Contemporary health care relies on electronic devices. These technologies are not ethically neutral but change the practice of care. In light of Sennett's work and that of other thinkers one worry is that "e-care"aEuro"care by means of new information and communication technologies-does not promote skilful and careful engagement with patients and hence is neither conducive to the quality of care nor to the virtues of the care worker. Attending to the kinds of knowledge involved in care work and their moral (...) significance, this paper explores what "craftsmanship" means in the context of medicine and health care and discusses whether today the care giver's craftsmanship is eroded. It is argued that this is a real danger, especially under modern conditions and in the case of telecare, but that whether it happens, and to what extent it happens, depends on whether in a specific practice and given a specific technology e-carers can develop the know-how and skill to engage more intensely with those under their care and to cooperate with their co-workers. (shrink)

Feminist theorists have crafted diverse accounts of implicit knowing that exceed the purview of epistemology conventionally understood. I characterize this field as through examining thematic clusters of feminist work on implicit knowledge: phenomenological and foucauldian theories of embodiment; theories of affect and emotion; other forms of implicit knowledge. Within these areas, the umbrella concept of implicit knowledge (or understanding, depending on how it's framed) names either contingently unspoken or fundamentally nonpropositional but epistemically salient content in our experience. I make a (...) case for distinguishing implicit knowledge from lively conversations about ‘implicit bias’, as well as from the ‘know-how/know-that’ debates, and I explore key ways the notion of implicit knowledge is currently formulated in feminist philosophy. (shrink)

Many studies have examined clinical and institutional moral problems in the practice of nurses that have led to the experience of moral distress. The causes and implications of moral distress in nurses, however, have not been understood in terms of their implications from the perspective of virtue ethics. This paper analyzes how nurses reach for the telos of their practice, within a context of moral distress. A qualitative case study was carried out in a private hospital in Brazil. Observation and (...) semi‐semistructured interviews were conducted with 13 nurse participants. With the aid of ATLAS.ti software, the data were analyzed by using thematic content analysis using virtue ethics to theorize the findings. These nurses experienced a loss of their nursing identity as they encountered an ambiguous telos and the domination of institutional values. In their reach for the telos of their practice, nurses found an environment permeated by ethical challenges, which not only created moral distress but also created professional invisibility, a phenomenon referred to as ‘invisibility of the self’. (shrink)

IntroductionThe COVID-19 pandemic was soon declared a global health threat and had significant economic and health implications. Unprecedented government measures brought massive shifts in teaching-learning pedagogy in nursing to curb the infection. The study was conducted to explore the predictors of pandemic fatigue among nursing undergraduates and mediating role of individual resilience and coping styles during the third wave in India.MethodsThis online survey included 256 undergraduate nursing students studying at Tertiary Care Teaching Hospital in North India. Lockdown/Pandemic Fatigue Questionnaire, Brief (...) Resilience Scale, and Coping Behavior Questionnaire were used to collect the information. Appropriate descriptive and inferential statistics were applied to compute the results.ResultsNursing undergraduates reported a moderate level of fatigue during the restrictions imposed at the time of the third wave. Students’ year of study, tested positive during pandemic, and post-COVID-19 hospitalization were found associated with higher fatigue status. Advanced age and higher personal resilience status were associated with lower fatigue levels. Resilience status and second year of study were reported as independent predictors of pandemic fatigue in students.ConclusionFindings suggest that lockdown-related fatigue was common in nursing undergraduates. Considering negative consequences on mental health, routine psychosocial screening of the nursing students should be conducted. Recommending stress-relieving measures should be enforced to help nursing undergraduates to combat lockdown-induced exhaustion. (shrink)