加拿大社区卫生护理中的宣传过程:一个协作民族学
Geneviève Mccready1, Hélène Laperrière2
1Health Science Department, University of Quebec at Rimouski, Rimouski, Quebec, Canada.
Journal of advanced nursing
|October 14, 2023
概括
社区卫生护士倡导个人和政策改革,但面临官僚障碍. 集体行动和组织支持是加强倡导和促进护理社会正义的关键.
科学领域:
- 社区卫生护理
- 卫生社会学 卫生社会学
- 定性研究方法 定性研究方法
背景情况:
- 倡导是社区卫生护理实践的核心组成部分.
- 通过不同的认识论框架来理解宣传,例如南方的认识论,可以提供新的见解.
- 以前的研究强调了护士在宣传角色中所面临的复杂性和挑战.
研究的目的:
- 探索社区卫生护理中倡导的过程,使用由南方的认识论告知的方法.
- 在个人,团体和政策层面确定护士倡导行动的促进者和障碍.
- 了解护士的宣传如何与历史区域护理价值观保持一致或与之分离.
主要方法:
- 在加拿大社区卫生中心进行的合作民族学.
- 方法学整合了de Sousa Santos的南方认识论,倡导的类型学和历史研究主题.
- 数据收集涉及420个小时的实地观察和2016年至2018年期间与21名参与护士进行的三次小组讨论.
主要成果:
- 护士在为个人和团体辩护方面表现出灵活性.
- 政策改革的尝试,例如捍卫获得护理和改善护理组织,经常受到官僚和行政规则的阻碍.
- 这些系统性障碍导致了健康促进倡议的驳回和护士道德困境的情况.
结论:
- 尽管政治气候充满挑战,但护士的倡导仍然存在,反映了持久的道德价值观和区域护理理念.
- 使用替代的认识学镜头和跨学科的研究方法 (历史,人类学) 照亮了倡导过程.
- 组织必须培养护士之间共同现实的机制,以建立集体倡导能力.
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