Week 1 Flashcards

1
Q

What is Philosophy?

A

o Philosophy is something intermediate between theology and
science.
o Consists of speculation on matters which definite knowledge is
not yet available.
o Appeals to human reason rather than authority (e.g. divine
authority)

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2
Q

Notes on Philosophical Debate

A

o Appeals to authority carry no weight
o Any appeals to authority can be queried on the grounds that
they may be mistaken.

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3
Q

What are Empirical questions?

A

o Empirical questions are those which can be answered using
sensory evidence.
o Data is derived from these simple observations.

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4
Q

Philosophy of Nursing 3 Strands?

A

o Philosophical Presuppositions Strand
o Philosophical Problems Strand
o Scholarship Strand

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5
Q

What is Philosophical Presuppositions Strand?

A

o Assumptions of nursing discourse
o Identifies and Assesses presuppositions.
o Used to focus the relationship between theories, models,
philosophies, paradigms and metaparadigms
- Paradigms – A pattern or model
- Metaparadigm – Most general statement of a discipline and functions as a framework in which more restricted structures of conceptual models develop

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6
Q

What is Philosophical Problems Strand?

A

o Two Phases:
 Phase 1: If philosophical work already done on a subject,
make use of it.
 Phase 2: Recognise that there is a considerable amount of
work required for philosophical issues in nursing

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7
Q

What is Scholarship Strand?

A

Assessment of claims by nurse-theorists that their respective views have a philosophical basis.

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8
Q

Conception of Values?

A

o Nursing value systems contain many elements
o Values are passed on from generation to generation (particularly
in practicing profession)
o Core Values – E.g. Compassion, Care, Commitment

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9
Q

Philosophical Systems in Nursing – Throughout history (4 types

A

o Ascetism
o Romanticism
o Pragmatism
o Humanistic Existentialism

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10
Q

What is Ascetism? – (Self Denial) Big from 1910-1920

A

o Definition - severe self-discipline and avoiding of all forms of indulgence, typically for religious reasons
o Existed from beginning’s of nursing
o Pre Nightingale Era
o Link with Christianity
o Devotion to duty
o Nursing was seen as a “calling”
o Self-enrichment and personal growth were the reward

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11
Q

What is Romanticism? (20’s to early 40’s)

A

o Rose in the 1800’s (art and literature based)
o Supported behaviour w/out factual logical basis
o Means to operate from a visionary or quixotic view (Idealistic,
unrealistic, and impractical)
o Supported subservient & idealised traits of women
o Supported and sustained a dependence. Lack of autonomy,
assertiveness, and independence

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12
Q

What is Pragmatism?

A

o Greek Pragmata meaning acts, affairs or business
o Method of logic to determine meanings of intellectual concepts
o Looks at practical consequences of acts, ideas and concepts
o Every idea needs a practical use
o Focuses on disease, disability and diagnosis

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13
Q

What is Humanism?

A

o Went towards a more holistic approach of nursing. Stopped dividing into physical, psychological and social
o Each person is unique & inexplicable by scientific or metaphysical systems
o “Whole of the human is different from his parts”

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14
Q

Explain Humanistic Existentialism?

A

o Originated in writings of Soren Kierkegaard (1813-1855)
o Most Natural Philosophy for Nursing as:
- is orientated to people
- is a view of the human being as an organismic whole
- implies that the parts do not explain whole
- accepts the ultimate unpredictability of the human
- makes it acceptable for each individual client to make
personal choices about their care
- makes nursing and nurses become accountable
- places a value on making one’s own choices
- provides the necessary steppingstone to autonomy
- puts nursing decisions into nursing hands and therefore see
nurses as being accountable for these, their own decisions

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15
Q

Where powerlessness has it’s roots?

A
  • Ignorance
  • Lack of confidence
  • Lack of tech
  • Lack of resources
  • Lack of unity/organisation
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16
Q

Where Power comes from?

A

o Unity
o Self-appropriation (taking it for yourself)
o Self-experienced
o Dynamic application of principle of practice

17
Q

Aspects of Nursing addressed by Philosophy?

A

o The nature of the client
o Nature of nursing
o Health & what it is?
o What commitments do education, knowledge and practice make
to the profession

18
Q

Philosophical Agreement in Nursing

A

o The individual
o Nursing is rational
o Promotion of health
o Influence on politics & society
o A central purpose

19
Q

Philosophical Divergence in Nursing

A

o Independent, interdependent, collaborative
o Holistic unit
o Skills are central
o Democratic mode of operations
o Practice reflects professionalism
o Roles - protective, nurturative, generative
o Loyalty & commitment are unreservedly given

20
Q

Describe Utilitarianism

A

o Concentrates on consequences or outcomes rather than the act
itself
o Teleological theory – Telos is Greek for ‘end’ or ‘goal’
o Happiness theory – Existence exempt from pain, & as rich in
enjoyment as possible

21
Q

Demands of Utilatarian theory?

