Cassells J M, Redman B K
Baccalaureate Nursing Data Project, American Association of Colleges of Nursing, Washington, DC.
Nurs Clin North Am. 1989 Jun;24(2):463-73.
Various types of teaching and learning strategies can be effectively employed to assist students' professional development in ethical decision-making skills. To be prepared to act as a moral agent in clinical practice, a terminal goal upon completion of the baccalaureate program is the student's ability to develop and consistently use a systematic approach/framework when confronted by an ethical dilemma. Eleven skill steps not necessarily exclusive or in sequence were outlined as selected activities that can be considered for the ethical decision process. Specific ethical issues that are germane and applicable to many patient care situations were investigated and identified as frequently occurring in clinical practice. Course work about these issues prior to completion of their nursing programs may be beneficial in preparing students with basic knowledge and skill about them as they enter or return to clinical practice.
可以有效地采用各种教学策略来帮助学生提升道德决策技能方面的专业发展。为了在临床实践中做好充当道德主体的准备，本科课程结束时的一个终极目标是学生在面对道德困境时能够制定并始终如一地运用系统的方法/框架。列出了十一个技能步骤，这些步骤不一定相互排斥或按顺序排列，作为道德决策过程中可以考虑的选定活动。研究并确定了与许多患者护理情况相关且适用的特定道德问题，这些问题在临床实践中经常出现。在完成护理课程之前开展有关这些问题的课程作业，可能有助于学生在进入或重返临床实践时具备关于这些问题的基本知识和技能。
