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Moral agency in nursing: Islamic ethical perspectives
Mohamad Firdaus Mohamad Ismail1, Ferry Efendi2, Siti Zuhaidah Shahadan1
1Kulliyyah of Nursing, International Islamic University Malaysia (IIUM), Kuantan, Malaysia.
Current nursing ethics frameworks, while important, are insufficient for addressing moral distress. Focusing on nurses' moral agency, enriched by Islamic ethics, can foster more resilient and reflective practitioners in complex healthcare settings.
Area of Science:
- Bioethics
- Nursing Ethics
- Islamic Ethics
Background:
- Nursing ethics often relies on policies, codes, and principles for patient protection and accountability.
- Despite adherence to guidelines, nurses frequently experience moral distress and loss of professional meaning.
- Existing ethical frameworks may be insufficient for sustaining morally grounded practice in complex healthcare environments.
Purpose of the Study:
- To argue for a stronger focus on moral agency in nursing ethics.
- To explore Islamic ethical frameworks as a complementary perspective for ethical practice.
- To propose a reframing of nursing ethics to support reflective practitioners.
Main Methods:
- Structured normative conceptual analysis.
- Informed by contemporary scholarship in nursing ethics and Islamic bioethics.
- Comparative analysis of principle-based ethics and Islamic ethical traditions.
Main Results:
- Ethical principles alone are insufficient for sustained morally grounded practice.
- Moral agency is crucial for navigating complex clinical situations with integrity.
- Islamic ethics offers valuable concepts like moral intention, trust (amanah), and human dignity.
Conclusions:
- Nursing ethics requires a greater emphasis on moral agency.
- Islamic ethical frameworks can enrich ethical reflection in diverse healthcare settings.
- A reframed approach supports the development of ethically grounded nursing practitioners.
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