Han S S, Ahn S H
College of Nursing, Catholic University of Korea, Seoul, Korea.
Nurs Ethics. 2000 Mar;7(2):113-23. doi: 10.1177/096973300000700204.
This study analyses the types and frequencies of ethical dilemmas and the rationale of ethical decision making in student nurses; it also evaluates their decision making. One hundred senior student nurses who were enrolled in a two-credit course in nursing ethics were asked to provide an informal description of a dilemma that they had experienced during their clinical practice. The results were as follows. The ethical dilemmas identified fell into four categories and were of 27 types. Those most frequently experienced were 'family giving up on a patient because he or she could not be cured', and 'not telling the truth to the patient'. The Korean Nurses' Code of Ethics was applied, in particular the preamble, and the third, fourth, seventh and tenth clauses. The most common rule of ethics and principle applied in these nurses' ethical decision making were veracity and nonmaleficence. With regard to the moral reasoning process, the primary concern was the welfare of the patients. These students were equipped with the ability to exercise critical and reflective thought when they experienced ethical dilemmas.
本研究分析了实习护士伦理困境的类型和频率以及伦理决策的依据；同时还评估了他们的决策过程。100名参加了一门两学分护理伦理学课程的高年级实习护士被要求对他们在临床实习期间遇到的一个困境进行非正式描述。结果如下。所确定的伦理困境分为四类，共27种。最常遇到的是“家属因患者无法治愈而放弃治疗”以及“对患者隐瞒真相”。本研究应用了《韩国护士伦理守则》，特别是前言部分以及第三、第四、第七和第十条。这些护士在伦理决策中应用的最常见的伦理规则和原则是真实性和不伤害原则。在道德推理过程方面，首要关注的是患者的福祉。这些学生在遇到伦理困境时具备进行批判性和反思性思考的能力。
