The ambiguity of altruism in nursing: A qualitative study

Abstract

Background: For a long time, altruism was the basis for caring. Today, when society is more individualized, it is of interest to explore the meaning of altruism in nursing. Methods: In all, 13 nurses from a Swedish acute care setting participated in two focus group interviews performed as Socratic dialogues. Data were analyzed using a phenomenological hermeneutical method. Ethical considerations: Ethical issues were considered throughout the process according to established ethical principles. Informed consent was obtained from all participants, confidentiality regarding the data was guaranteed and quotations anonymized. Findings: Altruism created a sense of ambivalence and ambiguity, described as a rise of sovereign expressions of life caused by “the other’s” need, but also unwillingness to take unconditional responsibility for “the other.” Conclusion: Society’s expectations of altruism and nurses’ perception of their work as a salaried job collide in modern healthcare. Nurses are not willing to fully respond to the ethical demand of the patients. In case of a disaster, when nurses personal safety, life and health may be at risk, there might be reasons to question whether the healthcare organization would be able to fulfill its obligations of providing healthcare to an entire population.