护理诊断：一项伦理分析。

Nursing diagnosis: an ethical analysis.

作者信息

Mitchell G J

出版信息

Image J Nurs Sch. 1991 Summer;23(2):99-103. doi: 10.1111/j.1547-5069.1991.tb00651.x.

DOI:10.1111/j.1547-5069.1991.tb00651.x

PMID:2060958

Abstract

The ethical consequences of nursing diagnosis in light of the principle "to do no harm" have not been adequately explored. It is proposed that human suffering is created through nursing actions that objectively judge and reduce human beings and their complex relationships with the world. The ethical dimensions for nurses required to participate in the diagnostic process are clarified and three levels of potential harm for individuals with parallel ethical conflicts for nurses are described. National nursing associations and accrediting agencies are challenged to consider the paternalistic underpinnings of the diagnostic process and the ethical outcomes of mandating only one approach in practice. Parse's humanistic theory of nursing is presented as one scientific approach which upholds the duty "to do no harm."

摘要

鉴于“不伤害”原则，护理诊断的伦理后果尚未得到充分探讨。有人提出，通过客观评判并简化人类及其与世界复杂关系的护理行为会造成人类痛苦。文中明确了护士参与诊断过程所需具备的伦理维度，并描述了护士面临平行伦理冲突时对个人可能造成的三个层面的潜在伤害。本文呼吁国家护理协会和认证机构审视诊断过程中家长式作风的根源，以及在实践中强制采用单一方法的伦理后果。文中介绍了Parse的人本主义护理理论，将其作为一种秉持“不伤害”责任的科学方法。