Learning from mistakes. Moral aspects in nursing Medication errors are experiences which may serve to demonstrate variables of moral action in nursing. Qualitative research in nursing is asking philosophical questions by exploring the meaning of experiences. Still, philosophical answers cannot be expected from the use of research tools that have been developed by the social sciences. The usefulness of such research is found foremost in the thorough understanding of the problems relating to a certain topic and in making complex realities more transparent by analysing concrete data. Recent feminist philosophy emphasises thinking in the context of empathy and concrete relationships. Ethics, taking recourse to these basic elements will be contextual. In this paper I offer some results of discourse analysis as a qualitative research approach to the understanding of the experiences of nurses who have been involved with medication errors. The interpretation of narrative texts allows a close look at everyday nursing experiences. Herewith, a contribution is made to a contextual ethics that is of value to nursing. I show how different modalities of identification are likewise compatible with a teleological and a deontological approach to ethics. Even though an ethic of care may well dominate human relationships, such an ethic does not have to dispense with rules and policies.
从错误中学习。护理中的道德层面 用药错误是一些能用来展现护理中道德行为变量的经历。护理领域的定性研究通过探究经历的意义来提出哲学问题。然而，不能期望从使用社会科学所开发的研究工具中得到哲学答案。此类研究的效用首先在于对与某一特定主题相关问题的透彻理解，以及通过分析具体数据使复杂的现实更清晰明了。近期的女性主义哲学强调在同理心和具体关系的背景下进行思考。诉诸这些基本要素的伦理学将是情境性的。在本文中，我给出了一些话语分析的结果，这是一种定性研究方法，用于理解曾涉及用药错误的护士的经历。对叙述性文本的解读能让人仔细审视日常护理经历。据此，对一种对护理有价值的情境伦理学做出了贡献。我展示了不同的认同模式如何同样与目的论和道义论的伦理方法相契合。尽管关怀伦理很可能主导人际关系，但这样一种伦理并不一定非要摒弃规则和政策。
