Redman B K, Fry S T
University of Connecticut School of Nursing, Storrs, CT 06269-2026, USA.
Diabetes Educ. 1996 May-Jun;22(3):219-24. doi: 10.1177/014572179602200304.
The purpose of this pilot study was to identify types of ethical conflicts reported by Certified Diabetes Educators who also are Registered Nurses (RN/CDEs). Ethical conflicts expressed by RN/CDEs in active practice in Maryland, Virginia, and the District of Columbia were described by these healthcare professionals. Each conflict was analyzed according to three themes: the practice context, the ethical principles in conflict, and how the conflict was experienced by the nurse subject. The majority of ethical conflicts (75%) concerned disagreement with the quality of medical care the patient was receiving. The principles most often in conflict were beneficence and nonmaleficence. Most conflicts were experienced as dilemmas (two or more principles that seem to apply but support mutually inconsistent courses of action).
这项试点研究的目的是确定同时身为注册护士的糖尿病教育认证专家（RN/CDEs）所报告的伦理冲突类型。这些医疗保健专业人员描述了在马里兰州、弗吉尼亚州和哥伦比亚特区实际从业的RN/CDEs所表达的伦理冲突。根据三个主题对每起冲突进行了分析：实践背景、冲突中的伦理原则以及护士主体对冲突的体验方式。大多数伦理冲突（75%）涉及对患者所接受医疗护理质量的分歧。最常发生冲突的原则是行善和不伤害。大多数冲突被体验为困境（两条或更多看似适用但支持相互矛盾行动方针的原则）。
