Ethical sensitivity in professional practice: concept analysis
Ethical sensitivity in professional practice: concept analysis
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DOI：
10.1111/j.1365-2648.2008.04625.x
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发表时间：
2008-06-01
影响因子：
3.8
通讯作者：
Mitcham, Carl
中科院分区：
文献类型：
--
作者：
Weaver, Kathryn;Morse, Janice;Mitcham, Carl
的目标。本文是一篇关于伦理敏感性概念分析的报告。道德敏感性使护士和其他专业人员能够对接受专业护理和服务的人的痛苦和脆弱性作出道德反应。由于其对护理和其他专业实践的重要性，伦理敏感性值得更集中的分析。数据源。一种面向实用效用的基于标准的方法指导了对200篇论文和书籍的分析，这些论文和书籍来自护理、医学、心理学、牙科、临床伦理学、神学、教育、法律、会计或商业、新闻、哲学、政治和社会科学以及妇女研究等领域。这些文献跨越1970年至2006年，并按学科和概念维度进行分类，并检查了概念结构和在不同背景下的使用。分析已于2007年9月完成。专业实践中的道德敏感性是在不确定性、客户痛苦和脆弱性的背景下，通过专业人员的接受、回应和勇气为特征的关系发展起来的。伦理敏感性的基本属性是道德感知、情感和忠诚划分。结果包括保持决策的完整性，舒适和幸福，学习和专业超越。我们的研究结果促进道德敏感性作为一种实践智慧，追求客户的舒适和专业满意度的护理服务。分析和结果模型提供了一个包容性的观点，伦理敏感性，解决了一些限制与先前的概念化。
Aim. This paper is a report of a concept analysis of ethical sensitivity.Background. Ethical sensitivity enables nurses and other professionals to respond morally to the suffering and vulnerability of those receiving professional care and services. Because of its significance to nursing and other professional practices, ethical sensitivity deserves more focused analysis.Data sources. A criteria-based method oriented toward pragmatic utility guided the analysis of 200 papers and books from the fields of nursing, medicine, psychology, dentistry, clinical ethics, theology, education, law, accounting or business, journalism, philosophy, political and social sciences and women's studies. This literature spanned 1970 to 2006 and was sorted by discipline and concept dimensions and examined for concept structure and use across various contexts. The analysis was completed in September 2007.Findings. Ethical sensitivity in professional practice develops in contexts of uncertainty, client suffering and vulnerability, and through relationships characterized by receptivity, responsiveness and courage on the part of professionals. Essential attributes of ethical sensitivity are identified as moral perception, affectivity and dividing loyalties. Outcomes include integrity preserving decision-making, comfort and well-being, learning and professional transcendence. Our findings promote ethical sensitivity as a type of practical wisdom that pursues client comfort and professional satisfaction with care delivery.Conclusion. The analysis and resulting model offers an inclusive view of ethical sensitivity that addresses some of the limitations with prior conceptualizations.