专业责任,护士和良心异议:伦理评估的框架
Pamela J Grace1, Elizabeth Peter2, Vicki D Lachman3
1Boston College, William F. Connell School of Nursing, Chestnut Hill, MA, USA.
Nursing ethics
|July 8, 2023
概括
护士可能会根据良心异议 (CO) 拒绝患者护理,但这可能会破坏护理. 一个新的伦理框架有助于评估CO声明的真实性,平衡护士诚信与患者需求.
科学领域:
- 护理伦理学 护理伦理学
- 生物伦理学生物伦理学
- 道德心理学道德心理学
背景情况:
- 良心异议 (CO) 在护理中存在道德困境,可能会扰乱患者护理和团队责任.
- 护士有权和责任反对与其道德诚信相冲突的干预.
- 平衡患者护理风险和道德责任是医疗保健中的良心反对的核心.
研究的目的:
- 探讨在护理中提出的良心异议所带来的伦理挑战.
- 提出一个非线性框架来评估良心反对者的真实性.
- 为护士,伦理学家和教育工作者提供指导,帮助他们管理良心异议.
主要方法:
- 通过使用Rest的道德推理的四个组成模型合成了一个框架.
- 国际护理委员会 (ICN) 护士道德准则的综合原则.
- 结合了从护理伦理学和更广泛的伦理学文学中的见解.
主要成果:
- 拟议的框架有助于对所有有关各方的良心反对的后果进行评估.
- 它提供了一种结构化的方法来评估护士的良心反对的有效性和影响.
- 该框架有助于制定道德和合理的行动计划,以处理因良心而拒服兵役的案件.
结论:
- 一个非线性框架可以增强对在护理中的良心异议的伦理评估.
- 该框架支持护士教育工作者为学生准备道德实践.
- 澄清良心的基础对于道德上允许的反对行为至关重要.
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