Nursing Ethics from the Perspective of Moral Injury / 中国医学伦理学

Due to the specialty of the profession, nursing staff often face more traumatic events in which their self-moral cognition is contrary to the reality, and gradually turn to moral injury on this basis. The level of nursing ethical literacy of nursing staff greatly affects their differences in moral cognition and the strength of moral resilience, thus determining the development and recovery of moral injury. The latest ethical code for nurses, the Expert Consensus on Nursing Ethics for the Prevention and Control of Major Infectious Diseases, has improved the rights and interests of nursing staff. The active practice of this code can help nursing staff effectively respond to the endogenous and exogenous injury sources brought about by the epidemic, eliminate negative moral cognition, improve the moral resilience of nursing staff, as well as has positive effects on the prevention of moral injury for nursing staff.

Desentendimiento Moral y Atribución de Culpa: Encuentros y Desencuentros en el Estudio de la Cognición Moral / Moral Disengagement and Attribution of Blame: Convergences and Divergences in the Study of Moral Cognition / Desentendimento Moral e Atribuição de Culpa: Encontros e Desencontros no Estudo da Cognição Moral

Resumen El estudio de la cognición moral pareciera estar marcado por dos tradiciones: una centrada en el estudio del procesamiento de información referente a la causalidad y la intencionalidad, y otra que, con origen en posturas sociocognitivas, privilegia la agencia moral y regulación conductual más allá del procesamiento. Así, pareciera existir una brecha entre el estudio del razonamiento y el estudio de la conducta cuando se habla de moral. La presente propuesta muestra una interacción entre un modelo de culpa (path model), centrado en el procesamiento de información, y el desentendimiento moral (DM) como un conjunto de justificaciones de la conducta inmoral. Si bien la integración no es completa, aporta a una visión de la cognición moral centrada en la regulación social y en las interacciones entre juicios y respuestas evidentes en las interacciones sociales. Adicionalmente, como producto de la interacción se presenta una propuesta metodológica para indagar por el origen del DM en el desarrollo.

Abstract The study of moral cognition is marked by two traditions: one centered on the study of how information regarding causality and intentionality is processed, and the other, derived from socio-cognitive potions, privileging moral agency and behavior regulation beyond processing. Thus, there seems to be a gap between the study of reasoning and the study of conduct, when speaking of morals. The article proposes an interaction between a path model of blame, centered on the processing of information, and moral disengagement (MD) as a set of justifications of immoral conduct. While the integration is not complete, it does contribute a view of moral cognition focused on social regulation and the interactions between the judgments and responses evident in social interactions. Additionally, as a product of that interaction, the study provides a methodological proposal to inquire into the origin of md in development.

Resumo O estudo da cognição moral parece estar marcado por duas tradições: uma focada no estudo do processamento de informação referente à causalidade e à intencionalidade, e outra que, com origem em posicionamentos sociocognitivos, privilegia a agência moral e a normatização do comportamento mais além do processamento. Assim, é provável que exista uma brecha entre o estudo do raciocínio e o estudo do comportamento quando se fala de moral. Esta proposta mostra uma interação entre um modelo de culpa (path model), centralizado no processamento de informação, e o desentendimento moral (DM) como um conjunto de justificativas do comportamento imoral. Embora a integração não seja completa, contribui para uma visão da cognição moral enfocada na regulamentação social e nas interações entre julgamentos e respostas evidentes nas interações sociais. Além disso, como produto da interação, apresenta-se uma proposta metodológica para indagar a respeito da origem do DM no desenvolvimento.

Analysis of Occurrence Mechanism of Moral Injury / 中国医学伦理学

The occurrence of moral injury begins with combat behaviors which break the ethical rules of fair-ness and justice, good and evil, and the value of life. Those behaviors effect on the moral intuition formed by indi-vidual moral beliefs, cultural traditions, and personality traits, and acts on the moral reasoning of the soldiers, thus this traumatic event is internalized into a moral event. And then the strength of the moral events or its re-experi-ence breaks through the tenacity of moral emotion, therefore the moral subject moves towards moral injury, which is manifested as self-condemnation, withdrawal, self-injury, killing, and other cognitive or emotional symptoms. As self-condemnation intensifies, the victim will fall into an increasingly vicious circle of moral injury. Mean-while, self-forgiveness means a way of restoration and reconciliation, which asks the victim to forgive himself and to adjust moral conflicts in time.