Nortvedt P
Vard Nord Utveckl Forsk. 1993 Spring;13(1):18-24. doi: 10.1177/010740839301300105.
The main intention of this article is to illuminate the normative foundation of caring in nursing. I will focus on the debate between an ethics of care and an ethics of universal principles which has evolved both in nursing ethics and moral philosophy during the last decade. In spite of what a number of people have claimed, I shall argue that a care-based ethics is compatible with judgment based on universal, impartial principles. However, an ethics of care articulates other important aspects of morality and moral behavior than the justificational ones that are central to prevailing impartialist ethics. The paper explains why and how moral perception, sensitivity and emotional capacities are important for a modern professional nursing ethics. It focuses on capacities and preconditions for principle-based reflection and action by arguing that moral perception and certain emotional qualities are prerequisites for moral judgment and action. Achieving perceptual awareness and emotional sensitivity in understanding the situation and its particulars are genuine moral tasks in nursing. These qualities are essential in discovering the morally salient features of the situation. This perspective on an ethics of care also recognizes an important place to central positions in traditional nursing ethics, where developing personal qualities and altruistic capabilities have always been a fundamental normative claim.
本文的主要目的是阐明护理关怀的规范基础。我将聚焦于关怀伦理与普遍原则伦理之间的辩论,这场辩论在过去十年里在护理伦理和道德哲学领域都有所发展。尽管许多人有不同主张,但我将论证基于关怀的伦理与基于普遍、公正原则的判断是相容的。然而,关怀伦理所阐明的道德和道德行为的其他重要方面,与当前占主导地位的公正主义伦理所关注的正当性方面不同。本文解释了为何以及道德感知、敏感性和情感能力对现代专业护理伦理至关重要。它通过论证道德感知和某些情感特质是道德判断和行动的先决条件,聚焦于基于原则的反思和行动的能力及前提条件。在护理中,在理解情境及其细节时实现感知意识和情感敏感性是真正的道德任务。这些特质对于发现情境中道德上显著的特征至关重要。这种对关怀伦理的观点也认可了传统护理伦理核心立场的重要地位,在传统护理伦理中,培养个人品质和利他能力一直是一项基本的规范要求。