    • A more comprehensive approach is essential for accurately assessing and fostering moral development in nurses.