Baggs J G
Strong Memorial Hospital, University of Rochester, NY.
Nurs Outlook. 1993 May-Jun;41(3):108-12.
There is strong support in the literature for involvement of nurses with patients and physicians in bioethical decision making about patient care. There are indications that nurses and physicians have different beliefs about decisions made and about the decision-making processes, such as who should be involved and what factors should influence such decisions. The literature also demonstrates that nurses often disagree with physicians or are not involved in ethical decision making or both. Interdisciplinary collaboration has been proposed to improve decision making and recommended for health care giving generally. There is research support for the benefit of collaboration in care giving. Ethical principles also support collaborative decision making, involving nurses, as well as physicians, patients, and family. With collaboration there is sharing of information and perspectives, respect for patient and family autonomy, and disclosure. More studies of interdisciplinary bioethical decision making are needed, measuring both professions' perceptions of their roles in ethical decision making, as well as examining the effects of collaboration on care outcomes.
文献中有充分的证据支持护士与患者及医生共同参与有关患者护理的生物伦理决策。有迹象表明，护士和医生对所做决策以及决策过程（比如谁应参与其中以及哪些因素应影响此类决策）持有不同的看法。文献还表明，护士常常不同意医生的意见，或者未参与伦理决策，或者两者皆有。有人提议开展跨学科协作以改善决策，并总体上推荐将其用于医疗保健服务。有研究支持协作在护理服务中的益处。伦理原则也支持包括护士、医生、患者及家属在内的协作决策。通过协作，可以共享信息和观点，尊重患者及家属的自主权，并进行信息披露。需要开展更多关于跨学科生物伦理决策的研究，既要衡量两个专业对其在伦理决策中角色的认知，也要考察协作对护理结果的影响。
