Jones Jennifer, Mitchell Marion, Milligan Eleanor
Metro South Health, Brisbane, Australia.
Griffith University and Princess Alexandra Hospital, Intensive Care Unit, Australia.
Aust Crit Care. 2016 Aug;29(3):129-31. doi: 10.1016/j.aucc.2015.12.039. Epub 2016 Feb 10.
This discussion paper explores some of the complex ethical and moral issues confronting contemporary critical care nurses. In contemporary healthcare discussions, there is an increased appreciation of the complexity of ethical challenges, the multiplicity of stakeholders and that a broad range of possible and practical outcomes exist. Furthermore, many scholars also acknowledge the limitations of principle based ethical frameworks. In seeking to build critical care nurses' capacity to negotiate the complex - and often conflicting - ethical challenges, the authors have adopted a person-centred, values-based approach in this case study. Furthermore, by exploring these complex issues, this paper supports and builds upon critical care nurses' decision making capacities in the clinical area. This case study has been purposefully left open-ended with the aim of inviting the reader to consider the questions posed in a collegial, collaborative manner within the particular context in which she/he is embedded.
本讨论文件探讨了当代重症监护护士面临的一些复杂的伦理和道德问题。在当代医疗保健讨论中，人们越来越认识到伦理挑战的复杂性、利益相关者的多样性以及存在广泛的可能和实际结果。此外，许多学者也承认基于原则的伦理框架的局限性。为了培养重症监护护士应对复杂且往往相互冲突的伦理挑战的能力，作者在本案例研究中采用了以人为本、基于价值观的方法。此外，通过探讨这些复杂问题，本文支持并增强了重症监护护士在临床领域的决策能力。本案例研究特意保持开放式结尾，目的是邀请读者在其所处的特定背景下，以合作的方式共同思考所提出的问题。
