Perils of proximity: a spatiotemporal analysis of moral distress and moral ambiguity.

Abstract:

:The physical nearness, or proximity, inherent in the nurse-patient relationship has been central in the discipline as definitive of the nature of nursing and its moral ideals. Clearly, this nearness is in service to those in need of care. This proximity, however, is not unproblematic because it contributes to two of the most prolonged difficulties, both for individual nurses and the discipline of nursing--moral distress and moral ambiguity. In this paper we explore proximity using both a moral and geographical lens and offer some insights regarding this practice reality. We examine the effect of proximity to patients on nurses' moral responsiveness, particularly as it affects nurses' moral distress. Proximity is paradoxical in this regard because, while it propels nurses to act, it can also propel nurses to ignore or abandon. Likewise, we argue that nursing's tendency to define itself in relation to the closeness of the nurse-patient relationship leads to problems of moral ambiguity. Our recommendations include moving others closer to the bedside and thus to the work of nursing in the literal and theoretical sense.

journal_name

Nurs Inq

journal_title

Nursing inquiry

authors

Peter E,Liaschenko J

doi

10.1111/j.1440-1800.2004.00236.x

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

218-25

issue

4

eissn

1320-7881

issn

1440-1800

pii

NIN236

journal_volume

11

pub_type

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