Lipp A
School of Nursing and Midwifery, University of Glamorgan, Glyntaf, Pontypridd, UK.
Nurs Ethics. 1998 Mar;5(2):122-38. doi: 10.1177/096973309800500204.
A definitive theory for ethical decision making in nursing is still only conjecture. The literature confirms that there have been numerous examinations of ethical decision making in nursing, with most proposing either the justice or the care orientation, or a combination of both. In the absence of a definitive theory, this exploratory work sets out, via grounded theory, to shed some light on the methods used every day by nurses to make ethical decisions in the clinical area. The data show that some factors, such as doctors, colleagues and the organization, profoundly influence ethical decision making. The informants used both care and justice to formulate decisions, which is known as the combined approach. As a result of these findings, this article concludes with tentative suggestions and recommendations for practice.
护理中伦理决策的权威性理论仍只是一种推测。文献证实，对护理中的伦理决策已有大量研究，大多数研究提出了正义导向、关怀导向或两者结合的观点。在缺乏权威性理论的情况下，这项探索性工作通过扎根理论，旨在揭示护士在临床领域日常做出伦理决策所使用的方法。数据表明，一些因素，如医生、同事和组织，对伦理决策有深远影响。受访者在做决策时既运用了关怀又运用了正义，这就是所谓的综合方法。基于这些发现，本文最后对实践提出了初步建议。
