Centre for the Study of Professions, Oslo University College, PO Box 4, St Olavs Plass, N-0130 Oslo, Norway.
Nurs Ethics. 2011 Mar;18(2):209-16. doi: 10.1177/0969733010389257.
This article addresses some ambiguities and normative problems with the concept of mature care in professional relationships and in health care priorities. Mature care has recently been introduced in the literature on care ethics as an alternative to prevailing altruistic conceptions of care. The essence of mature care is an emphasis on reciprocity, where the mature agent has the ability to balance the concerns of self with those of others and act from a principle of not causing harm. Our basic claim is that the prevailing concept of mature care does not capture the real nature of professional relationships and role obligations in health care. As the focus of attention in professional care is and must be the patient's particular medical and care needs, such care must principally be altruistic. Furthermore, we argue that mature care cannot adequately address moral conflict in health care without accepting some more principle-based approaches and a richer notion of partiality.
本文探讨了专业关系和医疗保健优先级中成熟护理概念的一些模糊性和规范性问题。成熟护理最近在护理伦理文献中被引入，作为对流行的利他主义护理观念的替代。成熟护理的本质是强调互惠，成熟的代理人有能力平衡自我关注和他人关注，并遵循不造成伤害的原则行事。我们的基本主张是，流行的成熟护理概念并没有捕捉到医疗保健中专业关系和角色义务的真实性质。由于专业护理的关注焦点必须是患者的特殊医疗和护理需求，因此这种护理必须主要是利他主义的。此外，我们认为，如果不接受一些更基于原则的方法和更丰富的偏袒观念，成熟护理就无法充分解决医疗保健中的道德冲突。
