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Summarize The basis for caring also shapes its effect. Nursing was organized under the expectation that its practitioners would accept a duty to care rather than demand a right to determine how they would satisfy this duty. Nurses were expected to act out of an obligation to care, taking on caring more as an identity than as work, and expressing altruism without thought of autonomy either at the bedside or in their profession. Thus, nurses, like others who perform what is de?ned as "women's work" in our society, have had to contend with what appears as a dichotomy between the duty to care for others and the right to control their own activities in the name of caring. Nursing is still searching for what philosopher Joel Feinberg argued comes prior to rights, that is, being "recognized as having a claim on rights." 4 The duty to care, organized within the political and economic context of nursing's development, has made it dif?cult for nurses to obtain this moral and, ultimately, political standing. Because nurses have been given the duty to care, they are caught in a secondary dilemma: forced to act as if altruism (assumed to be the basis for caring)
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