Durand Guillaume
J Int Bioethique Ethique Sci. 2019 Jul 2;Vol. 30(2):169-180. doi: 10.3917/jibes.302.0169.
Faced with complex situations, caregivers test one of the oldest philosophical questions: how to prove the freedom of a decision? In the care, it is a question of determining if the patient has understood the situation, evaluated the consequences of his choice and if his decision is taken in the absence of any constraint. In other words, is the patient’s decision an autonomous decision? But what are the tools that make it possible to evaluate this autonomy precisely and objectively? And also, how to promote a greater autonomy?
面对复杂的情况,护理人员会思考一个最古老的哲学问题:如何证明一个决定是自由的?在护理中,问题在于确定患者是否理解了情况、评估了其选择的后果,以及其决定是否是在没有任何约束的情况下做出的。换句话说,患者的决定是自主决定吗?但是,哪些工具能够精确且客观地评估这种自主性呢?还有,如何促进更大程度的自主性呢?