Ford Natalie J, Fraser Kimberly D, Marck Patricia B
RN, BScN, Graduate Student, University of Alberta, Edmonton, AB.
RN, PhD, Assistant Professor, Faculty of Nursing, University of Alberta, Edmonton, AB.
Nurs Leadersh (Tor Ont). 2010 Sep;23(3):46-55. doi: 10.12927/cjnl.2010.21941.
In this paper we argue that nurse leaders need to work actively to create morally supportive environments for nurses in Canada that provide adequate room to exercise conscientious objection. Morally supportive environments engender a safe atmosphere to engage in open dialogue and action regarding conflict of conscience. The CNA's 2008 Code of Ethics for Registered Nurses has recognized the importance of conscientious objection in nursing and has created key guidelines for the registered nurse to follow when a conflict in conscience is being considered or declared. Nurse leaders need to further develop the understanding of conflicts of conscience through education, well-written guidelines for conscientious objection in workplaces and engagement in research to uncover underlying barriers to the enactment of conscientious objections. With advancements in technology, changing healthcare policies and increasing scope of practice, both reflection and dialogue on conscientious objection are critical for the continuing moral development of nurses in Canada.
在本文中，我们认为护士领导者需要积极努力，为加拿大的护士营造道德支持性环境，提供足够空间以行使良心拒服权。道德支持性环境营造出一种安全的氛围，以便就良心冲突进行公开对话和采取行动。加拿大护士协会2008年的《注册护士道德守则》已经认识到良心拒服权在护理工作中的重要性，并为注册护士在考虑或声明良心冲突时制定了关键指导方针。护士领导者需要通过教育、编写完善的工作场所良心拒服权指导方针以及参与研究以揭示良心拒服权实施的潜在障碍，进一步加深对良心冲突的理解。随着技术进步、医疗政策变化以及执业范围扩大，对良心拒服权的反思和对话对于加拿大护士持续的道德发展至关重要。
