Smith K V
J Contin Educ Nurs. 1996 Jan-Feb;27(1):42-5. doi: 10.3928/0022-0124-19960101-09.
Staff nurses make ethical decisions daily. It is important that nurses know how to manage those decisions appropriately so that clients' ethical rights are honored without compromising the nurse's own moral conscience. In this phenomenological study, 19 staff nurses described their experiences in making ethical decisions in their practices. The interviews were transcribed and analyzed using Giorgi's phenomenological steps. The description of the nurses' experiences identified two distinct components of the ethical decision-making process: deliberation and integration. The findings suggest that nurses need to: a) recognize the ethical nature of their work, b) discern which ethical decisions are theirs to make, and c) acknowledge their authority to make ethical decisions in their practices. These findings have important implications for the continuing education of nurses regarding ethical decision-making.
注册护士每天都要做出伦理决策。护士懂得如何恰当地处理这些决策非常重要，这样既能尊重患者的伦理权利，又不会违背护士自身的道德良知。在这项现象学研究中，19名注册护士描述了她们在实际工作中做出伦理决策的经历。访谈内容经转录后，采用 Giorgi 的现象学步骤进行分析。对护士经历的描述确定了伦理决策过程的两个不同组成部分：深思熟虑和整合。研究结果表明，护士需要：a) 认识到其工作的伦理性质，b) 辨别哪些伦理决策由她们做出，c) 承认她们在实际工作中做出伦理决策的权力。这些研究结果对护士伦理决策方面的继续教育具有重要意义。
