Phronesis and Ethical Nursing Practice: Insights From Nursing Ontology.

Abstract

The literature largely agrees in recognizing care as a central and defining aspect of nursing. However, this concept takes on diverse nuances, as evidenced by the variety of nursing theories. We align with the perspective of Chris Gastmans and others who conceptualize the ontology of nursing from a relational standpoint: at the core of nursing practice lies the personal nurse-patient relationship-the caring relationship. This relationship possesses an intrinsic moral dimension, stemming from the integration of scientific knowledge and sound ethical judgment, all directed toward the provision of good care-the intrinsic teleological dimension of nursing. In a virtue ethics framework, questions concerning the character of the ethical agent take precedence over those regarding correct actions, principles, or consequences. The primary concern is to identify the qualities a person must cultivate to be ethically good, given that the moral value of actions is largely shaped by the character of the agent performing them. This approach supports reflection from a praxis-oriented perspective. The aim of this paper is to explore the role that virtues and phronesis-as developed within a Neo-Aristotelian perspective-play in fulfilling the telos of nursing practice, and consequently, in the flourishing of the professional. Trial Registration: Not applicable.