Wilmot S
School of Health and Community Studies, University of Derby, Mickleover, United Kingdom.
Adv Pract Nurs Q. 1998 Fall;4(2):1-7; quiz 85-6.
Contractarianism has primarily been a political theory. A good argument can be made for its application to individual and professional ethics. A contractarian perspective on nursing ethics not only provides useful insights into the central relationship in nursing--the nurse and the patient--but also allows understanding of that relationship in the context of other relationships involving the nurse, the nursing profession, and the health care organization. While the nurse-patient contract is limited, its greater moral depth gives it moral priority.
契约主义主要是一种政治理论。有充分理由将其应用于个人伦理和职业伦理。从契约主义角度看待护理伦理,不仅能为护理中的核心关系——护士与患者——提供有益见解,还能让人在涉及护士、护理行业和医疗保健机构的其他关系背景下理解这种关系。虽然护士与患者的契约是有限的,但它更深的道德内涵赋予了它道德上的优先地位。