Title

領導管理之倫理關注

Translated Titles

Ethical Issues in Nursing Leadership

DOI

10.6224/JN.52.5.51

Authors

王淑芳(Shu-Fang Wang);洪志秀(Chich-Hsiu Hung)

Key Words

倫理困境 ; 決策 ; 領導 ; ethical dilemma ; decision-making ; leadership

PublicationName

護理雜誌

Volume or Term/Year and Month of Publication

52卷5期(2005 / 10 / 01)

Page #

51 - 58

Content Language

繁體中文

Chinese Abstract

社會的變遷造成醫病關係與整體價值觀的改變,然而護理主管具有營造組織倫理文化的責任,以及展現高度倫理判斷的能力。本文由倫理知識建構的角度,檢視廿一世紀護理主管的倫理關注焦點與決策歷程,包括:病人需求、同仁感受,以及組織利益或專業形象間的權衡。倫理困境的決策方法,包括傳統問題解決法、護理過程、道德決策模式與系統性倫理決策法,這些決策方法皆在文中加以闡述。倫理決策沒有一定的標準步驟,護理主管有責任進行多方面努力,連結雇主與部屬、專業人員與病患、工作組織與員工彼此間之信賴,唯有加強倫理困境決策方法的運用,才能夠確保照護品質的執行及減少不當護理醫療措施的發生。

English Abstract

Social transition causes shifts and changes in the relationship between health, professionals and their patients. In their professional capacity, it is important today for nurses to handle ethical dilemmas properly, in a manner that fosters an ethical environment. This article investigates the ethical concerns and decision processes of nurses from a knowledge construction perspective, and examines such issues as patient needs, staff perceptions, organizational benefits, and professional image. The decision making methods commonly used when facing ethical dilemma explored in this study include the traditional problem solving, nursing process, MORAL model, and Murphy's methods. Although decision making for ethical dilemmas is governed by no universal rule, nurses are responsible to try to foster a trusting relationship between employee and employer, health care providers and patients, and the organization and colleagues. When decision making on ethical dilemmas is properly executed quality care will be delivered and malpractice can be reduced.

Topic Category 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
Times Cited
  1. 吳美燕(2014)。餐旅科系學生校外實習期間遭遇不倫理行為對行業認知及就業意願影響之研究。高雄餐旅大學餐旅教育研究所在職專班學位論文。2014。1-151。 
  2. 王璽惠(2007)。大學學生團體領導人道德兩難情境及其做決定歷程之質性研究--以一所私立大學為例。臺灣師範大學公民教育與活動領導學系在職進修碩士班學位論文。2007。1-212。
  3. 盧俞霞(2008)。醫務管理學生之醫務管理倫理態度與醫務管理倫理教育需求。臺北醫學大學醫務管理學研究所學位論文。2008。1-143。