Morgan D
Nurs Ethics. 1996 Jun;3(2):118-25. doi: 10.1177/096973309600300204.
Following the argument proposed by Tschudin in 1986 that many nurses do not have the skills for ethical decision-making, this article identifies and discusses one ethical problem from practice. The problem concerns an extremely obese patient who refuses to be moved by a hoist. The nurse acquiesce to the patient's wishes and she is moved manually by four members of staff. The issues identified for discussion are: the paramountcy of the principle of respect for the patient's autonomy; the rights and obligations of the nurses; and the justification for influencing patient choice. The approach used by the ward nurses is analysed and the value of using an ethical decision-making model is considered.
遵循1986年茨楚丁提出的观点，即许多护士不具备道德决策技能，本文从实践中识别并讨论了一个道德问题。该问题涉及一名极度肥胖的患者，他拒绝使用升降机移动。护士默许了患者的意愿，由四名工作人员手动将其移动。确定讨论的问题包括：尊重患者自主权原则的首要地位；护士的权利和义务；以及影响患者选择的正当理由。分析了病房护士采用的方法，并考虑了使用道德决策模型的价值。
