Skip Navigation LinksHome > September 1996 - Volume 19 - Issue 1 > The Ethics of Compliance: A Dialectic
Advances in Nursing Science:
Nursing Ethics

The Ethics of Compliance: A Dialectic

Hess, Dukes Joanne MSN

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Abstract

Compliance with prescribed therapeutic regimens is a construct that begs for consideration from an ethical perspective.This article offers a dialectical study of the nurse-client relationship, derived from Gadow's framework of ethical knowledge, that provides an alternative to compliance as context for nursing therapeutics. The dialectic move from compliance as thesis to isolated autonomy as antithesis is explored. Gadow's notion of engagement is elaborated on and offered as a synthesis that transcends the paternalistic and coercive assumptions underlying compliance and overcomes the dilemmas presented by the issues of power, consumerism, and beneficence that are inherent in isolated autonomy.

Copyright © 1996 by Aspen Publishers, Inc.

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