实践以人为本的护理伦理,平衡伦理信念和道德义务。

IF 2.6 3区 医学 Q1 NURSING
Nursing Philosophy Pub Date : 2022-07-01 Epub Date: 2022-02-25 DOI:10.1111/nup.12382
Inger Ekman
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引用次数: 21

摘要

以人为本的护理以伦理为基础,是组织护理的基础。尽管医疗保健系统声称他们已经实施了以人为本的护理,但患者对护理的满意度较低。这些对比的结果需要澄清如何运用保罗·利科的“小伦理”实践以人为本的伦理,总结为:“在公正的机构中,与他人一起并为他人追求美好生活”。在这个伦理中,康德的道德是亚里士多德伦理学的从属和补充,因为道德目标需要被批判性地评估,并通过对每一个护理情况的规范的检查。本文提出的例子,描述了一个以人为本的护理实践,平衡护理活动的关键审查的基础上,旨在为患者的福祉的信念。与患者在现实生活中以人为本的护理经验相反,研究项目表明,如果临床表演者理解并应用以人为本的伦理实践,患者报告的结果是积极的。因此,实施以人为本的护理要求利益相关者和管理人员能够并要求医疗保健人员以与处理患者药物时需要学习药理学相同的方式学习道德。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Practising the ethics of person-centred care balancing ethical conviction and moral obligations.

Person-centred care is founded on ethics as a basis for organizing care. In spite of healthcare systems claiming that they have implemented person-centred care, patients report less satisfaction with care. These contrasting results require clarification of how to practice person-centred ethics using Paul Ricoeur's 'Little ethics', summarized as: 'aiming for the good life, with and for others in just institutions'. In this ethic Kantian morality is at once subordinate and complementary to Aristotelian ethics because the ethical goal needs to be critically assessed and passed through the examination of the norm in each care situation. This paper presents examples that describes a person-centred care practice that balance a critical review of care activities based on a conviction of aiming for patients' wellbeing. In contrast to patients' experiences of person-centred care in real life, research projects have shown that if the clinical performers comprehend and apply the practice of person-centred ethics, patients report positive outcomes. The implementation of person-centred care therefore demands that stakeholders and managers enables and requires that healthcare staff study ethics in the same way as studying for example pharmacology is required when handling patients' medicines.

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来源期刊
CiteScore
4.80
自引率
9.10%
发文量
39
审稿时长
>12 weeks
期刊介绍: Nursing Philosophy provides a forum for discussion of philosophical issues in nursing. These focus on questions relating to the nature of nursing and to the phenomena of key relevance to it. For example, any understanding of what nursing is presupposes some conception of just what nurses are trying to do when they nurse. But what are the ends of nursing? Are they to promote health, prevent disease, promote well-being, enhance autonomy, relieve suffering, or some combination of these? How are these ends are to be met? What kind of knowledge is needed in order to nurse? Practical, theoretical, aesthetic, moral, political, ''intuitive'' or some other? Papers that explore other aspects of philosophical enquiry and analysis of relevance to nursing (and any other healthcare or social care activity) are also welcome and might include, but not be limited to, critical discussions of the work of nurse theorists who have advanced philosophical claims (e.g., Benner, Benner and Wrubel, Carper, Schrok, Watson, Parse and so on) as well as critical engagement with philosophers (e.g., Heidegger, Husserl, Kuhn, Polanyi, Taylor, MacIntyre and so on) whose work informs health care in general and nursing in particular.
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