Hodkinson Kate
Faculty of Health, Edge Hill University, Ormskirk, UK.
Nurs Philos. 2008 Oct;9(4):248-56. doi: 10.1111/j.1466-769X.2008.00370.x.
Truth-telling is a key issue within the nurse-patient relationship. Nurses make decisions on a daily basis regarding what information to tell patients. This paper analyses truth-telling within an end of life scenario. Virtue ethics provides a useful philosophical approach for exploring decisions on information disclosure in more detail. Virtue ethics allows appropriate examination of the moral character of the nurse involved, their intention, ability to use wisdom and judgement when making decisions and the virtue of truth-telling. It is appropriate to discuss nursing as a 'practice' in relation to virtue ethics. This is achieved through consideration of the implications of arguments made by Alasdair MacIntyre who believes that qualities such as honesty, courage and justice are virtues because they enable us to achieve the internal goods of practices.
讲真话是护患关系中的一个关键问题。护士每天都要就告知患者哪些信息做出决定。本文分析了临终场景下的讲真话问题。德性伦理学为更详细地探讨信息披露决策提供了一种有用的哲学方法。德性伦理学允许对相关护士的道德品质、他们的意图、做决定时运用智慧和判断力的能力以及讲真话的德性进行适当审视。将护理视为与德性伦理学相关的一种“实践”是恰当的。这是通过考虑阿拉斯戴尔·麦金太尔提出的观点的影响来实现的,他认为诚实、勇气和正义等品质是德性,因为它们使我们能够实现实践的内在益处。