临床护理工作中常见的伦理困境及典型案例分析

Ethics dilemmas and relevant case in nursing care

在临床护理实践中，护理人员面临的伦理难题，常常不是简单的对与错、是与非的判断，而是在某些特殊境遇下存在的2种甚至2种以上相互冲突的方案。笔者对常见的伦理困境总结为4种：不同伦理原则的选择困境；不同利益主体的选择困境；不同人际关系的伦理困境；护士职业伦理与角色道德之间的冲突。在此基础上对典型案例进行分析，以期帮助护理人员认识并以有效、合理的方式应对伦理困境。

In clinical nursing practice, ethnics dilemmas which nurses facing with are not usually a simple question of right and wrong or yes and no, but two or more mutual conflicts under some special circumstances; In order to help nurses to understand and deal with ethnics dilemmas effectively and reasonably, the authors summarize the four different ethnics dilemmas: the different ethical principles selection dilemma, the different stakeholder selection dilemma, the different interpersonal ethnics dilemmas and the conflict of the nursing professional ethics and the role morality. Typical cases of common ethnic dilemmas were summarized and analyzed in this paper.