Lützén K
Ersta Institute for Health Care Ethics, Stockholm, Sweden.
Nurs Ethics. 1997 May;4(3):218-26. doi: 10.1177/096973309700400306.
The aim of this article is to argue for the need for a context-sensitive approach to the understanding of ethical issues in nursing practice as we face the next millennium. This approach means that the idea of universalism must be questioned because ethics is an interpersonal activity, set in a specific context. This view is based on issues that arise in international collaborative research as well as in research focused on ethical problems in nursing practice. Moral values are indigenous to a particular culture and influence beliefs about health and illness as well as what priorities are to be made in providing health care. Nursing practice must include thoughtful reflection on the meaning of moral concepts and principles in terms of culture. Theoretical developments in nursing ethics must be based on empirical research focusing on contextual aspects of health care.
本文旨在论证，在我们迈向新千年之际，需要一种结合具体情境的方法来理解护理实践中的伦理问题。这种方法意味着，普遍主义的观念必须受到质疑，因为伦理是一种人际活动，存在于特定情境之中。这一观点基于国际合作研究中出现的问题，以及专注于护理实践伦理问题的研究。道德价值观是特定文化所固有的，影响着对健康与疾病的看法，以及在提供医疗保健时应优先考虑的事项。护理实践必须包括对道德概念和原则在文化层面意义的深入思考。护理伦理学的理论发展必须基于聚焦医疗保健情境方面的实证研究。
