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Updated: Jun 29, 2026

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
患者の関与におけるダイナミックな権力関係のナビゲーション:大学の研究からの研究者の視点
Eeva Aromaa1, Päivi Eriksson1, Tero Montonen1
1Business School, University of Eastern Finland, Kuopio, Finland.
まとめ
研究者は,患者の関与における複雑なパワーダイナミクスをナビゲートし,トークン主義を共同創造と,制度的制約を共同創造とバランスをとります. これらの変化する力関係を理解することは,公平な研究パートナーシップの鍵です.
科学分野:
- 医療サービス 研究 医療サービス
- 質的研究方法 質的研究方法
- 患者と公衆の関与
背景:
- 公正な患者・研究者関係には,研究への関与における権力ダイナミクスの対処が必要である.
- 現存する研究では,権力の課題は認められているが,パワーはダイナミックで多面的な現象として見られることはめったにない.
研究 の 目的:
- 研究者が患者の関与における権力関係 (power with, power to, power over) をどのように管理するかを検討する.
- これらの権力関係から生じる緊張を特定し,分析する.
主な方法:
- テーマ別インタビューは,フィンランドの2つの大学で,生命科学,社会科学,臨床科学を専門とする16人の研究者を対象に実施されました.
- 面接の記録は,テーマ分析を用いて分析した.
主要な成果:
- 研究者は,トークン主義対共同創造,制度的構造対日常的な複雑性,紛争対反射性という3つの主要な緊張をナビゲートしました.
- 権力ダイナミクスは変化し,ゲートキーピング (パワーオーバー) の例は共同研究 (パワーウィット) に進化した.
- 制度的要因と資金提供者の勧告は,権力に影響を与え,時には階層を強化したり,手続き管理を可能にしたりしました.
結論:
- 研究者は,患者の関与において,複数の動的権力関係を同時に実行し,再現し,抵抗する.
- 権力のダイナミックな視点は,患者の関与を形作る研究者の役割を理解するために不可欠です.
- この研究は,研究協力における権力の複雑な相互作用を強調しています.
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