A

o Promotes self-sacrifice for greater good
o Negative responsibility – Equally responsible for omissions and
actions

22
Q

Utilitarianism Strengths and Weaknesses?

A

Strengths:
* Specifies goal to increase positive value and minimise evil
* Potential to answer most situations
* Focus is on consequences rather than motives
* Not abstract but gets to the heart of morality: promoting human flourishing and meliorate suffering

Weaknesses:
* Contentious whether we should be held equally responsible for actions and omissions
* Difficult to measure consequences in terms of wellbeing, pleasure or happiness
* Utilitarianism could sanction immoral actions

23
Q

Details of Deontology?

A

o Immanuel Kant (1724-1804) identified with Deontology
o Kant adamantly disagreed with Utilitarianism
o Emphasis on correctness of the action, regardless of possible
benefits or harms produced
o Uses rules to distinguish right from wrong

24
Q

What is Categorical Imperative w/examples?

A

o Commands or rules that admit no exceptions and are binding on all rational beings
o Four duties:
 Do unto others
 Treat people as an ends and not a means to an end
 Act so that you treat the will of every rational being as one
that makes universal law
 Act in such a way that you would have all other persons act

25
Q

Deontology Strengths and Weaknesses?

A

Strengths:
* How we ought to live: to be committed to a moral system of principles and rules
* Four duties are specific enough to give guidance – the theory is practicable
* Idea of universality is a helpful constraint on the temptation to act out of self-interest
* Argument that good consequences are never sufficient for the moral quality of an action challenges a response from utilitarian moral theory

Weaknesses:
* Kant’s ethics leads to rigidly insensitive rules and does not take account of differences between cases
* Kant identifies ethical duties that are too abstract to guide action
* Kant seems to take a negative view of emotion by saying that we ought to act out of motive of duty and not out of inclination, emotions, sentiments or feelings

26
Q

Name 5 Contemporary Moral Theories?

A
  • Principlism
  • Narrative Ethics
  • Ethics of Care
  • Feministic Ethics
  • Relational Ethics
27
Q

Describe Principlism?

A

o Ethical decision making process balancing fundamental principles on one hand and uniqueness of the moral situation on the other.

o Principles oblige the health professional to behave certain ways
in relation to patients:
 The principle of autonomy obliges nurses to respect the
views, choices and action of individuals in their care
 The principle of non-maleficence obliges nurses not to harm
patients
 The principle of beneficence obliges nurses to act for the
benefit of, or in the interests of patients The principle of
justice obliges nurses to treat people in their equally and to
ensure that resources are distributed fairly

28
Q

Describe Narrative Ethics?

A

o Approach to moral situations that see them as unique and
unrepeatable.
o Any decision or course of action in health care would be
defended in terms of its fit with the individual life story or stories
of the patient in focus.
o This fit is termed ‘narrative reflective equilibrium’

29
Q

Describe Ethics of Care?

A

o Puts particularity, relationship, interdependence and motion at
the heart of moral life
o Pays attention to the particularity of each moral situation, to the
relationships involved and to the task of maintaining those
relationships throughout the decision-making process
o An ethics of care is directly concerned neither with doing duty for
duty’s sake nor with maximising the good of the aggregate;
rather, it is focused on attending to the specific needs of
particular individuals and on waving thick webs of human
relationships and responsibilities

30
Q

Strengths of Ethics of Care?

A
  • Highlights features of human life that other frameworks ignore,
    such as our interdependency and vulnerability
  • Pays attention to the needs of concrete particular individuals in
    their specific situations
  • Takes the experiences of women seriously
  • Validates traditionally feminine virtues, such as nurturance and
    empathy
  • Affirms the importance of being actively concerned with the welfare
    of others
  • Recognises the role of emotion in moral life
31
Q

Describe Feministic Ethics?

A

o Considers the impact of gender roles and gendered
understanding on the moral lives of individual human beings
o Applied feminist theory to understanding ethical thinking

32
Q

Describe Relational Ethics

A

o Contemporary approach to ethics that situates ethical action
explicitly in relationship
o If ethics is about how we live, then it is essentially about how we
live together