Nash P
Mid and West Wales College of Nursing and Midwifery, Trinity College, Carmarthen, Dyfed.
J Med Ethics. 1995 Apr;21(2):82-3. doi: 10.1136/jme.21.2.82.
It is argued that promissory obligation arising from the contract of employment offers a simpler and less contentious explanation and justification of the doctor-nurse relationship at work, than does May's proposal of second-order reasons. The second-order reason position is rejected as the norm for that relationship, and in the exceptional case, where it is admitted, shared employee status is identified as primary validator of a doctor as locus of rational authority. Finally, a brief case is made for a more precise vocabulary to describe the doctor-nurse relationship, as a contribution to more collegial relations.
有人认为，与梅提出的二阶理由相比，雇佣合同产生的允诺性义务为工作中医生与护士的关系提供了一个更简单且争议较小的解释和正当理由。二阶理由立场被拒斥为这种关系的规范，而在被认可的例外情况下，共同雇员身份被视为医生作为合理权威所在地的主要验证因素。最后，有人简要提出应使用更精确的词汇来描述医生与护士的关系，以此促进更具合作性的关系。
