The concept of missed care refers to an irrefragable truth that required nursing care, which is left undone, occurs in the delivery of health care. As a technical concept, missed care offers nurses the opportunity to articulate a problematic experience. But what are we to make of missed care from an ethical perspective? Can nurses be held morally responsible for missed care? Ethically speaking, it is generally accepted that if a person has a moral obligation to do something, s/he needs (...) to have the capacity to do it. If a person does not have the capacity to fulfil a moral obligation, then s/he cannot be held responsible for failing to do so. This is captured by the “ought implies can” (OIC) principle. This paper brings the OIC principle to the forefront of the discussion on missed care. It is contended that nurses – qua moral agents – may be discharged from a moral obligation to carry out a required caring act because of some inability that is not of their making and therefore may not be morally responsible for missed care. However, the OIC principle may not be applied to all situations of missed care depending on their causes. In addition, following in the thought of Sapontzis (The Southern Journal of Philosophy, 1991, XXIX, 383–393) it is contended that when an original obligation to deliver a required act of care cannot be fulfilled, other obligations may be generated as summed up in the “Principle of Making Amends” and the “Principle of Appropriate Feeling.” It is the view of this paper that these further principles could prevent the OIC principle from being used to simply excuse omissions of care from a normative standard and could support the view that nurses continue to have alternative obligations to make amends and to respond with appropriate feelings to missed care. (shrink)

ENGLISH. From statements about what is the case we cannot derive statements about what ought to be. This is only one way in which we can describe the dichotomy between Is and Ought that has preoccupied philosophers since Hume to the present day. However, relatively little attention has been paid to the question of whether statements about what ought to be may commit us to, or even imply, statements about what is. This paper aims to address this shortcoming. It pursues (...) two goals. First, it tries to show that rationality requires empirical evidence about what is if we have normative beliefs about what we ought to do. Second, it tries to draw two further conclusions for (academic) philosophers. On the one hand, in our research on normative statements, we are rationally required to consider relevant empirical findings. On the other hand, as individuals we are rationally required to intend to act in accordance with our normative beliefs. -/- DEUTSCH. Aus Aussagen darüber, was der Fall ist, lassen sich keine Aussagen darüber ableiten, was sein sollte. Dies ist nur eine Beschreibung der Dichotomie von Sein und Sollen, die Philosophen seit Hume bis heute beschäftigt. Umgekehrt hat die Frage relativ wenig Beachtung gefunden, ob Aussagen darüber, was sein sollte, zu Aussagen darüber, was ist, führen können oder sie gar implizieren. Der vorliegende Beitrag möchte diesem Manko entgegentreten. Er verfolgt zwei Ziele: Erstens versucht er im Allgemeinen zu zeigen, dass normative Überzeugungen darüber, was man tun sollte, unter rationalem Gesichtspunkt empirischer Evidenz bedürfen. Zweitens versucht er, spezifisch für uns (akademisch) Philosophierende zwei weitere Folgerungen zu ziehen. Einerseits sind wir in unserer Forschung über normative Aussagen rational verpflichtet, relevante empirische Befunde zu beachten. Andererseits sind wir als Individuen rational verpflichtet zu beabsichtigen, selbst unseren normativen Überzeugungen entsprechend zu handeln. (shrink)