Hunt G
European Centre for Professional Ethics, University of East London, UK.
Nurs Ethics. 1997 Nov;4(6):519-26. doi: 10.1177/096973309700400608.
This article takes issue with procedural reductionism, which is the inclination to reduce all matters of judgement and responsibility to the following of some procedure or rule. Two scenarios provide content for a discussion of professional discretion in the context of accountability. The author shows that in professional life there will always be situations that stand beyond the rules of procedures and require the unique judgement of the professional at the time. While this judgement may be determined by the facts available in a situation of uncertainty, it cannot be reduced to the facts (including facts about rules and procedures). The moral judgement will still have an essential indeterminancy about it.
本文对程序还原论提出质疑,程序还原论是指将所有判断和责任问题简化为遵循某些程序或规则的倾向。两种情形为在问责背景下讨论专业酌处权提供了内容。作者表明,在职业生涯中,总会存在超出程序规则范围的情况,需要专业人员在当时做出独特判断。虽然这种判断可能由不确定情形下可得的事实决定,但它不能简化为事实(包括关于规则和程序的事实)。道德判断仍将具有本质上的不确定性。