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Nurse practitioner ethicist reconsidered: A nominally flawed proposition?
Pamela J Grace1, Aimee B Milliken1, Christopher M Charles2
1Boston College, Chestnut Hill, MA, USA.
Nursing Ethics
|April 29, 2026
Summary
This paper argues that while nurse practitioners are nurses in advanced roles, their ethical accountability differs from clinical ethicists. Nursing ethics and clinical ethics have distinct goals and origins.
Area of Science:
- Bioethics
- Nursing Science
Background:
- Distinction between nursing as a discipline/practice and clinical ethics as an emerging discipline.
- Acknowledging professional background can inform secondary endeavors like clinical ethics.
Purpose of the Study:
- To present a counterargument to the thesis that nurse practitioner ethicists are distinct from nurse ethicists.
- To clarify the differing goals and accountability of nursing ethics and clinical ethics.
Main Methods:
- Analysis of the distinction between nursing and clinical ethics.
- Expanded definition of nursing ethics, including historical development and codes of conduct.
- Examination of nurse practitioner roles and accountability.
Main Results:
- Nursing and clinical ethics possess distinct reasons for existence and incommensurable goals.
- Nurse practitioners, despite expanded roles, remain accountable to nursing codes of ethics.
- Nurses functioning as clinical ethicists are accountable to the principles of clinical ethics.
Conclusions:
- The roles of nurse practitioner ethicists and clinical ethicists are distinct due to differing ethical frameworks and accountabilities.
- Understanding the unique goals of nursing ethics and clinical ethics is crucial for professional practice.
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