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儒家伦理视角下的现代护理实践及其启示——评《当代医疗与儒家思想》

Modern nursing practice from the perspective of confucian ethics and its implications-book review of Contemporary Medicine and Confucian Thought
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摘要 探讨儒家伦理在现代护理实践中的应用及其启示,并评述范瑞平教授所著的《当代医疗与儒家思想》一书。该书涵盖了六大核心议题:医疗决策、医疗制度、医疗科技、器官移植、精神医疗、老年医疗。重点讨论了西方伦理中的个人自主权与儒家伦理中强调的家庭本位观念之间的冲突,特别是在临床决策过程中如何平衡患者个人意愿与家庭利益。通过具体案例和伦理分析,该书建议将儒家思想与现代医疗体系相结合,为患者护理中的伦理决策提供文化与伦理指导。从护理学的角度出发,提出儒家伦理思想对于构建以家庭为中心的护理模式的现实启示,倡导将儒家仁爱、恻隐之心等道德情感融入护理实践。同时,呼吁在全球化背景下加强跨文化护理能力,并在护理教育中更多地融入儒家思想,以促进护理服务质量的提升。结论指出,儒家伦理为护理实践中的人文关怀与伦理决策提供了宝贵的视角和理论依据,在未来的护理实践中具有广泛的应用潜力。 This paper examines the integration of Confucian ethics into modern nursing practice and its implications,offering a review of the book Contemporary Medicine and Confucian Thought by Professor Fan Ruiping.The book addresses six key topics:medical decision-making,healthcare systems,medical technology,organ transplantation,mental health,and elderly care.It highlights the conflicts between individual autonomy emphasized in Western ethics and the family-centered approach of Confucianism,especially in clinical decision-making.Through case studies and ethical discussions,the book suggests integrating Confucian ethics with modern medical systems to balance personal and familial interests in patient care.From the perspective of nursing,this review emphasizes the relevance of Confucian principles such as family-centered care,the integration of moral emotions like benevolence and respect,and the importance of developing culturally appropriate ethical models for clinical decision-making.It calls for a paradigm shift in nursing education and practice toward a family-centered approach,promoting harmony between individual and collective needs.Additionally,it discusses the challenges and opportunities for integrating Confucian ethics into cross-cultural nursing in a globalized healthcare environment.The review concludes that Confucian ethics can provide valuable insights into the development of more humanistic and ethically sound nursing practices,particularly in the context of a rapidly evolving medical landscape.
作者 曾迎春 张国龙 黄宁彬 贾云华 ZENG Yingchun;ZHANG Guolong;HUANG Ningbin;JIA Yunhua(School of Medicine,Hangzhou City University,Hangzhou 310015,China;Research Institute of Respiratory Health,the First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510180,China;School of Nursing,Guangzhou Medical University,Guangzhou 510120,China)
出处 《中国医学伦理学》 北大核心 2024年第12期1438-1444,共7页 Chinese Medical Ethics
关键词 儒家思想 医疗制度 护理伦理 Confucian thought medical system nursing ethics
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