This article originates in my doctoral dissertation, Trust and Power: A Moral Challenge, published by Munksgaard, Copenhagen, in 1999. The dissertation, an exploratory study, contributes to a practical understanding of a philosophy of care and ethics. This article builds on the previous research, develops theory, and stands as a philosophical and theoretical contribution. With practical understanding of an ethic of care and its limitations, I have worked to develop some aspects of Patricia Benner's formulations of how to act skillfully and ethically in nursing practice. Using a phenomenological/ hermeneutic approach, I focus on the development of moral competence and, in this context, on specific personal qualifications such as significance of experience, situational understanding, sensing the concrete, and the need for courage.
International Journal for Human Caring, 2004, Vol 8, Issue 3, p. 8-12