Herbert C L
University of Wales College of Medicine, Cardiff, UK.
J Clin Nurs. 1997 Mar;6(2):99-105.
Nursing has been described as a moral endeavour (Seedhouse, 1988; Berger et al., 1991), the art of dealing with ethical issues of right and wrong. Within the nursing literature, ethical issues are a major topic for discussion. Berger et al. (1991) explain that this reflects larger societal concerns about ethics in business, industry and government. The development of advanced technology and life-sustaining treatments such as cardiopulmonary resuscitation (CPR) has heightened the dilemmas of moral decision making. CPR was developed in the 1960s as an emergency life-saving procedure, although it is currently used on anyone who does not have a not-for-resuscitation status (Anon., 1980). In this paper, an ethical issue involving the decision of whether or not to resuscitate a stroke patient is discussed. An overview of the main ethical theories is presented because they provide a framework for an explication of ethical decision-making. The options available to those involved are then discussed in relation to relevant research. Finally, a conclusion is drawn from the ensuing situation.
护理被描述为一项道德事业（西兹豪斯，1988年；伯杰等人，1991年），即处理是非伦理问题的艺术。在护理文献中，伦理问题是主要的讨论话题。伯杰等人（1991年）解释说，这反映了社会对商业、工业和政府领域伦理问题的更大关注。先进技术和诸如心肺复苏（CPR）等维持生命治疗手段的发展，加剧了道德决策的困境。心肺复苏术在20世纪60年代被开发出来作为一种紧急救生程序，尽管目前它被用于任何没有“不进行复苏”状态的人（佚名，1980年）。本文讨论了一个涉及是否对中风患者进行复苏决策的伦理问题。文中概述了主要的伦理理论，因为它们为阐释伦理决策提供了一个框架。然后结合相关研究讨论了相关人员可选择的方案。最后，从后续情况中得出结论。
