Craig P A, Tannen M M
Semin Nurse Manag. 1994 Mar;2(1):32-41.
Among all health care professionals, nurses have the closest contact with the harsh realities of acquired immune deficiency syndrome (AIDS) and human immunodeficiency syndrome (HIV)-infected patients. Thus, nurses and nurse managers are on the ethical front line when confronted by the thorny issues of treatment of patients and employment of nurses with AIDS and HIV. This article explores the interrelated topics of nondiscriminatory nursing care of HIV-infected patients, the duty to provide a safe workplace while respecting the right of HIV-infected nurses to practice their profession, the duty to disclose an HIV-positive nurse's seropositivity to patients under the doctrine of informed consent, and HIV testing to alert health care workers of patients' status. The article offers some pragmatic and ethical guidelines for analyzing these controversies.
在所有医疗保健专业人员中，护士与获得性免疫缺陷综合征（艾滋病）和感染人类免疫缺陷病毒（HIV）的患者的严酷现实接触最为密切。因此，当面对治疗艾滋病和HIV感染患者以及雇佣感染艾滋病和HIV的护士这些棘手问题时，护士和护士长处于道德前沿。本文探讨了以下相互关联的主题：对HIV感染患者的非歧视性护理、在尊重感染HIV护士从业权利的同时提供安全工作场所的责任、根据知情同意原则向患者披露HIV阳性护士血清阳性的责任以及通过HIV检测让医护人员知晓患者状况。本文提供了一些实用的道德准则来分析这些争议。
