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访视护士的情境伦理:超越“关怀与正义”之争

Visiting nurses' situated ethics: beyond 'care versus justice'.

作者信息

Gremmen I

机构信息

Department of Communication and Social Welfare, Faculty of Social Sciences, Utrecht University, The Netherlands.

出版信息

Nurs Ethics. 1999 Nov;6(6):515-27. doi: 10.1177/096973309900600607.

Abstract

This article discusses Dutch visiting (district) nurses' moral considerations of their daily work. It is based on an empirical study using extensive semistructured interviews. The study is informed by the theoretical debate on the 'ethics of care' and the 'ethics of justice'. It is argued that this debate easily turns into an unfruitful contest between these two perspectives: which one is best? The results suggest that visiting nurses' moral considerations of their day-to-day work can be described well in terms of an ethic of care. At the same time, however, concepts and issues central to an ethic of justice are also of crucial importance to their considerations. Nurses' ways of managing to combine both perspectives, even in situations of apparent conflict between them, are described. Thus, clues are provided on how the debate on the ethics of care and the ethics of justice may be carried out in a more fruitful way apart from through hierarchically opposing both perspectives.

摘要

本文探讨了荷兰访视(社区)护士在日常工作中的道德考量。它基于一项运用广泛的半结构化访谈的实证研究。该研究受到关于“关怀伦理”和“正义伦理”的理论辩论的启发。有人认为,这场辩论很容易演变成这两种观点之间毫无成效的较量:哪一种最好?研究结果表明,访视护士对日常工作的道德考量可以用关怀伦理来很好地描述。然而,与此同时,正义伦理的核心概念和问题对他们的考量也至关重要。文中描述了护士们即使在这两种观点明显冲突的情况下,仍设法将两者结合起来的方式。因此,文中提供了一些线索,说明除了通过将这两种观点进行等级对立之外,如何以更富有成效的方式开展关于关怀伦理和正义伦理的辩论。

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