Bertolini C L
Intensive Crit Care Nurs. 1994 Mar;10(1):58-63. doi: 10.1016/0964-3397(94)90080-9.
Technology has increased our ability to sustain life, but to what end? Ethical dilemmas abound in intensive care units (ICUs), but in the author's experience nurses are rarely formally involved in ethical decision-making. Should nurses be involved? This article is an attempt to answer this question by considering the unique position of an intensive care nurse, the stress caused by ethical dilemmas, the ethical and legal responsibilities of the nurse and the educational and psychological factors influencing the decision-making process. The current involvement of nurses in ethical decision-making is reviewed and a framework for ethical decision-making is suggested. Implications for education and practice are drawn from the discussion.
科技提高了我们维持生命的能力，但目的是什么呢？重症监护病房（ICU）中存在诸多伦理困境，但根据作者的经验，护士很少正式参与伦理决策。护士应该参与其中吗？本文试图通过考虑重症监护护士的独特地位、伦理困境所带来的压力、护士的伦理和法律责任以及影响决策过程的教育和心理因素来回答这个问题。文中回顾了护士目前在伦理决策中的参与情况，并提出了一个伦理决策框架。讨论得出了对教育和实践的启示。
