從納斯邦、丹尼爾斯之健康照護需求觀點論長期照護之實踐與挑戰

Challenge and Practice of Long-term Care – Based on Nussbaum's & Daniel's View of Health Care Needs

醫學倫理不是倫理學在醫學領域的應用，而是一跨專業學門。無關情境因素的倫理原則與欠缺倫理感受的專業知識都無法指導臨床倫理決策。臨床倫理的癥結存在於情境的個殊性中，因此，經由許多跨專業的具體個案討論，遠比集中學習專業倫理原則更能掌握複雜的臨床倫理。在醫學倫理教育中推展敘事是一種賦能的策略，目的是讓醫療專業人員擺脫專業科技思維的宰制，思考切身的真實處境以追求美好的生活。

Essentially, medical ethics is not just the application of ethical theory to the medical field, but an inter-professional discipline. For those who are familiar with ethics principle but strange to concrete understanding of clinical situations, and for those who have professional knowledge but without ethics sensitivities, they will be incapable of making best clinical decision. Because the complexities of clinical ethics exist most of all in different and individual situation, therefore, in comparison with focusing on the professional ethics principles, the inter-professional discussion will be a better way to approach the complicated clinical ethics. We promote the education for narrative medical ethics because it will be a useful tactics for empowerment, which can let medical professionals be free from the inflexible and over-professional thinking, and let them think about their real existential situation in order to pursue a favorable life.