The therapeutic nature of the nurse-patient relationship is grounded in an ethic of caring. Florence Nightingale envisioned nursing as an art and a science. a blending of humanistic, caring presence with evidence-based knowledge and exquisite skill. In this article, the author explores the caring practice of nursing as a framework for understanding moral accountability and integrity in practice. Being morally accountable and responsible for one's judgment and actions is central to the nurse's role as a moral agent. Nurses who practice with moral integrity possess a strong sense of themselves and act in ways consistent with what they understand is the right thing to do. A review of the literature related to caring theory, the concepts of moral accountability and integrity, and the documents that speak of these values and concepts in professional practice (eg, Code of Ethics for Nurses with Interpretive Statements, Nursing's Social Policy Statement) are presented in this article.
Jasmine T. Jasmine T. Nurs Clin North Am. 2009 Dec;44(4):415-21. doi: 10.1016/j.cnur.2009.07.003. Nurs Clin North Am. 2009. PMID: 19850178 Review.
Naef R. Naef R. Nurs Philos. 2006 Jul;7(3):146-56. doi: 10.1111/j.1466-769X.2006.00271.x. Nurs Philos. 2006. PMID: 16774601 Review.
Maze CD. Maze CD. J Clin Nurs. 2005 May;14(5):546-54. doi: 10.1111/j.1365-2702.2004.01107.x. J Clin Nurs. 2005. PMID: 15840068 Review.
Vaiani CE. Vaiani CE. Nurs Clin North Am. 2009 Dec;44(4):407-14. doi: 10.1016/j.cnur.2009.07.008. Nurs Clin North Am. 2009. PMID: 19850177 Review.
Noel DL. Noel DL. AAOHN J. 2010 Jan;58(1):17-24; quiz 25-6. doi: 10.3928/08910162-20091216-02. AAOHN J. 2010. PMID: 20027992
Ramón Michel A, Kung S, López-Salm A, Ariza Navarrete S. Ramón Michel A, et al. Health Hum Rights. 2020 Dec;22(2):271-283. Health Hum Rights. 2020. PMID: 33390712 Free PMC article. Review.
Tanlaka EF, Ewashen C, King-Shier K. Tanlaka EF, et al. Nurs Open. 2019 May 30;6(3):740-744. doi: 10.1002/nop2.306. eCollection 2019 Jul. Nurs Open. 2019. PMID: 31367395 Free PMC article.