title: Nurse leaders as stewards at the point of service.
abstract: Nurse leaders, including clinical nurse educators, who exercise stewardship at the point of service, may facilitate practising nurses' articulation of their shared value priorities, including respect for persons' dignity and self-determination, as well as equity and fairness. A steward preserves and promotes what is intrinsically valuable in an experience. Theories of virtue ethics and discourse ethics supply contexts for clinical nurse educators to clarify how they may facilitate nurses' articulation of their shared value priorities through particularism and universalism, as well as how they may safeguard nurses' self-interpretation and discursive reasoning. Together, clinical nurse educators and nurses may contribute to management decisions that affect the point of service, and thus the health care organization.
authors.affiliation: Dalhousie University School of Nursing, Halifax, NS, Canada. norma.murphy@dal.ca
authors.forename: Norma
authors.initials: N
authors.lastname: Murphy
authors.forename: Deborah
authors.initials: D
authors.lastname: Roberts
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence; D032781:Codes of Ethics; D003659:Decision Making, Organizational; D028663:Ethical Theory; D005181:Faculty, Nursing / Q000458:organization & administration*; D006272:Health Facility Environment / Q000941:ethics / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007857:Leadership; D009718:Nurse Administrators / Q000941:ethics / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology*; D009742:Nursing Theory; D015279:Organizational Culture; D010344:Patient Advocacy / Q000941:ethics / Q000523:psychology; D010687:Philosophy, Nursing; D019095:Point-of-Care Systems / Q000941:ethics / Q000458:organization & administration; D011057:Politics; D011785:Quality Assurance, Health Care / Q000941:ethics / Q000458:organization & administration; D012945:Social Values; D013561:Symbolism; D028722:Virtues