看護倫理の基本を考える―看護における倫理、意思決定の枠組み、看護師の倫理的能力

Selected fundamental questions in nursing ethics and possible answers that need debate

　本稿の目的は、次の3つの問いを通して看護倫理の基本を考えることである。1）看護における倫理とは、2）意思決定の枠組みの利点と限界、3）看護師の倫理的能力とは。以下、看護倫理学者たちが合意していること、および、学生・看護師への長年の看護倫理教育を通して私自身が考えていることを織り交ぜつつ、これらについて述べる。

This paper addresses several basic questions about nursing ethics that need discussion in Japan and elsewhere. They are: (1) What do we mean when we say: ethics in nursing? (2) What are some of the benefits and problems with using a problem solving framework in nursing ethics? (3) What is meant by the concept, nursing ethical competency? Some of this content here is agreed on by most nurse ethicists but some represents my opinion based on my years of experience as a teacher of nursing ethics and from leading Clinical Ethics Rounds with clinical nurses in health care facilities.