Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Nurs Ethics. 2010 Sep;17(5):655-65. doi: 10.1177/0969733010373425.
Understanding how a nurse acts in a particular situation reveals how nurses enact their ethics in day-to-day nursing. Our ethical frameworks assist us when we experience serious ethical dilemmas. Yet how a nurse responds in situations of daily practice is contingent upon all the presenting cues that build the current moment. In this article, we look at how a home care nurse responds to the ethical opening that arises when the nurse enters a person's home. We discuss how the home presents the nurse with knowledge that informs the provision of ethical nursing care. The analysis is based on findings from an interpretive research study in palliative home care in Canada. Through interpretive analysis of a nursing situation we delineate how the nurse engages with the whole and acts inside the moment. The analysis shows how home care nurses are ethically determined to engage with whatever is going on in a patient's home.
了解护士在特定情况下的行为方式揭示了护士如何在日常护理中践行伦理。当我们遇到严重的伦理困境时，我们的伦理框架会为我们提供帮助。然而，护士在日常实践中做出的反应取决于当前时刻出现的所有提示线索。在本文中，我们探讨了家庭护理护士如何应对护士进入患者家中时出现的伦理问题。我们讨论了家庭为护士提供信息，从而为提供伦理护理提供依据。该分析基于加拿大姑息治疗家庭护理的解释性研究结果。通过对护理情境的解释性分析，我们描述了护士如何与整体互动并在当下行动。分析表明，家庭护理护士在伦理上决心参与患者家中发生的任何事情。
