Moser Albine, Houtepen Rob, van der Bruggen Harry, Spreeuwenberg Cor, Widdershoven Guy
Department of Health, Ethics and Society, School for Public Health and Primary Care, Faculty of Health, Medicine and Life Science, Maastricht University, Maastricht, The Netherlands.
Nurs Ethics. 2009 Mar;16(2):203-18. doi: 10.1177/0969733008100080.
This article examines how people with type 2 diabetes perceive autonomous decision making and which moral capacities they consider important in diabetes nurses' support of autonomous decision making. Fifteen older adults with type 2 diabetes were interviewed in a nurse-led unit. First, the data were analysed using the grounded theory method. The participants described a variety of decision-making processes in the nurse and family care-giver context. Later, descriptions of the decision-making processes were analysed using hermeneutic text interpretation. We suggest first- and second-order moral capacities that nurses specializing in diabetes need to promote the autonomous decision making of their patients. We recommend nurses to engage in ongoing, interactive reflective practice to further develop these moral capacities.
本文探讨了2型糖尿病患者如何看待自主决策，以及他们认为糖尿病护士在支持自主决策中哪些道德能力很重要。在一个由护士主导的病房里，对15名老年2型糖尿病患者进行了访谈。首先，运用扎根理论方法对数据进行分析。参与者描述了在护士和家庭照顾者背景下的各种决策过程。随后，运用诠释学文本解释对决策过程的描述进行分析。我们提出了糖尿病专科护士为促进患者自主决策所需的一阶和二阶道德能力。我们建议护士进行持续的互动反思实践，以进一步培养这些道德能力。
