Karolinska University Hospital Solna, Sweden.
Karolinska Institute, Sweden.
Nurs Ethics. 2019 Mar;26(2):368-377. doi: 10.1177/0969733017709336. Epub 2017 May 29.
: For a long time, altruism was the basis for caring. Today, when society is more individualized, it is of interest to explore the meaning of altruism in nursing.
: In all, 13 nurses from a Swedish acute care setting participated in two focus group interviews performed as Socratic dialogues. Data were analyzed using a phenomenological hermeneutical method.
: Ethical issues were considered throughout the process according to established ethical principles. Informed consent was obtained from all participants, confidentiality regarding the data was guaranteed and quotations anonymized.
: Altruism created a sense of ambivalence and ambiguity, described as a rise of sovereign expressions of life caused by "the other's" need, but also unwillingness to take unconditional responsibility for "the other."
: Society's expectations of altruism and nurses' perception of their work as a salaried job collide in modern healthcare. Nurses are not willing to fully respond to the ethical demand of the patients. In case of a disaster, when nurses personal safety, life and health may be at risk, there might be reasons to question whether the healthcare organization would be able to fulfill its obligations of providing healthcare to an entire population.
长期以来，利他主义一直是关怀的基础。如今，随着社会更加个体化，探索利他主义在护理中的意义变得很有意义。
共有 13 名来自瑞典急性护理环境的护士参加了两次焦点小组访谈，这些访谈采用了苏格拉底对话的形式进行。使用现象学解释学方法对数据进行分析。
整个过程都根据既定的伦理原则考虑了伦理问题。所有参与者都获得了知情同意，保证了数据的保密性，并对引语进行了匿名处理。
利他主义产生了一种矛盾和模糊的感觉，被描述为“他人”的需求所引起的“主权生命表达”的上升，但也不愿意对“他人”承担无条件的责任。
社会对利他主义的期望和护士对自己作为领薪工作的看法在现代医疗保健中发生了冲突。护士不愿意完全回应患者的伦理要求。在发生灾难时，如果护士的个人安全、生命和健康可能受到威胁，那么可能会有人质疑医疗保健组织是否能够履行向整个人口提供医疗保健的义务。
