照顧SARS病人的倫理與專業困境

Ethical Dilemmas in Caring for Patients with SARS

本研究旨在探究護理人員照顧嚴重急性呼吸道症候群（severe acute respiratory syndrome, SARS）病人時承受的個人與專業困境，藉以反思護理專業角色與倫理實踐。為求能深入了解護理人員的主體性經驗，採用經驗性團體深度訪談的方式收集資料，共舉辦兩個不同成員的團體，一組成員來自某醫院急診室，另一組具有照顧SARS經驗的護士是來自台北市不同醫院；兩組團體各進行4次訪談，共計8次的團體對話。參加的護理人員有21位。以繼續比較分析進行資料分析，發現護理人員在SARS期間面對個人身心與專業倫理的困境，包括照顧的沉重、責任的呼召、兩難的抉擇。並繼續以受苦與倫理實踐、召喚與專業發展、互為主體的超越性三方面討論護理專業的倫理實踐。

This paper explored experiences caring for patients with severe acute respiratory syndrome (SARS), with a focus on the suffering between the ”private” and ”professional” selves, in order to describe the psychological impact and ethical practice of SARS events as related to nursing professionals. Eight small group interviews were conducted with a total of twenty-one nurses with experience caring for SARS patients. Group interviews were audio-taped and transcribed for analysis. Data, analyzed using the constant comparative method, revealed the following three ethical dilemmas: suffering in care giving, response to the calling, and distresses involved in decision making. In this study, the authors further addressed relationships between suffering and ethical practice, the calling and a nurse's professional responsibilities, and transcendence in intersubjectivity. The authors hope that the results of this study will lead to a new understanding of ethical practices nursing and help nurses develop reflected care that promotes personal and professional growth.