Oddi L F, Cassidy V R, Fisher C
Nurs Ethics. 1995 Sep;2(3):197-209. doi: 10.1177/096973309500200303.
The purpose of this study was to describe the extent to which nurses perceive the ethical dimensions of clinical practice situations involving patients, families and health care professionals. Using the composite theory of basic moral principles and the professional standard of care established by legal custom as a framework, situations involving ethical dilemmas were gleaned from the nursing literature. They were reviewed for content validity, clarity and representativeness in a two-stage process by expert panels. The situations were presented in a written format to a convenience sample of nurses (n = 125), who were primarily staff nurses (65.6%). Respondents' judgements about whether the main issue of each situation concerned ethics ranged from a low of 0.8% to a high of 40%. From analyses of the categories into which the majority of subjects placed each situation, it was concluded that these nurses generally perceived ethics as the main issue in situations that directly involve patients' autonomy. Analysis yielded unanticipated findings about the themes in ethical situations to which nurses in practice may respond.
本研究的目的是描述护士在多大程度上认识到涉及患者、家庭和医护人员的临床实践情境中的伦理维度。以基本道德原则的综合理论和法律习俗确立的专业护理标准为框架，从护理文献中收集涉及伦理困境的情境。专家小组分两个阶段对这些情境进行内容效度、清晰度和代表性审查。这些情境以书面形式呈现给一个方便样本的护士（n = 125），他们主要是病房护士（65.6%）。受访者对每个情境的主要问题是否涉及伦理的判断从低至0.8%到高至40%不等。通过对大多数受试者将每个情境归入的类别进行分析，得出的结论是，这些护士通常将伦理视为直接涉及患者自主权的情境中的主要问题。分析得出了关于实际工作中的护士可能做出反应的伦理情境主题的意外发现。
