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 Inqjournal_title
Nursing inquiryauthors
Peter E,Liaschenko Jdoi
10.1111/j.1440-1800.2004.00236.xsubject
Has Abstractpub_date
2004-12-01 00:00:00pages
218-25issue
4eissn
1320-7881issn
1440-1800pii
NIN236journal_volume
11pub_type
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