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基因检测、不孕症以及平衡母婴需求的伦理考量。

Ethical considerations for genetic testing, infertility, and balancing maternal-fetal needs.

作者信息

Callister Lynn Clark

机构信息

Lynn Clark Callister is a Professor Emerita at Brigham Young University College of Nursing. She can be reached via e-mail at

出版信息

MCN Am J Matern Child Nurs. 2011 May-Jun;36(3):162-8; quiz 169-70. doi: 10.1097/NMC.0b013e3182102221.

Abstract

Among the ethical issues confronting maternal-child nurses are questions surrounding genetic testing, contraception and sterilization, infertility/assisted reproductive technology, and equality in balancing maternal-fetal needs. This article explores these issues, reviews the literature currently available, and discusses nursing clinical implications for each as well as representative case studies. The types of support needed by childbearing families who are facing ethical issues requires emotional and physical support, informational support, and advocacy support. The role of the nurse in educating women about the ethical implications of their choices cannot be overestimated. When women have been educated about the implications of their decisions and are therefore empowered to make informed decisions about their lives and their pregnancies, clinical nurses who practice ethically respect those decisions and support the women in their choices.

摘要

母婴护理人员面临的伦理问题包括围绕基因检测、避孕与绝育、不孕不育/辅助生殖技术以及平衡母婴需求方面的平等问题。本文探讨了这些问题,回顾了现有的文献,并讨论了每个问题的护理临床意义以及代表性案例研究。面临伦理问题的生育家庭所需的支持类型包括情感和身体支持、信息支持以及维权支持。护士在向女性宣传其选择所涉及的伦理问题方面所起的作用再怎么强调也不为过。当女性了解了其决定的影响并因此有能力对自己的生活和怀孕做出明智的决定时,秉持伦理操守执业的临床护士会尊重这些决定并支持女性的选择。

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