University of Alberta, Canada.
Nurs Ethics. 2012 May;19(3):380-9. doi: 10.1177/0969733011406767. Epub 2011 Jun 6.
When nurses have active and untreated addictions, patient safety may be compromised and nurse-health endangered. Genuine responses are required to fulfil nurses' moral obligations to their patients as well as to their nurse-colleagues. Guided by core elements of relational ethics, the influences of nursing organizational responses along with the practice environment in shaping the situation are contemplated. This approach identifies the importance of consistency with nursing values, acknowledges nurses interdependence, and addresses the role of nursing organization as moral agent. By examining the relational space, the tension between what appears to be opposing moral responsibilities may be healed. Ongoing discourse to identify authentic actions for the professional practice issue of nursing under the influence is called upon.
当护士有积极而未经治疗的成瘾问题时，患者安全可能会受到损害，护士的健康也会受到威胁。为了履行护士对患者和护士同事的道德义务，需要做出真诚的回应。本研究以关系伦理的核心要素为指导，思考了护理组织应对措施以及实践环境对情况的影响。这种方法确定了与护理价值观保持一致的重要性，承认护士的相互依存性，并探讨了护理组织作为道德代理人的角色。通过检查关系空间，可以缓解似乎相互矛盾的道德责任之间的紧张关系。呼吁进行持续的讨论，以确定在有影响的情况下护理专业实践问题的真实行动。
