Wagner N, Ronen I
Department of Social Medicine, Hadassah Medical Organization, Jerusalem, Israel.
Nurs Ethics. 1996 Dec;3(4):294-304. doi: 10.1177/096973309600300403.
The objective of this survey was to assess the extent to which nurses encounter and identify dilemma-generating situations in the light of the publication and circulation of the Israeli code of ethics for nurses in 1994. The results are being used as a basis for a programme aimed at promoting nurses' decision-making skills in coping with ethical dilemmas. In this era of major advances in medicine, the nurse's role as the protector of patient rights may bring about conflicts with physicians' orders, with institutional policies, or with patients' families. Nurses will then become confronted with ethical and moral dilemmas. A nationwide survey was carried out to identify and describe the ethical conflicts with which nurses in Israel are confronted in the course of their work. A third of the enumerated dilemmas were encountered by more than 50% of the nurses. The major determinant influencing encounters with dilemmas, as perceived by the participating nurses, was their work setting, namely, the hospital versus the community. It was shown that nurses seek support mainly among their peers, they are barely familiar with the Israeli Code, and they consider their own families as the predominant factor in shaping their ethical attitudes.
本次调查的目的是，根据1994年以色列护士道德准则的发布与传播情况，评估护士遇到并识别产生困境的情形的程度。这些结果被用作一个旨在提高护士应对道德困境时决策技能的项目的基础。在医学取得重大进展的这个时代，护士作为患者权利保护者的角色可能会与医生的医嘱、机构政策或患者家属产生冲突。届时，护士将面临伦理和道德困境。开展了一项全国性调查，以识别和描述以色列护士在工作过程中所面临的伦理冲突。超过50%的护士遇到了三分之一列举出的困境。参与调查的护士认为，影响遇到困境的主要决定因素是他们的工作环境，即医院与社区。结果显示，护士主要在同行中寻求支持，他们对以色列准则几乎不熟悉，并且他们认为自己的家庭是塑造其道德态度的主要因素。
