Smits M J
Vakgroep Gezondheidsethiek en Wijsbegeerte van de Universiteit Maastricht.
Verpleegkunde. 1997 Feb;12(1):27-35.
Nurses' daily care for patients is imbued with moral questions. Ethics distinguish various movements that intend to solve the problem of how to deal with such questions. This article discusses two variants, namely ethics of rules and ethics of care. Ethics of rules present a rational model of thinking in which universal principles are applied to practical moral problems. According to ethics of care, an attitude of responsibility and involvement and, accordingly, the attention to the complex situation of a patient is considered moral. Both kinds of ethics are attached to a case from the practice of nursing care for oncology patients. The thinking of the nurses concerned is in line with ethics of care. It also involves principles of ethics of rules. These principles, however, only make sense in the complex situation of the patient. By virtue of this quality they are taken into consideration by nurses as one of the details from the context. This makes ethics of care function as a kind of 'breeding ground' for ethics of rules.
护士对患者的日常护理充满了道德问题。伦理学区分了各种旨在解决如何处理此类问题的运动。本文讨论了两种变体,即规则伦理学和关怀伦理学。规则伦理学提出了一种理性的思维模式,其中普遍原则被应用于实际的道德问题。根据关怀伦理学,责任和参与的态度以及对患者复杂情况的关注被视为道德的。这两种伦理学都与肿瘤患者护理实践中的一个案例相关。相关护士的思维符合关怀伦理学。它也涉及规则伦理学的原则。然而,这些原则只有在患者的复杂情况下才有意义。凭借这种特质,它们被护士视为背景中的细节之一加以考虑。这使得关怀伦理学成为规则伦理学的一种“温床”。