6029Radboud University Nijmegen, The Netherlands.
6029Radboud University Medical Center, The Netherlands.
Nurs Ethics. 2021 Mar;28(2):179-189. doi: 10.1177/0969733020930407. Epub 2020 Aug 13.
Nurses find themselves in a unique position - between patient and physicians, and in close proximity to the patient. Moral sensitivity can help nurses to cope with the daily turmoil of demands and opinions while delivering care in concordance with the value system of the patient. This article aims to reconsider the concept of moral sensitivity by discussing the function of emotions in morality. We turn to the ideas of historic and contemporary authors on the function of emotions in morality to expand our understanding of moral sensitivity. Ancient philosophers and contemporary psychologists uphold different strategies on the orientation of morality being (a) personal growth or (b) community living, and the primordial function of (c) reason and (d) emotions in the creation of judgements about good and bad. The theoretical discussion on the function of emotions in morality shows that by focusing on reason alone, one leaves out an essential part of morality. The concept of moral sensitivity should (1) include an initial judgment of good and bad based on emotions, (2) hold the ability to reflect on the initial judgement and the associated emotions, (3) include the ability to understand other stakeholders' perspectives based on the ideal-types and (4) include a personal decision on the right course of action.
护士处于一种独特的位置——介于患者和医生之间，并且与患者近距离接触。道德敏感性可以帮助护士在提供符合患者价值观体系的护理的同时，应对日常需求和意见的纷扰。本文旨在通过讨论情感在道德中的作用，重新思考道德敏感性的概念。我们转向历史和当代作者关于情感在道德中的作用的观点，以扩展我们对道德敏感性的理解。古代哲学家和当代心理学家在道德的取向（a）个人成长或（b）社区生活，以及（c）理性和（d）情感在善恶判断中的原始功能上持不同的策略。关于情感在道德中的作用的理论探讨表明，仅仅关注理性，就会遗漏道德的一个重要部分。道德敏感性的概念应该（1）包括基于情感的善恶初步判断，（2）能够反思最初的判断和相关的情感，（3）能够基于理想类型理解其他利益相关者的观点，以及（4）包括对正确行动方针的个人决策。
