沟通行动,通过护理和企业医疗保健价值观之间的不和的道路
1Department of Community Health Systems, University of California San Francisco School of Nursing, San Francisco, California, USA.
Nursing inquiry
|July 17, 2023
概括
由于美国医疗保健的利驱动系统与他们的护理价值观相冲突,护士面临道德困境. 参与对话和促进包容性可以帮助护士恢复他们的理想,并倡导更好的公共卫生结果.
科学领域:
- 医疗保健道德 医疗保健道德
- 卫生社会学 卫生社会学
- 批判理论是批判的理论.
背景情况:
- 美国医疗保健系统面临着公共卫生目标和私人股东利之间的紧张局势.
- 由于职业道德和资本主义医疗保健价值观之间的冲突,护士们经历了价值矛盾.
- 护士在倡导健康,社会正义和政策方面的角色受到新自由主义经济原则的挑战.
研究的目的:
- 探讨护士在经济化的美国医疗保健系统中所面临的紧张关系.
- 运用尤尔根·哈伯马斯的批判理论来理解护士的道德困境.
- 为护士提出导航和潜在地改变医疗保健系统的策略.
主要方法:
- 批判理论分析,特别是借鉴于尤尔根·哈伯马斯的工作.
- 探索新自由主义价值观与专业护理价值观之间的冲突.
- 了解医疗保健中的道德不和的概念框架.
主要成果:
- 当前医疗保健系统的市场驱动意识形态可能会阻碍护士维护其道德理想的能力.
- 护士可能会在捍卫社会正义和改善公共卫生方面失去主动性.
- 哈伯马斯的理论提供了一个镜头来分析影响护士的系统冲突.
结论:
- 护士可以与同行和公众进行批判性对话,以解构有害的意识形态.
- 促进包容性和开放的沟通可以促进替代医疗保健模式.
- 护士可以努力使医疗保健摆脱过度的市场影响,以更好地服务于公共卫生.
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