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护士与医生在伦理决策过程中的差异。

Differences in ethical decision-making processes among nurses and doctors.

作者信息

Grundstein-Amado R

机构信息

Baycrest Centre for Geriatric Care, Department of Psychiatry, North York, Ontario, Canada.

出版信息

J Adv Nurs. 1992 Feb;17(2):129-37. doi: 10.1111/j.1365-2648.1992.tb01867.x.

Abstract

The study reports results of an inquiry into the different patterns of ethical decision making used by doctors and nurses. The findings of the study are that nurses and doctors act out of different values, motivations and expectations and that there is a communication gap between them. Nurses place the highest value on the 'caring' perspective, which entails responsiveness and sensitivity to the patients' wishes. In contrast, the doctors value above all the patients' rights and the scientific approach that implies a major concern with disease and its cure. The study suggests that there is a need for the development of a new foundation, based on common professional attributes of the two groups, to which both groups are committed. This would provide a joint point of reference from which the two professions can solve shared ethical problems and would remove communication barriers.

摘要

该研究报告了对医生和护士所采用的不同伦理决策模式的调查结果。研究发现,护士和医生的行为出于不同的价值观、动机和期望,且他们之间存在沟通差距。护士最看重“关怀”视角,这需要对患者的意愿做出响应并保持敏感。相比之下,医生最看重患者的权利以及意味着主要关注疾病及其治疗的科学方法。该研究表明,有必要基于两组人员共同的职业属性建立一个新的基础,使两组人员都能致力于此。这将提供一个共同的参考点,两个职业可以据此解决共同的伦理问题,并消除沟通障碍。

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