The competency profile underlying higher nursing education in the Netherlands states that bachelor-prepared nurses are expected to be able to participate in ethics committees. What knowledge, skills and attitudes are involved in this participation is unclear. In five consecutive years, groups of two to three fourth-year (bachelor) nursing students conducted 8 to 11 semi-structured interviews each with nurses in ethics committees. The question was what competencies these nurses themselves say they need to participate in such committees. This article reports the (...) aggregate of the 52 interviews in these five studies. Regarding knowledge, the article reports on health law, ethics and professional knowledge. Regarding skills, communication is mentioned, as are professional skills and skills for ‘doing ethics’. An open and respectful attitude towards patients and fellow committee members is required, as well as commitment to patient care, committee work and professional ethics. The right attitude for a nurse in an ethics committee is said to include a reflective and perceptive attitude, along with an awareness of one’s own limitations and convictions. A detailed competency profile for nurses’ participation in ethics committees as outlined in the recommendations may serve nursing education, institutional committees and nurses themselves to meet the demands of nurses’ preparation for clinical ethics consultations. (shrink)

A relatively small but intellectually robust strand in the Christian religion is the Reformed tradition. Especially, its Calvinist sensibilities inform this Protestant stance towards human culture in general and vocations in particular. Correspondingly, there are some small but robust contributions to academic discourse in nursing ethics. So far there has been no attempt to bring those together as a distinct approach. This article suggests such a Reformed Christian, especially Calvinist, account of nursing ethics. Central to the Reformed perspective is the (...) notion that God is sovereign over all of creation and culture and hence that there can be no religiously or morally neutral area in human life. Consequently, nursing is not seen as professional to the extent it is based on research evidence or theoretical models, but to the extent it serves the ultimate purpose of the practice of care. In the Reformed view, this purpose is fostering the well-being of human beings in need as intrinsically valuable. Nurses are professionals who accept this responsibility, that is, the whole of expectations holding for personal qualities, conduct and outcomes, required to serve the purpose of care. As this is a moral purpose, succeeding or failing to live up to these expectations is the source of moral issues in nursing. (shrink)

De zorgverlening is een sector van de samenleving die vandaag de dag in toenemende mate van karakter lijkt te veranderen. Zo is regionalisering een bestuursfilosofie van de overheid die ertoe leidt dat zorg wordt verleend door seculiere, regionale organisaties in plaats van landelijke organisaties met een levensbeschouwelijke signatuur. Of denk aan de verzakelijking in de thuiszorg, die ertoe leidt dat zorg wordt verleend als losse, inkoopbare pakketjes door diverse zorgaanbieders in plaats van integrale hulp die uitdrukking geeft aan de sociale (...) verantwoordelijkheid van een maatschappelijk georganiseerde groep mensen. Was een levensbeschouwelijk geïnspireerde moraal voor veel van de zorgverlening vanouds een belangrijk organisatieprincipe, nu lijkt er in de liberale samenleving te moeten worden uitgegaan van algemene, levensbeschouwelijk en moreel neutrale principes. (shrink)