Muyskens J L
J Med Philos. 1982 Feb;7(1):101-12. doi: 10.1093/jmp/7.1.101.
Among the collective as well as individual responsibilities of nurses as professionals is that of maintaining and improving the quality of nursing care. In exchange for monopoly status and professional authority to control nursing practice, the profession is charged with the responsibility of meeting the nursing care needs of the community. If one claims, as I do, that one of the collective responsibilities of nurses is maintenance of high nursing standards, we must examine what action is required of nurses who find themselves in work contexts in which standards and practice are deficient. Specifically, is the strike weapon one that may or even ought to be used? In this essay, answers to the following two questions are advanced: (a) What conditions must obtain for it to be (morally) right for nurses in a particular health care facility to strike? (b) Does their collective responsibility with regard to nursing standards and practice ever entail that a group of nurses has a (moral) duty to strike? The essay concludes with a consideration of how one balances the collective responsibility to maintain and improve the quality of nursing care with an individual nurse's responsibility to her/his own patients.
作为专业人士，护士的集体责任以及个人责任包括维持和提高护理质量。作为获得垄断地位和控制护理实践的专业权威的交换条件，该职业肩负着满足社区护理需求的责任。如果有人像我一样认为，护士的集体责任之一是维持高护理标准，那么我们必须审视那些发现自己身处护理标准和实践存在缺陷的工作环境中的护士需要采取什么行动。具体而言，罢工这一手段是可以使用甚至应该使用的吗？在本文中，将对以下两个问题给出答案：(a) 在特定医疗保健机构中，护士罢工（在道德上）正确必须具备哪些条件？(b) 她们在护理标准和实践方面的集体责任是否意味着一群护士有（道德）义务罢工？本文最后会思考如何在维持和提高护理质量的集体责任与护士对自己患者的个人责任之间取得平衡。
