研究方法大突破——以公民共識會議修訂我國護理倫理規範

Methodology Great Break-Through of Research-Using Citizen Consensus Conference to Revise Code ofEthics for Nurses in Taiwan

滿足社會大眾需求是一件重要的公共事務，而公共事務應該由公民共決，在思考公民共決的程序時，丹麥首先建構了一個有效的方法就是公民共識會議，後來陸續有許多國家把這個方法用在一些公共議題的討論上，但是醫學相關領域的研究，應用此方法的卻是極少。公民共識會議有其一定的程序，其運作程序包括：1.挑選議題；2.組成執行委員會；3.挑選參與者；4.預備會議；5.提出問題與挑選專家小組；6.進行正式會議；7.完成結論報告。本次嘗試以公民共識會議修訂我國護理倫理規範，結果相當豐碩，因此未來與民眾相關的醫療問題的探討應可採用此方法。Fulfillment of the public's needs is an important public matter; therefore, decision making regarding public matters should involve the publics to participate. The Denmark citizen consensus conference model is a relatively effective and economical method to get the publics' involvement in decision-making process related to public matters. Although this method had been widely adopted in decision-making process worldwide, it has not been applied in health care related issues. There are certain steps need to be followed when conducting citizen consensus conference. They are: 1 .framing the issue, 2.forrning the executive committee, 3.selecting participants, 4. holding pre-conference for the participants to receive a through briefing on the subjects, 5. proposing questions and selecting the experts who will answer the questions in the conference, 6.proceing the conference, 7. completing conclusions. Then, a citizen consensus conference was successfully held to revise code of ethics for nurses in Taiwan. Based on the rich result of the conference, it is recommended that Citizen Consensus Conference should be applied for the decision making of other health care related public matters in the future.