Åbo Akademi University, Finland; Vaasa Central Hospital, Finland.
Nurs Ethics. 2018 Mar;25(2):264-272. doi: 10.1177/0969733017714303. Epub 2017 Jun 20.
While sustainability is a key concept in many different domains today, it has not yet been sufficiently emphasized in the healthcare sector. Earlier research shows that ethical values and evidence-based care models create sustainability in care practice.
The aim of this study was to gain further understanding of the ethical values central to the realization of sustainability in care and to create an ethical practice model whereby these basic values can be made perceptible and active in care practice.
Part of the ongoing "Ethical Sustainable Caring Cultures" research project, a hermeneutical application research design was employed in this study.
Dialogues were used, where scientific researchers and co-researchers were given the opportunity to reflect on ethical values in relation to sustainability in care.
An ethical practice model with ethos as its core was created from the results of the dialogues. In the model, ethos is encircled by the ethical values central to sustainability: dignity, responsibility, respect, invitation, and vows.
The model can be used as a starting point for ethical conversations that support carers' reflections on the ethical issues seen in day-to-day care work and the work community, allowing ethical values to become visible throughout the entire care culture.
It is intended as a tool whereby carers can more deeply understand an organization's common basic values and what they entail in regard to sustainability in care.
尽管可持续性是当今许多不同领域的关键概念，但它在医疗保健领域尚未得到足够重视。早期的研究表明，伦理价值观和基于证据的护理模式为护理实践的可持续性创造了条件。
本研究旨在进一步了解实现护理可持续性的核心伦理价值观，并创建一种伦理实践模型，使这些基本价值观在护理实践中变得显而易见并发挥作用。
这是正在进行的“伦理可持续护理文化”研究项目的一部分，本研究采用了诠释学应用研究设计。
使用对话的方式，让科学研究人员和共同研究人员有机会反思与护理可持续性相关的伦理价值观。
从对话的结果中创建了一个以精神为核心的伦理实践模型。在该模型中，精神被与可持续性相关的核心伦理价值观所环绕：尊严、责任、尊重、邀请和誓言。
该模型可作为支持护理人员反思日常护理工作和工作社区中伦理问题的起点，使伦理价值观在整个护理文化中变得显而易见。
其目的是作为一种工具，使护理人员能够更深入地理解组织的共同基本价值观及其在护理可持续性方面的含义。
