Hou Wen-Li, Kuo Ya-Wen, Huang Mei-Chih
Department of Nursing, Meiho Institute of Technology.
Hu Li Za Zhi. 2008 Jun;55(3):92-6.
Marital violence or intimate partner violence is a serious and recurring public health issue. In the clinical setting, battered women often seek medical advice, because of the health problems that result from marital violence. Thus, nursing staff are the first persons to come into contact with the battered women. Can nurses execute their notify responsibility to prevent continued injury before obtained the woman's agreement? Will this action violate the principle of autonomy or not? Nurses would face an ethical dilemma when they care for battered women. The purpose of this article is to use Aroskar's ethical decision making model to analyze and clarify the ethical dilemmas involved in managing marital violence, including: under the value systems of the person, the profession, and time to illustrate the basic information, decision theory dimensions, and ethical theories or positions. It is hoped that this article provides an ethical decision making model for the ethical dilemmas facing nurses who manage marital violence in the clinical setting.
婚姻暴力或亲密伴侣暴力是一个严重且反复出现的公共卫生问题。在临床环境中，受虐妇女常常因婚姻暴力导致的健康问题而寻求医疗建议。因此，护理人员是最先接触到受虐妇女的人。在未获得女性同意的情况下，护士能否履行其通知责任以防止持续伤害？此行为是否会违反自主原则？当护士照顾受虐妇女时，会面临伦理困境。本文旨在运用阿罗斯卡的伦理决策模型来分析和阐明处理婚姻暴力中涉及的伦理困境，包括：在个人、职业和时间的价值体系下说明基本信息、决策理论维度以及伦理理论或立场。希望本文为临床环境中处理婚姻暴力的护士所面临的伦理困境提供一个伦理决策模型。
