Carter Michele A
Institute for the Medical Humanities, Department of Preventive Medicine and Community Health, UTMB Ethics Consultation Services, The University of Texas Medical Branch, Galveston, TX 77555-1311, USA.
Nurs Clin North Am. 2009 Dec;44(4):393-405. doi: 10.1016/j.cnur.2009.07.012.
This article uses philosophical inquiry to present the relationship between the helping role in nursing and the concept of trust essential to it. It characterizes helping as the moral center of the nurse-patient relationship and discusses how patients' expectations of help and caring create obligations of trustworthiness on the part of the nurse. It uses literature from various disciplines to examine different theoretical accounts of trust, each presenting important features of trust relationships that apply to health care professionals, patients, and families. Exploring the concept of trust, and the key leverage points that elicit it, develops a thesis that nurses can improve their understanding of the principal attributes and the conditions that foster or impede trust. The article concludes that trust is the core moral ingredient of helping relationships. Trust as a moral value is even more basic than duties of beneficence, respect, veracity, and autonomy. Trust is the confident expectation that others can be relied upon to act with good will and to secure what is best for the person seeking help.
本文运用哲学探究来呈现护理中的帮助角色与信任概念之间的关系，而信任概念对护理至关重要。它将帮助描述为护患关系的道德核心，并探讨患者对帮助和关怀的期望如何在护士方面产生值得信赖的义务。本文运用来自不同学科的文献来审视信任的不同理论阐释，每种阐释都呈现了适用于医护人员、患者及家属的信任关系的重要特征。探究信任概念以及引发信任的关键杠杆点，形成了一个论点，即护士可以增进对信任的主要属性以及促进或阻碍信任的条件的理解。本文的结论是，信任是帮助关系的核心道德要素。作为一种道德价值，信任甚至比行善、尊重、诚实和自主等义务更为根本。信任是一种有信心的期望，即相信他人会善意行事，并确保为寻求帮助的人争取到最好的结果。
