Recognising and knowing how to manage ethical issues and moral dilemmas can be considered an ethical skill. In this study, ethics of care is used as a theoretical framework and as a regulatory criterion in the relationship among healthcare professionals, patients with palliative care needs and family members. This study is a part of a larger project aimed at developing and implementing a training programme on “ethical communication” addressed to professionals caring for patients with palliative care needs. The aim of this study was comprehending whether and how the ethics of care informs the way healthcare professionals make sense of and handle ethical issues in palliative care. Qualitative study employing a theoretically driven thematic analysis performed on semi-structured interviews. The research was conducted in a clinical cancer centre in northern Italy. Eligible participants were physicians and nurses from eleven hospital wards who assisted patients with chronic advanced disease daily and had previously attended a 4-h training on palliative care held by the hospital Palliative Care Unit. The researchers identified five themes: morality is providing global care; morality is knowing how to have a relationship with patients; morality is recognizing moral principles; moral dimension and communication; and moral dilemmas are individual conflicts. Ethics of care seems to emerge as a theoretical framework that includes the belief systems of healthcare professionals, especially those assisting patients with palliative care needs; moreover, it allows the values of both the patients and professionals to come to light through the relationship of care. Ethics of care is also appropriate as a framework for ethical training.

中文翻译：

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“…………时我陷入危机”：姑息治疗中的护理伦理和道德困境

认识和知道如何处理道德问题和道德困境可以被认为是一项道德技能。在这项研究中，护理伦理被用作医疗专业人员，有姑息治疗需求的患者和家庭成员之间关系的理论框架和监管标准。这项研究是一个较大项目的一部分，该项目旨在制定和实施针对照顾姑息治疗需求患者的专业人员的“道德沟通”培训计划。这项研究的目的是理解护理伦理是否以及如何告知医疗保健专业人员在姑息护理中理解和处理伦理问题的方式。定性研究采用对半结构化访谈进行的理论驱动的主题分析。该研究是在意大利北部的临床癌症中心进行的。合格的参与者是来自11个医院病房的医师和护士，他们每天为患有慢性晚期疾病的患者提供帮助，并且之前参加了由医院姑息治疗科举办的为时4小时的姑息治疗培训。研究人员确定了五个主题：道德在提供全球关怀；道德在提供全球关怀。道德是知道如何与患者建立关系；道德是在承认道德原则；道德层面和沟通方式；道德困境是个人冲突。护理伦理似乎是作为一个理论框架而出现的，其中包括医疗保健专业人员的信念体系，尤其是那些帮助有姑息治疗需求的患者的信念体系。而且，它使患者和专业人员的价值通过护理的关系而得以体现。照顾伦理也适合作为道德培训的框架。