Steck Mary Beth
Clemson University.
Clin J Oncol Nurs. 2018 Aug 1;22(4):386-389. doi: 10.1188/18.CJON.386-389.
Competent genetic and genomic nursing practice requires the incorporation of various ethical approaches, or tools, into patient decision making. Using different decision-making approaches, which converge to answer an ethical issue, nurses can be confident that their judgment is justified. A lack of convergence can signal a need to reexamine the nurse's ethical decision-making skills. This article describes four approaches that nurses can use to facilitate ethical decision making, which is a skill that must be learned and practiced; these will then be applied to a genomic case study.
胜任的基因和基因组护理实践要求将各种伦理方法或工具纳入患者的决策过程。通过使用不同的决策方法（这些方法汇聚起来以回答一个伦理问题），护士可以确信自己的判断是合理的。缺乏一致性可能表明需要重新审视护士的伦理决策技能。本文介绍了护士可用于促进伦理决策的四种方法，伦理决策是一项必须学习和实践的技能；然后将这些方法应用于一个基因组案例研究。
