The second edition of The Moral Work of Nursing is entering the production process and should be available in Spring 2017. It includes two new chapters on ethics in community health nursing in public health, home and primary care settings. After reviewing research and nurses’ accounts of moral concerns in community nursing practice, it concludes:
Building on their communal relationships and familiarity with the context of people’s lives, community health nurses focus on the health of individuals, families, and communities and, when possible, address the inequities in health care. Three recurrent themes: advocacy, upholding and safeguarding encapsulate the nature and moral essence of community health nursing.
This moral work involves: advocacy on behalf of individuals and communities; upholding, teaching, supporting and encouraging clients and families in healthy living and management of chronic illnesses; safeguarding clients’ health, home, family. When reflecting on and dialoguing about their practice, nurses also advocate for themselves, uphold each other and safeguard their personal health and professional practice.