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Casuistry, care, compassion, and ethics data analysis

¹Harris College of Nursing, Texas Christian University, Forth Worth, USA.

ANS. Advances in Nursing Science

|March 1, 1995

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This study analyzed 168 nurse stories to understand ethical dilemmas in critical care and emergency nursing. Findings reveal ethical dilemmas stem from the gap between actual and ideal nursing practice.

Area of Science:

Nursing Ethics
Qualitative Research
Ethical Theory

Background:

Traditional descriptive ethics analysis inadequately explains ethical dilemmas in critical care and emergency nursing.
Nurse compassion is a key factor in ethical decision-making.

Purpose of the Study:

To explicate the nature of ethical dilemmas in critical care and emergency nursing.
To analyze nurse-reported ethical dilemmas using an ethic of care framework.

Main Methods:

Analysis of 168 stories of ethical dilemmas from nurses.
Application of sensitizing concepts related to the causes of nurse compassion.
Theoretical perspective of an ethic of care utilizing casuistry.
Construction of paradigm cases for each sensitizing concept.

Keywords:

American Association of Critical-Care Nurses Bioethics and Professional Ethics Emergency Nurses Association Empirical Approach

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Main Results:

Ethical dilemmas in nursing are characterized by a disparity between actual and ideal practice.
Sensitizing concepts of nurse compassion were identified and categorized.
Paradigm cases illustrating these concepts were developed.

Conclusions:

The nature of ethical dilemmas in critical care and emergency nursing lies in the gap between experienced and expected practice.
An ethic of care and casuistry provide a valuable framework for understanding these dilemmas.
Further research can build upon these findings to improve nursing practice and ethical support.