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好的、坏的和“不那么坏的”:反思实践中的道德评价。

The good, the bad and the 'not so bad': reflecting on moral appraisal in practice.

机构信息

School of Nursing and Midwifery, The Queen's University of Belfast, Belfast, UK.

出版信息

Nurs Inq. 2011 Mar;18(1):21-8. doi: 10.1111/j.1440-1800.2011.00531.x.

Abstract

The aim of this study is to facilitate reflection on the moral merit of practitioners in various contexts. Insight is gained from Aristotelian and Kantian accounts of moral character and an original framework for reflection is presented as an adjunct to ethical theory and principles considered when appraising others. In relation to states of character, there is an irreconcilable difference between Kantian (deontic) and Aristotelian (aretaic) conceptions of the nature of full virtue (excellence of character), but at the same time it can be argued that in relation to practice their approaches complement each other. It is also argued that in relation to caring for the vulnerable, Aristotle's conception of full virtue is more compelling than Kant's. On the other hand, Kant's notion of self-serving action is important in nursing and it therefore needs to be considered when reflecting on professional conduct. The conclusion reached is that Aristotelian and Kantian accounts of character appraisal should be used in a combined approach to moral appraisal. This approach draws on the accounts of both philosophers and offers valuable insight into moral character, professional conduct and, in a more formal setting, fitness to practise.

摘要

本研究旨在促进对不同情境下从业者道德品质的反思。从亚里士多德和康德的道德品格理论中获得了一些见解,并提出了一个原始的反思框架,作为评估他人时所考虑的伦理理论和原则的补充。就品格状态而言,康德(道义论)和亚里士多德(德性论)对完全美德(品格卓越)本质的观念存在不可调和的差异,但同时也可以说,在实践方面,它们的方法是相辅相成的。还有人认为,在照顾弱势群体方面,亚里士多德的完全美德观念比康德的更有说服力。另一方面,康德的自利行为概念在护理中很重要,因此在反思职业行为时需要加以考虑。得出的结论是,应该将亚里士多德和康德的品格评价理论结合起来用于道德评价。这种方法借鉴了这两位哲学家的观点,为道德品格、职业行为以及在更正式的环境中,即行医能力提供了有价值的见解。

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