Mysak S
University of Saskatchewan, Saskatoon, Canada.
J Gerontol Nurs. 1997 Jan;23(1):25-31. doi: 10.3928/0098-9134-19970101-10.
The structured controversy as a strategy for helping the non-licensed caregiver make ethical decisions as well as develop critical thinking skills was an innovative teaching technique. Students in the Homecare/Special care aide program are essential providers of care to residents or clients in a special care facility or in a homecare setting. Theory and practice of ethical decision-making is not usually dealt with in the curriculum of the non-licensed caregiver. Implementation of this approach helped students learn theory and skills necessary when dealing with controversial issues in making ethical decisions. Thompson and Thompson's (1985) ten steps of bioethical decision-making were implemented to assist in the process. Structured controversy was defined and the process of implementing structured controversy outlined. A variety of ethical issues were presented based on the ethical principles of beneficence, justice, autonomy, truthfulness, confidentiality, and integrity (Yeo, 1991). Several definitions of critical thinking are presented.
将结构化辩论作为一种策略，用于帮助无执照护理人员做出道德决策并培养批判性思维技能，这是一种创新的教学技巧。家庭护理/特殊护理助理项目的学生是特殊护理机构或家庭护理环境中居民或客户的重要护理提供者。无执照护理人员的课程通常不涉及道德决策的理论和实践。这种方法的实施帮助学生学习在处理道德决策中的争议问题时所需的理论和技能。实施了汤普森和汤普森（1985年）的生物伦理决策十步法以协助这一过程。定义了结构化辩论并概述了实施结构化辩论的过程。基于 beneficence（行善）、justice（公正）、autonomy（自主）、truthfulness（诚实）、confidentiality（保密）和 integrity（正直）等伦理原则（Yeo，1991年）提出了各种伦理问题。还给出了批判性思维的几种定义。
