27/08/2026
HOW DID THE AXIOLOGY OF NURSING EVOLVE?
Axiology is the study of values: what we consider good, right, and worth pursuing. In nursing, axiology helps explain what the profession stands for, what it prioritizes, and how it decides what good care should look like.
These values have changed over time.
Early nursing placed strong emphasis on virtue and care. Values such as compassion, altruism, loyalty, and obedience were central. Nursing was often practiced within strict institutional hierarchies, where duty and service shaped professional identity.
By the mid-20th century, nursing became more professionalized and more closely linked with universities and science. Evidence, autonomy, beneficence, non-maleficence, and justice became more visible in nursing ethics. Bioethics also influenced how nurses understood decision-making and patient rights.
Today, nursing faces a much wider ethical landscape. Digital health, artificial intelligence, robotics, climate change, migration, and health inequities raise new questions about privacy, autonomy, fairness, cultural safety, and global responsibility.
So nursing values are not frozen in time. They develop as society, technology, and health systems change.
Some values, such as compassion and care, remain important. But their meaning and application continue to expand. Understanding nursing axiology helps us see that professional identity is always shaped by the values we choose to carry forward.
Sources:
Cleofas, J. V. (2026). An axiological (re) appraisal of nursing in the light of the 2025 ICN definition: Implications for research development in doctoral education. Journal of Advanced Nursing, 82(5), 4442-4458. DOI:10.1111/jan.70176
White, J., M. Gunn, M. Chiarella, H. Catton, and D. Stewart. (2025). “Renewing the Definitions of ‘Nursing’ and ‘a Nurse’.” Final Project Report, International Council of Nurses
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