Nurses in medical centres and nursing homes stand often in a tension field between professional responsibility and institutional basic conditions. Ethical questions win, on the basis of medical progress, increasingly in meaning. The thesis deals on the one hand with the position of the care concerning the clinical ethics and, on the other hand, with the possibilities and conditions which form the basis of an active participation in the ethical discourse. The development of the clinical ethics as well as the circumstances and contents of ethical lessons in the education and further training are other elements of the investigation. The aim of this work is the representation of the current situation of clinical ethical consultation in the German-speaking region in respect of the cares participation, as well as its future potential especially for Austria.