From Loyalty to Advocacy: A New Metaphor for Nursing
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TL;DR
An evolving transformation in nursing ethics is examined in terms of two basic metaphors of the nurse's role and its norms and virtues, supporting this change while cautioning that attention should be given to clarifying the meaning of advocacy.
Abstract
An evolving transformation in nursing ethics is examined in terms of\ntwo basic metaphors of the nurse's role and its norms and virtues. Early\ndiscussions of nursing ethics portrayed nursing as military service in the\nbattle against disease, associated with the virtue of loyalty and with the\nnorms of obedience and the maintenance of patient confidence in physicians as\nauthority figures. During the past decade, a metaphor of the nurse as\nadvocate of patients' rights has largely replaced the older image. The author\nsupports this change while cautioning that attention should be given to\nclarifying the meaning of advocacy, revising state laws to allow for expanded\nnursing roles, educating patients to accept the nurse as advocate, teaching\nnurses to cope with controversy, and identifying a legitimate place for\nloyalty to one's associates. (KIE abstract)