Centre for Medical Ethics, University of Oslo, PO Box 1130, Blindern, NO-0318 Oslo, Norway.
Nurs Ethics. 2011 Mar;18(2):201-8. doi: 10.1177/0969733010392302.
Normative discussions about modern health care often revolve around principles stating what must not be done or how to ration scarce resources in the name of justice. These are important discussions. However, in order to have an impact on clinical roles, ethical reflection must be able to describe and address the complexities and challenges of modern nursing and doctoring, and maybe even the patient role. A multi-principled approach, such as the one suggested by Beauchamp and Childress, can obviously address almost any such issue, but a great deal of translation is often required in order to address role-related issues. I shall here argue that an ethics of caring is better suited to grasping the big picture when the question is how to create value-informed clinical roles in an era of rapid development.
规范性讨论现代医疗保健往往围绕着原则展开，这些原则规定了什么是不能做的，或者如何以正义的名义分配稀缺资源。这些讨论很重要。然而，为了对临床角色产生影响，伦理反思必须能够描述和解决现代护理和医疗的复杂性和挑战，甚至可能是患者角色。一种多原则方法，如 Beauchamp 和 Childress 所建议的那样，显然可以解决几乎任何此类问题，但为了解决与角色相关的问题，通常需要大量的翻译。我在这里主张，当问题是如何在快速发展的时代创建有价值意识的临床角色时，关怀伦理更适合把握大局。
