Scott P A
Department of Nursing and Midwifery, University of Stirling, Scotland.
ANS Adv Nurs Sci. 1998 Dec;21(2):69-79. doi: 10.1097/00012272-199812000-00008.
The structures and contexts within which nurses work results in the moral agency and moral autonomy of the nurse being compromised. This claim results from a confusion of (1) the concept of autonomy with those of freedom and independence; and (2) a confusion of the notion of moral autonomy with that of autonomous professional practice. The drawing of appropriate distinctions allows clarification of the relevant concepts. It also underlines the responsibility of practitioners to recognize the moral dimension of their practice, and the moral implications of their actions, as they attempt to meet the health care needs of their patients and develop practice professionally.
护士工作的结构和环境导致护士的道德能动性和道德自主性受到损害。这一说法源于对以下两点的混淆：（1）自主性概念与自由和独立概念的混淆；（2）道德自主性概念与自主专业实践概念的混淆。进行适当区分有助于澄清相关概念。这也强调了从业者在努力满足患者的医疗保健需求并专业地发展实践时，认识到其实践的道德维度及其行为的道德影响的责任。
