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題名：護理倫理規範--談護理新手到專家之「盡職」倫理
書刊名：護理雜誌
作者：謝佩倫／黃美智
作者(外文)：Hsieh, Pei-lun／Huang, Mei-chih
出版日期：2017
卷期：64:6
頁次：頁91-97
主題關鍵詞：護理倫理；規範倫理學；倫理規範；盡職；Nursing ethics；Normative ethics；Code of ethics；Fidelity
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:10
  • 點閱點閱:14
近年，專業形象逐漸受到重視，克盡職守常為許多工作崗位提倡首要守則，也成為影響人員專業行為的重要因素。在健康照護體系中，不免會遇到照護倫理困境與議題，時時考驗著專業人員的倫理因應能力與行為表現。本文藉由文獻回顧分析並探討現今規範倫理學與護理規範、倫理行為及實務間的關係，結果發現常規的倫理規範之下，倫理行為規範準則很少被討論。行善原則是行為規範最重要的準則，而盡職（fidelity）是護理倫理規範中行善原則最重要的行為元素，包含忠誠、公正、真誠、倡言和貢獻等五要素。本文呼應美國護理學會2015年增修的護理倫理規範，強調將倫理規範照護實踐於護理人員照護實務工作上。護理工作強調對個案的專業照護行為，本文說明盡職原則於護理倫理規範照護中的重要性，統整護理人員從新手到專家各階段應具備的「盡職」倫理行為，以作為護理人員實務照護及專業角色發展之參考。
The image of professionals has been taken seriously in recent years. Professional healthcare providers have observed their duty strictly for many jobs codes, which has also affected their behavior. In the healthcare system, ethical dilemmas and issues regularly influence and challenge professional ethical behaviors and the competencies of health professionals. The present article highlights the literature discussions regarding current ethical norms, nursing codes, and professional-practice-related ethical behaviors. The findings indicate that fidelity is an important component of ethical behavior norm that is guided by the ethical principles of beneficence. Five elements of fidelity were identified, including loyalty, fairness, truthfulness, advocacy, and dedication. The 2015 American Nurses Association’s code of nursing ethics emphasizes the ethical behavior of fidelity in nursing practice. The results encourage nurses to apply the guide of fidelity to develop their nursing professional role across their professional nursing career, from the novice to expert level.
期刊論文
1.李選、張婷(20111000)。以病人安全為服務導向之護理倫理議題。澄清醫護管理雜誌，7(4)，4-11。  延伸查詢new window
2.盧美秀、魏玲玲、林秋芬(19940300)。我國護理倫理規範之研擬。護理雜誌，41(1)，40-51。new window  延伸查詢new window
3.蔣欣欣(20041100)。護理倫理的發展與實踐。哲學與文化，31(11)=366，19-29。new window  延伸查詢new window
4.Cottone, R. Rocco、Claus, Ronald E.(2000)。Ethical decision-making models: A review of the literature。Journal of Counseling and Development，78(3)，275-283。  new window
5.蔡篤堅(20070200)。臺灣生命倫理學發展的困境與挑戰。應用倫理研究通訊，41，20-34。new window  延伸查詢new window
6.American Nurses Association(1960)。The code for professional nurses。AJN: The American Journal of Nursing，60(9)，1287。  new window
7.American Nurses Association(1940)。A tentative code: For the nursing profession。AJN: The American Journal of Nursing，40(9)，977-980。  new window
8.American Nurses Association(1926)。A suggested code: A code of ethics presented for the consideration of the American Nurses' Association。AJN: The American Journal of Nursing，26(8)，599-601。  new window
9.Bell, L.(2015)。Code of ethics for nurses with interpretive statements。Critical Care Nurse，35(4)，84。  new window
10.American Nurses Association(1968)。Code for nurses。AJN: The American Journal of Nursing，68(12)，2581-2585。  new window
11.Epstein, B.、Turner, M.(2015)。The nursing code of ethics: Its value, its history。OJIN: The Online Journal of Issues in Nursing，20(2)。  new window
12.Byrd, G. D.、Winkelstein, P.(2014)。A comparative analysis of moral principles and behavioral norms in eight ethical codes relevant to health sciences librarianship, medical informatics, and the health professions。Journal of the Medical Library Association，102(4)，247-256。  new window
13.Bowen, S. A.(2004)。Expansion of ethics as the tenth generic principle of public relations excellence: A Kantian theory and model for managing ethical issues。Journal of Public Relations Research，16(1)，65-92。  new window
14.Noble, C. N.(1979)。Normative ethical theories。The Monist，62(4)，496-509。  new window
15.Mitchell, P. H.(2016)。Nursing ethics and social justice。International Nursing Review，63(1)，1-2。  new window
16.Gaudine, A.、LeFort, S. M.、Lamb, M.、Thorne, L.(2011)。Clinical ethical conflicts of nurses and physicians。Nursing Ethics，18(1)，9-19。  new window
17.Benner, Patricia(1982)。From Novice to Exper。The American Journal of Nursing，82(3)，402-407。  new window
圖書
1.Beauchamp, T. L.、Childress, J. F.(2013)。Principles of biomedical ethics。New York, NY：Oxford University Press。  new window
2.Fowler, M.(2015)。Guide to the code of ethics for nurses with interpretive statements: Development, interpretation, and application。Silver Spring, MD：American Nurses Association。  new window
3.Ross, W. David、Stratton-Lake, Philip(2002)。The right and the good。Oxford University Press。  new window
4.Noddings, Nel(2002)。Starting at home: Caring and social policy。Berkeley, CA：University of California Press。  new window
其他
1.中華民國護理師護士公會全國聯合會(2008)。我國護理倫理規範，http://www.nurse.org.tw/Enactment/Enactmentl.aspx。  延伸查詢new window
2.中華民國護理師護士公會全國聯合會(2017)。台閩地區護理人員統計表-106年4月，http://www.nurse.org.tw/defaultNewsView.aspx?newsID=25520&timeStamp=1495835024597。  延伸查詢new window
3.American Nurses Association(2015)。Code of ethics for nurses with interpretive statements，http://nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses， 。  new window
4.International Council of Nurses(2012)。Code of ethics for nurses，http://www.icn.ch/who-we-are/code-of-ethics-for-nurses/。  new window
圖書論文
1.Gilligan, C.(1982)。Images of relationship。In a different voice: Psychological theory and women's development。Cambridge, MA：Harvard University Press。  new window
 
 
 
 
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