Lützen K, Nordin C
Scand J Caring Sci. 1993;7(3):175-80. doi: 10.1111/j.1471-6712.1993.tb00196.x.
Comparatively little is known about the experiential aspect of moral decision making in psychiatric nursing. Earlier research in this area has mainly focused on the cognitive aspects of moral reasoning, using hypothetical cases. The purpose of this study was to examine the experience of moral decision making in psychiatric nursing practice. In-depth interviews with fourteen nurses, purposively selected for their reputed competency and long experience in psychiatric care, were conducted. By using the strategy of 'constant comparative analysis', the grounded theory, 'structuring moral meaning' was derived, which consists of three interrelated processes, perceiving, knowing and judging. This process identifies the nurse's manner of making sense of a perceived moral conflict and justifying 'good' actions within the nurse-patient framework.
关于精神科护理中道德决策的体验方面，人们所知相对较少。该领域早期的研究主要集中在道德推理的认知方面，采用的是假设案例。本研究的目的是考察精神科护理实践中道德决策的体验。对14名护士进行了深入访谈，这些护士是因其在精神科护理方面的卓越能力和长期经验而被有目的地挑选出来的。通过运用“持续比较分析”策略，得出了扎根理论“构建道德意义”，该理论由感知、认知和判断这三个相互关联的过程组成。这个过程确定了护士理解所感知到的道德冲突并在护患框架内为“良好”行为进行辩护的方式。
