Botes A
Departement Verpleegkunde, Randse Afrikaanse Universiteit.
Curationis. 1997 Dec;20(4):32-8.
The conclusion reached at the end of this article is that there is a crisis in the ethics of nursing and that the focus of the ethics of nursing should be on virtues. The reconstruction of a virtue-based ethics in nursing is proposed as a solution for the current crisis in the ethics of nursing. With an analysis conducted on the ethics of nursing the story is told of an individual nurse within nursing in the South African society. Certain concepts to ethics as well as the dimensions of ethics in nursing are explained within the narrative of nursing. The institutionalisation of ethics of nursing is described based on the three ethical traditions that moved from virtues, to responsibility to human rights. An analysis of the moral practice in nursing indicates that a crisis in the ethics of nursing exist within the last tradition of human rights because of the conflict between the rights of the nurse and the patient. Through the analysis it becomes clear that no rules, codes or law can ensure moral behaviour. The control over moral behaviour should rather be internal than external. If a person does not have the virtues he or she does not understands the rules and human rights and responsibilities have a different meaning for them.
本文结尾得出的结论是，护理伦理存在危机，护理伦理的重点应放在美德上。提出重建基于美德的护理伦理，作为解决当前护理伦理危机的一种方法。通过对护理伦理的分析，讲述了南非社会护理行业中一名护士的故事。在护理的叙述中解释了某些伦理概念以及护理伦理的维度。基于从美德到责任再到人权的三种伦理传统，描述了护理伦理的制度化。对护理道德实践的分析表明，由于护士与患者权利之间的冲突，在最后一种人权传统中存在护理伦理危机。通过分析可以清楚地看出，没有任何规则、规范或法律能够确保道德行为。对道德行为的控制应该是内在的而非外在的。如果一个人没有美德，他或她就不理解规则，人权和责任对他们来说也有不同的含义。
