从颠覆到强硬的公平:对急救部门护士促进公平的做法进行话语分析
Allie Slemon1, Vicky Bungay, Colleen Varcoe
1Author Affiliations: School of Nursing, University of Victoria, Victoria, British Columbia, Canada (Dr Slemon); School of Nursing, The University of British Columbia, Vancouver, Canada (Drs Bungay and Varcoe); and Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada (Dr Blanchet Garneau).
护士通过挑战主流话语和颠覆权力结构来促进急诊室的健康公平. 这项研究强调,需要为实施促进公平行为的护士提供系统性支持.
科学领域:
- 护理 护理 护理
- 健康 公平 卫生 公平
- 话语分析 话语分析
背景情况:
- 建立了护理对健康公平的承诺.
- 了解护士对公平的规定至关重要.
- 医疗保健系统面临着严重的不平等.
研究的目的:
- 检查护士的公平实践是如何被主流话语所塑造的.
- 调查护士在急诊室的促进公平行为的做法.
- 确定在受限制的环境中制定公平的策略.
主要方法:
- 福考尔德式的话语分析.
- 检查护士促进公平的做法.
- 在急诊室设置中的分析.
主要成果:
- 通过颠覆言论权力,从事促进公平行为的护士.
- 在急救部门内占主导地位的言论限制了公平.
- 护士们克服了制度上的限制,以促进公平.
结论:
- 在医疗保健系统中嵌入公平性话语是必不可少的.
- 护士需要有意义的支持来制定促进公平的做法.
- 颠覆话语权力是护士在促进公平性方面的关键策略.
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