Faculty of Health and Social Care, Anglia Ruskin University, Capital Park, Fulbourn, Cambridge CB21 5XA, UK.
J Med Ethics. 2010 Dec;36(12):746-9. doi: 10.1136/jme.2010.036079. Epub 2010 Sep 3.
In this paper it is argued that moral distress is an emotional response to an ethical dilemma, and that to date, the literature has largely failed to address the fundamental questions that need to be answered in response to this emotional response. Firstly, does moral distress accurately identify a wrong being done to patients? Secondly, if it does, can nurses carry out this 'wrong doing', but not be responsible for the consequences of their actions? A narrative that reflects the emotional nature of moral distress is presented, with the aim of providing some answers to these questions.
本文认为，道德困境是对伦理困境的一种情绪反应，但迄今为止，文献在很大程度上未能解决需要针对这种情绪反应回答的基本问题。首先，道德困境是否准确地确定了对患者的不当行为？其次，如果是这样，护士是否可以实施这种“不当行为”，而不对其行为的后果负责？本文呈现了一个反映道德困境情绪本质的叙述，旨在为这些问题提供一些答案。
