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护理实践中的见证:不仅仅是一种道德义务?

Bearing witness in nursing practice: More than a moral obligation?

作者信息

Djkowich Mikelle, Ceci Christine, Petrovskaya Olga

机构信息

University of Alberta, Edmonton, Alberta, Canada.

出版信息

Nurs Philos. 2019 Jan;20(1):e12232. doi: 10.1111/nup.12232. Epub 2018 Nov 18.

Abstract

In this paper, we explore the concept of bearing witness in nursing practice. We examine the description of bearing witness in the nursing literature, particularly that offered by William Cody who suggests that bearing witness results in the limited moral obligation of "true presence." We then turn to Lorraine Code's work on testimony, drawing parallels between the concepts of testimony and bearing witness. Code suggests that receiving testimony results in a responsibility to respond, and that this is an ethico-political obligation. We discuss these ideas in relation to a Canadian exemplar of witnessing the Truth and Reconciliation Commission of Canada's work to understand and address the historical injustices done to Indigenous peoples in Canada. Here, we focus on the Commission's definition of witnessing and highlight the experience of Shelagh Rogers who served as an honorary witness. As an outcome of our analysis, we suggest that bearing witness in nursing practice is most usefully conceptualized as both a moral and a political obligation. Implications for nursing practice are suggested, including first, the need to critically examine our own understandings of power and privilege in order to authentically bear witness and avoid being complicit in injustice, and second, the concomitant responsibility to take action to challenge injustice once we have borne witness to it.

摘要

在本文中,我们探讨了护理实践中见证的概念。我们审视了护理文献中对见证的描述,尤其是威廉·科迪所提出的观点,他认为见证会产生“真实在场”这一有限的道德义务。接着,我们转向洛林·科德关于证言的著作,找出证言与见证概念之间的相似之处。科德认为,接受证言会带来回应的责任,且这是一种伦理政治义务。我们结合加拿大真相与和解委员会工作的一个加拿大范例来讨论这些观点,该委员会旨在理解并解决加拿大历史上对原住民所犯下的不公正行为。在此,我们聚焦于该委员会对见证的定义,并突出担任荣誉见证人的希拉·罗杰斯的经历。作为我们分析的结果,我们认为护理实践中的见证最有益的概念化方式是将其视为一种道德义务和政治义务。文中还提出了对护理实践的启示,首先,需要批判性地审视我们自身对权力和特权的理解,以便真正地见证并避免成为不公正行为的同谋;其次,一旦我们见证了不公正行为,随之而来的责任是采取行动挑战不公正。

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