Austin Wendy
John Dossetor Health Ethics Centre and Faculty of Nursing, University of Alberta, Edmonton, Canada.
Can J Nurs Res. 2008 Dec;40(4):10-24.
In times of contagion, the key role of nurses brings fears, dangers, and unique demands. The ethics of such challenges need to be explored and understood. Using Callahan's framework for thinking ethically and Taylor's "worries" of modern life, the author elucidates some of the challenges and then argues that the current approach to pandemic ethics, with its reliance on moral reasoning, is insufficient to guide nurses' ethical actions. Relational ethics, which explicitly situates ethics within relationships and our commitment to one another, and which recognizes that context matters in ethical decision-making, is offered as a viable alternative for nurses in considering how to respond.
在传染病肆虐时期,护士的关键作用带来了恐惧、危险和独特的要求。此类挑战的伦理问题需要加以探讨和理解。作者运用卡拉汉的伦理思考框架以及泰勒对现代生活的“担忧”,阐明了其中一些挑战,进而认为当前应对大流行伦理的方法,因其依赖道德推理,不足以指导护士的伦理行为。关系伦理明确将伦理置于人际关系以及我们对彼此的承诺之中,并认识到情境在伦理决策中至关重要,它被作为护士在思考如何应对时的一种可行选择提了出来。