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概念化护理实践中的道德韧性。

Conceptualising moral resilience for nursing practice.

机构信息

Department of Business Economics, Health and Social Care, University of Applied Sciences of Southern Switzerland, Manno, Switzerland.

Faculty of Health, Social Care and Education, Kingston University & St. George's University of London, Kingston Upon Thames, UK.

出版信息

Nurs Inq. 2019 Jul;26(3):e12291. doi: 10.1111/nin.12291. Epub 2019 Feb 28.

DOI:10.1111/nin.12291
PMID:30817074
Abstract

The term 'moral resilience' has been gaining momentum in the nursing ethics literature. This may be due to it representing a potential response to moral problems such as moral distress. Moral resilience has been conceptualised as a factor that inhibits immoral actions, as a favourable outcome and as an ability to bounce back after a morally distressing situation. In this article, the philosophical analysis of moral resilience is developed by challenging these conceptualisations and highlighting the risks of such limiting perspectives. It is argued that moral resilience is best understood as a virtue with two associated vices, faintheartedness and rigidity. The intellectual virtue of practical wisdom is required to express resilience as a virtue. This understanding leads to recommendations for professional education, for practice and for further research.

摘要

“道德韧性”一词在护理伦理学文献中越来越受到关注。这可能是因为它代表了对道德困境等道德问题的潜在反应。道德韧性被概念化为一种抑制不道德行为的因素,是一种有利的结果,也是在经历道德困境后恢复的能力。在本文中,通过挑战这些概念化并强调这种限制观点的风险,对道德韧性的哲学分析进行了发展。有人认为,道德韧性最好被理解为一种具有两种相关恶习的美德,即怯懦和僵化。实践智慧的理智美德需要将韧性表达为一种美德。这种理解导致了对专业教育、实践和进一步研究的建议。

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