Nursing, empathy and perception of the moral

Over the last 15-20 years we have witnessed a dramatic interest in the mora l domain of clinical practice. There has also been a growing focus on the p atient as an individual whose individuality and perspective must be respect ed. It is argued in this paper that a key to both these concerns is a consi deration of the role of empathy in both perceiving the moral aspects and is sues of practice, and in providing adequate support for patients. In this p aper the meaning and components of empathy are discussed in the context of human receptivity and preconditions of moral performance. However, we also draw attention to empirical studies which suggest that even following adequ ate educational preparation, if the clinical environment and the structures within which care is delivered are not supportive, the practitioner's abil ity to perceive the moral is limited. In such circumstances, patients are i n danger of receiving less than appropriate care - from both the moral and professional perspective.