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VALUE PLURALISM, MORAL COMPETENCE, AND NURSING EDUCATION (AFFECTIVE EDUCATION, CODE FOR NURSES, PROFESSIONAL ETHICS).

机译:价值多元主义,道德能力和护理教育(情感教育,护理守则,职业道德)。

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摘要

The autonomy of all health care professionals is being challenged by consumers who are claiming that the current health care system is dehumanizing. As a result, consumers are demanding more active participation in decision-making in matters regarding their own health care. Nurses, among all health care professionals, are in the best position to provide the type of care consumers are demanding. Nurses by philosophy are committed to providing humanistic, individualized care of the total patient even when cure is not possible. Because of the unique relationship which develops between the nurse and the patient, nurses are involved in making many decisions of a moral, rather than clinical, nature. Thus, moral competence is an essential component of nursing practice. This dissertation addresses some of the difficulties which arise in nursing practice and education in relation to the issues of autonomy and moral competence.;Many writers have claimed that nurses, because of the multiple obligations which arise from their position in the health care hierarchy, are not free to practice nursing. In this dissertation the claim is being made that the more basic issue for nurses, in relation to autonomy and moral practice, is that they are not free to practice nursing because of a lack of self-determination in decision-making. This claim is supported by (1) a philosophical analysis of the Code for Nurses, the publicly stated standards of moral competence, and (2) an examination of the values implicitly transmitted to nursing students as a part of the socialization process in nursing education. It is shown that both practitioners and students of nursing are not prepared to practice autonomously because of an inherent value conflict, within the profession, between dependence and autonomy. It is argued that nurses have moral obligations to individual clients and to society which necessitate autonomous functioning. It is concluded that, if nursing is to remain viable, certain changes must occur in nursing education.
机译:声称自己当前的医疗保健系统正在降低人性化的消费者正在挑战所有医疗保健专业人员的自主权。结果,消费者要求在自己的医疗保健方面更加积极地参与决策。在所有医疗保健专业人员中,护士最能为消费者提供所需的护理类型。即使无法治愈,按哲学的护士也致力于为整个患者提供人文主义的个性化护理。由于护士和患者之间发展出独特的关系,因此护士参与了许多道德决定而非临床决定。因此,道德能力是护理实践的重要组成部分。这篇论文解决了在护理实践和教育中与自主性和道德能力有关的一些困难。;许多作者声称,由于护士在医疗保健体系中的地位而产生的多重义务,使他们承担着许多责任。不能随意练习护理。本文认为,相对于自治和道德实践,对于护士而言,更基本的问题是,由于决策中缺乏自决权,他们不能自由地进行护理。这一主张得到以下方面的支持:(1)对《护士守则》的哲学分析,公开宣布的道德能力标准,以及(2)对作为护理教育社会化过程一部分而隐性传递给护理学生的价值观的检验。研究表明,护理从业者和学生都没有做好自主练习的准备,因为在行业内,依赖和自主之间存在着内在的价值冲突。有人认为,护士对个人客户和社会有道德义务,这需要自主运作。结论是,要使护理继续下去,就必须在护理教育中进行某些改变。

著录项

  • 作者

    BENNER, MARGARET PATRICIA.;

  • 作者单位

    University of Delaware.;

  • 授予单位 University of Delaware.;
  • 学科 Education Philosophy of.
  • 学位 Ph.D.
  • 年度 1985
  • 页码 217 p.
  • 总页数 217
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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