Constructing an Ethical Training for Advanced Nursing Practice: An Interactionist and Competency-Based Approach

Background: Advanced practice nurses are working in a highly interdisciplinary and political context. Such situations can influence the deliberative and ethical decision-making processes in which they are also involved. This can subsequently compromise their abilities to protect their moral integrity, to find innovative and nondualistic solutions to complex ethical problems, and to collaborate with other health professionals. Method: The authors constructed a training program inspired by discourse and narrative ethics. The objective pursued was to develop advanced practice nurses'moral integrity, highlight the ethical component of their clinical judgement, and foster the development of their deliberative competencies. Results: The pedagogical process proposed exposes how an ethical curriculum adapted to the context in which advanced practice nurses evolve can address power relationships inherent in ethical decision making. Conclusion: The authors suggest that this pedagogical approach has the potential to optimize the consolidation of ethical, reflective, and deliberative competencies among advanced practice nurses.