Kelly C
Department of Nursing, University College of the Cariboo, Kamloops, British Columbia, Canada.
Adv Pract Nurs Q. 1998 Fall;4(2):8-13.
Modern socioeconomic trends contribute to the complexity and diversity of ethical issues encountered in clinical nursing practice. Despite growing interest in ethical decision making among nurses, little is known about the contextual influences. The article describes an exploratory study of how nurses make ethical decisions and what factors hindered or helped them to act on their moral choices. Two central constructs were identified: investing and discounting self. The article explains essential subprocesses of these constructs within the context of clinical nursing practice.
现代社会经济趋势加剧了临床护理实践中遇到的伦理问题的复杂性和多样性。尽管护士对伦理决策的兴趣日益浓厚，但对其背景影响却知之甚少。本文描述了一项探索性研究，旨在了解护士如何做出伦理决策，以及哪些因素阻碍或帮助他们依据道德选择采取行动。研究确定了两个核心概念：自我投入和自我忽视。本文在临床护理实践的背景下解释了这些概念的基本子过程。
