Nursing Ethics 16 (6):786-796 (2009)
AbstractTechnology is pervasive and overwhelming in the intensive care setting. It has the power to inform and direct the nursing care of critically ill patients. Technology changes the moral and social dynamics within nurse—patient encounters. Nurses use technology as the main reference point to interpret and evaluate clinical patient outcomes. This shapes nurses’ understanding and the kind of care provided. Technology inserts itself between patients and nurses, thus distancing nurses from patients. This situates nurses into positions of power, granting them epistemic authority, which constrains them as moral agents. Technology serves to categorize and marginalize patients’ illness experience. In this article, moral agency is examined within the technologically-mediated context of the intensive care unit. Uncritical use of technology has a negative impact on patient care and nurses’ view of patients, thus limiting moral agency. Through examination of technology as it frames cardiac patients, it is demonstrated how technology changes the way nurses understand and conceptualize moral agency. This article offers a new perspective on the ethical discussion of technology and its impact on nurses’ moral agency. Employing reflective analysis using the technique of embodied reflection may help to ensure that patients remain at the centre of nurses’ moral practice. Embodied reflection invites nurses critically to examine how technology has reshaped conceptualization, understanding, and the underlying motivation governing nurses’ moral agency
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Citations of this work
A Cyborg Ontology in Health Care: Traversing Into the Liminal Space Between Technology and Person-Centred Practice.Jennifer Lapum, Suzanne Fredericks, Heather Beanlands, Elizabeth McCay, Jasna Schwind & Daria Romaniuk - 2012 - Nursing Philosophy 13 (4):276-288.
Implications of 21st Century Science for Nursing Care: Interpretations and Issues.Michael T. Yeo - 2014 - Nursing Philosophy 15 (4):238-249.
Does Good Documentation Equate to Good Nursing Care?Marcia Sue DeWolf Bosek & Marcia Ellen Ring - 2010 - Jona's Healthcare Law, Ethics, and Regulation 12 (2):43-47.
Nurses’ Role and Care Practices in Decision-Making Regarding Artificial Ventilation in Late Stage Pulmonary Disease.Heidi Jerpseth, Vegard Dahl, Per Nortvedt & Kristin Halvorsen - 2017 - Nursing Ethics 24 (7):821-832.
Actor-Network Theory as a Sociotechnical Lens to Explore the Relationship of Nurses and Technology in Practice: Methodological Considerations for Nursing Research.Richard G. Booth, Mary-Anne Andrusyszyn, Carroll Iwasiw, Lorie Donelle & Deborah Compeau - 2016 - Nursing Inquiry 23 (2):109-120.
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