Fry S T
School of Nursing, University of Maryland, Baltimore.
ANS Adv Nurs Sci. 1989 Jul;11(4):9-22. doi: 10.1097/00012272-198907000-00005.
The development of nursing ethics as a field of inquiry has largely paralleled developments within the field of biomedical ethics. However, there is growing evidence that the development of a theory of nursing ethics might not necessarily follow a similar pattern. The value foundations of nursing ethics are derived from the nature of the nurse-patient relationship instead of from models of patient good, rights-based notions of autonomy, or the social contract of professional practice as articulated in prominent theories of medical ethics. The value foundations of nursing are analyzed, and a moral-point-of-view theory with caring as a fundamental value is proposed for the development of a theory of nursing ethics.
护理伦理学作为一个研究领域的发展,在很大程度上与生物医学伦理学领域的发展并行。然而,越来越多的证据表明,护理伦理学理论的发展未必遵循类似的模式。护理伦理学的价值基础源自护患关系的本质,而非源自患者利益模式、基于权利的自主观念,或著名医学伦理学理论中所阐述的专业实践社会契约。本文分析了护理的价值基础,并提出一种以关怀为基本价值的道德视角理论,用于发展护理伦理学理论。