McHaffie H E
Nurs Ethics. 1994 Dec;1(4):224-32. doi: 10.1177/096973309400100406.
AIDS has challenged many concepts and practices within nursing. Because of the serious implications attending a positive diagnosis, and because patients with AIDS have become articulate and well informed, familiar principles have been exposed to renewed scrutiny. Anomalies and dilemmas have been revealed. Results from a recent Institute of Medical Ethics survey carried out by the author have illustrated some of the theoretical concepts. Confidentiality has assumed new dimensions. Partnership and mutual empowerment are seen as keys to sound practice involving the patient in decision-making. A vital ingredient relates to the preparation of professionals; they need to be aware of those attitudes and prejudices within themselves which potentially stand in the way of caring well.
艾滋病对护理领域的许多观念和实践提出了挑战。由于阳性诊断会带来严重影响,也因为艾滋病患者变得善于表达且信息灵通,一些常见原则受到了重新审视。异常情况和困境也随之显现。作者最近进行的一项医学伦理学会调查结果阐明了一些理论概念。保密工作呈现出了新的层面。伙伴关系和相互赋权被视为让患者参与决策的良好实践的关键。一个至关重要的因素涉及专业人员的准备工作;他们需要意识到自身那些可能妨碍优质护理的态度和偏见。