Lachman Vicki D
Drexel University, Philadelphia, PA, USA.
Medsurg Nurs. 2009 Jan-Feb;18(1):55-7.
The Code (ANA, 2001) provides the nurse guidance for legal and ethical responsibilities to patients and, in the broader sense, to society. The first provision calls for honoring the human dignity in all patients and colleagues. It lays the groundwork for the importance of the essential ethical principle of autonomy, the right to self-determination. The second provision describes the importance of interdisciplinary collaboration and significance of appropriate nurse-patient boundaries. The importance of privacy and confidentiality in the nurse-patient relationship is the focus of the third provision. Without the nurse's honoring of privacy, the patient would be hesitant to share important information necessary to design an effective plan of care. The fourth provision primarily focuses on the importance of accountability for personal actions and for the actions of those to whom the nurse has delegated. By meeting these obligations, the nurse will remain the most trusted health care professional.
《守则》(美国护士协会,2001年)为护士履行对患者乃至更广泛意义上对社会的法律和道德责任提供了指导。第一条规定要求尊重所有患者和同事的人格尊严。它为自主这一基本道德原则的重要性奠定了基础,即自决权。第二条规定描述了跨学科协作的重要性以及适当的护患界限的意义。护患关系中隐私和保密的重要性是第三条规定的重点。如果护士不尊重隐私,患者就会犹豫是否分享制定有效护理计划所需的重要信息。第四条规定主要关注对个人行为以及护士所委托之人的行为负责的重要性。通过履行这些义务,护士将始终是最受信任的医疗保健专业人员。