修正自主性——一个基于护士在精神科实践中道德决策经验的概念。
Modifying autonomy--a concept grounded in nurses' experiences of moral decision-making in psychiatric practice.
作者信息
Lützén K, Nordin C
机构信息
Huddinge University Hospital, Sweden.
出版信息
J Med Ethics. 1994 Jun;20(2):101-7. doi: 10.1136/jme.20.2.101.
Fourteen experienced psychiatric nurses participated in a pilot study aimed at describing the experiential aspect of making decisions for the patient. In-depth interviews focused on conflicts, were transcribed, coded, and categorized according to the Grounded Theory method. The theoretical construct, 'modifying autonomy' and its dimensions, such as being aware of the patient's vulnerability, caring for and caring about the patient, were identified. The findings in this study make clear the need for further research into the experiential aspect of ethical decision-making in psychiatric practice.
14名经验丰富的精神科护士参与了一项试点研究，旨在描述为患者做决策的体验方面。聚焦冲突的深度访谈进行了转录、编码，并根据扎根理论方法进行了分类。识别出了“调整自主性”这一理论结构及其维度，如意识到患者的脆弱性、关心和在乎患者。本研究的结果明确了在精神科实践中对伦理决策体验方面进行进一步研究的必要性。
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