Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Nurs Ethics. 2012 Jan;19(1):58-67. doi: 10.1177/0969733011412105. Epub 2011 Dec 2.
Patient's duties are a topical but little researched area in nursing ethics. However, patient's duties are closely connected to nursing practice in terms of autonomy, the best purpose of care and rethinking from the patient's perspective. This article is a metasynthesis (N = 11 original articles) of patient's duties, aimed to create a tentative model. In this article, a tentative model called 'right-based duties of a patient' was constructed. With its aid, a coherent structure of patient's duties within different roles and objects of a patient can be defined. In addition, the ethical basis, prerequisites, outcomes and risks of patient's duties can be named. In conclusion, so-called right-based duties of a patient constitute the basic argument. Patient's duties are not unambiguous for all patients, and the global perspective to duties has been challenged. However, due to both conceptual and practical reasons, rethinking of patient's duties is needed.
患者的义务是护理伦理学中一个热门但研究甚少的领域。然而,就自主性、护理的最佳目的以及从患者角度重新思考而言,患者的义务与护理实践密切相关。本文是对患者义务的元综合分析(N=11 篇原始文章),旨在创建一个初步模型。在本文中,构建了一个名为“基于权利的患者义务”的初步模型。借助该模型,可以定义不同角色和对象的患者的患者义务的连贯结构。此外,可以命名患者义务的伦理基础、前提条件、结果和风险。总之,所谓的基于权利的患者义务构成了基本论点。并非所有患者的义务都是明确的,对义务的全球视角也受到了挑战。然而,由于概念和实际原因,需要重新思考患者的义务。