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Related Experiment Video

Updated: Jul 11, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

"Ought implies can" & missed care.

Alan J Kearns¹

¹Faculty of Humanities & Social Sciences, School of Theology, Philosophy, and Music, Dublin City University, Dublin, Ireland.

Nursing Philosophy : an International Journal for Healthcare Professionals

|July 16, 2019

Summary

Nurses may not be morally responsible for missed care if they lack the capacity to provide it, according to the "ought implies can" principle. However, alternative obligations to make amends and show appropriate feelings may still apply.

Keywords:

missed care obligation ought implies can principle of appropriate feeling principle of making amends

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Area of Science:

Nursing Ethics
Moral Philosophy

Background:

Missed care, defined as required nursing care left undone, presents ethical challenges in healthcare delivery.
The ethical responsibility of nurses for missed care is a critical issue, particularly concerning their moral agency.

Purpose of the Study:

To examine missed care through the lens of the

Main Methods:

Philosophical analysis applying the "ought implies can" (OIC) principle to nursing ethics.
Exploration of Sapontzis's ethical framework regarding generated obligations when primary duties cannot be met.

Main Results:

Nurses may be absolved of moral responsibility for missed care if they lack the capacity to perform the required act, as per the OIC principle.
The OIC principle's applicability is contingent on the specific causes of missed care.
When direct care is missed, nurses may incur new obligations, including the "Principle of Making Amends" and the "Principle of Appropriate Feeling."

Conclusions:

The OIC principle can excuse nurses from moral blame for unavoidable omissions of care.
Alternative ethical obligations, such as making amends and demonstrating appropriate feelings, persist even when direct care is missed.
These principles prevent the OIC principle from being misused to excuse all omissions and uphold a normative standard for nursing practice.