Gaul A L
Crit Care Nurse. 1995 Jun;15(3):131-5.
Critical care nursing by definition focuses on human responses to life-threatening problems. An increasing number of ethical dilemmas confronts the critical care nurse. A traditional principled orientation to ethical reasoning requires detachment that does not acknowledge the special nature of the nurse-patient relationship and, by itself, does not give satisfactory direction in resolving ethical dilemmas. An ethic of care that acknowledges the special relationship and connection of one human being with another may provide the necessary guidance to assist the nurse in resolving these dilemmas. Critical care nursing practice based on an ethic of care acknowledges and legitimizes care for patients as well as oneself.
重症护理从定义上讲关注的是人类对危及生命问题的反应。越来越多的伦理困境摆在重症护理护士面前。传统的基于原则的伦理推理取向要求保持超然，这种超然没有认识到护患关系的特殊性质，而且其本身在解决伦理困境时并不能给出令人满意的指导。一种承认人与人之间特殊关系和联系的关怀伦理，可能会提供必要的指导，以帮助护士解决这些困境。基于关怀伦理的重症护理实践承认并使对患者以及对自身的关怀合法化。
