Barrio I M, Molina A, Sánchez C M, Ayudarte M L
Fundación para la Investigación Biosanitaria de Andalucía Oriental Alejandro Otero, Granada.
An Sist Sanit Navar. 2006;29 Suppl 3:41-7.
The nursing profession has always placed great importance on the ethical requirements linked to its activities. However, the understanding and content to these activities has evolved over the course of history. Two approaches have been developed as the principal issues of nursing ethics: the ethics of virtue and the ethics of principles. The first approach enquires into the attitudes that must be held by a person in order to act as a good nurse. The second follows an inverse course and considers the actions and principles that must be respected in order to be a good professional. An approach that harmonises both perspectives must pose the following questions: What do we understand by nursing care? On what ethical principles is this form of understanding care based? What moral attitudes are related to caring correctly? In a modern professional model, the definition and exercise of care necessarily include consideration of team work. Similarly, carrying out a good caring function, that is to say quality nursing, requires apprenticeship on the one hand, and, on the other, the assimilation of the attitudes that are required in a person involved in caring. Both elements improve the capacity of the professionals to prevent and resolve ethical conflicts in the practice of care.
护理行业一直非常重视与其活动相关的伦理要求。然而,对这些活动的理解和内涵在历史进程中不断演变。作为护理伦理的主要问题,已形成两种方法:美德伦理和原则伦理。第一种方法探究一个人要成为一名优秀护士必须具备的态度。第二种方法则相反,它考虑的是要成为一名优秀专业人员必须遵守的行为和原则。一种将两种观点协调起来的方法必须提出以下问题:我们对护理是如何理解的?这种护理理解形式基于哪些伦理原则?与正确护理相关的道德态度是什么?在现代专业模式中,护理的定义和实施必然包括对团队合作的考量。同样,要履行良好的护理职能,即提供高质量护理,一方面需要学习,另一方面需要吸收护理人员应具备的态度。这两个要素都能提高专业人员在护理实践中预防和解决伦理冲突的能力。