Department of Professional Health Studies, Faculty of Health and Social Care, University of Hull, Hull, UK.
Nurs Ethics. 2010 Sep;17(5):636-45. doi: 10.1177/0969733010373434.
Using an interpretative research approach to ethical and legal literature, it is argued that nursing in the battlefield is distinctly different to civilian nursing, even in an emergency, and that the environment is so different that a duty of care owed by military nurses to wounded soldiers should not apply. Such distinct differences in wartime can override normal peacetime professional ethics to the extent that the duty of care owed by military nurses to their patients on the battlefield should not exist. It is also argued that as military nurses have legal and professional obligations to care for wounded soldiers on the battlefield, this obligation conflicts with following military orders, causing a dual loyalty conflict. This is because soldiers are part of the 'fighting force' and must be fit to fight and win the battle. This makes them more of a commodity rather than individual persons with distinct health care needs.
采用解释性研究方法对伦理和法律文献进行研究后认为，战地护理与民用护理明显不同，即使在紧急情况下也是如此，而且环境差异如此之大，以至于军事护士对受伤士兵的护理责任不应适用。战时的这种明显差异可以压倒正常的和平时期职业道德，以至于军事护士在战场上对患者的护理责任不应存在。还认为，由于军事护士有法律和专业义务在战场上照顾受伤士兵，这种义务与服从军事命令相冲突，从而导致双重忠诚冲突。这是因为士兵是“战斗力”的一部分，必须具备战斗和赢得战斗的能力。这使他们更像是一种商品，而不是具有独特医疗需求的个体。
