Chiu W, Wilson D
Faculty of Nursing, University of Alberta, Edmonton, Canada.
Nurs Ethics. 1996 Dec;3(4):285-93. doi: 10.1177/096973309600300402.
This paper addresses the nurse manager's role regarding chemically-dependent nurses in the workplace. The manager may intervene by: terminating the contract of the impaired colleague; notifying a disciplinary committee; consulting with a counselling committee; or referring the impaired nurse to an employee assistance programme. A dilemma may arise about which of these interventions is ethically the best. The ethical theories relevant to nursing involve ethical relativism, utilitarianism, Kantian ethics, Kohlberg's justice, and Gilligan's ethic of care. Nurse managers first need to understand these theories in order to clarify their own perceptions and attitudes towards chemical dependency, and then satisfactorily resolve this ethical dilemma. Education and social learning are routes to a better understanding of chemical dependency and to broadening the ethical dimensions of nurse managers.
本文探讨了护士长在工作场所中对药物成瘾护士所扮演的角色。护士长可以通过以下方式进行干预：终止受损同事的合同；通知纪律委员会；与咨询委员会协商；或将受损护士转介至员工援助计划。在这些干预措施中，哪一种在伦理上是最佳的，可能会引发两难困境。与护理相关的伦理理论包括伦理相对主义、功利主义、康德伦理学、科尔伯格的正义观以及吉利根的关怀伦理。护士长首先需要理解这些理论，以澄清自己对药物成瘾的认知和态度，然后令人满意地解决这一伦理困境。教育和社会学习是更好地理解药物成瘾以及拓宽护士长伦理维度的途径。
