Thompson Dan R
Alden March Bioethics Institute, Departments of Surgery and Anesthesiology, Albany Medical College, Albany, New York, USA.
Crit Care Med. 2007 Feb;35(2 Suppl):S2-10. doi: 10.1097/01.CCM.0000252912.09497.17.
Managing a critical care unit can present many challenges for those whose roles have been only as clinicians. The administrative position presents many new ethical issues that challenge both traditional medical and nursing ethics. The use of the basic ethical principles in these administrative issues may be less familiar. Ethical principles that guide the practice of professionals and their new position are explored and their use described in both positions. Traditional ethical issues include: utilitarianism, natural law, autonomy, beneficence, nonmaleficence, paternalism, justice, duty, rationing, informed consent, and withdrawing treatment. Conflicts in ethical issues are a natural consequence of the dual role of the professional.
对于那些此前仅担任临床医生的人来说，管理重症监护病房可能会带来诸多挑战。管理职位带来了许多新的伦理问题，这些问题对传统医学伦理和护理伦理都构成了挑战。在这些管理问题中运用基本伦理原则可能不太为人所熟悉。本文探讨了指导专业人员及其新职位实践的伦理原则，并描述了这些原则在两个职位中的应用。传统伦理问题包括：功利主义、自然法、自主性、行善、不伤害、家长主义、正义、义务、资源分配、知情同意和停止治疗。伦理问题中的冲突是专业人员双重角色的自然结果。
