竞争话语作为康复护理变革的障碍:话语分析
Sanne Angel1, Randi Steensgaard2, Raymond Kolbaek1
1Research Unit of Nursing and Healthcare, Department of Public Health, Faculty of Health, Aarhus University, Aarhus, Denmark.
Frontiers in rehabilitation sciences
|December 27, 2023
概括
行动研究面临的挑战是改变脊髓损伤患者的护理实践. 由于组织结构,护士遇到了障碍,尽管他们的目标是改善患者参与.
科学领域:
- 康复护理 康复护理
- 行动研究行动研究
- 话语分析 话语分析
背景情况:
- 专门的康复单位的行动研究旨在将研究纳入实践.
- 尽管有新的见解,但在改变基本的护理实践方面遇到了挑战.
研究的目的:
- 探索护士试图改变实践以改善患者参与的障碍.
- 提高对管理这些障碍的机制的认识.
主要方法:
- 基于费尔克洛和福柯的理论的批判性话语分析.
- 分析微观层面的经验数据和宏观层面的社会/机构话语.
主要成果:
- 确定了两个主要话语:生物医学和生物心理社会.
- 护士与生物心理社会话语保持一致,但受到生物医学主导的组织实践的限制.
- 组织任务和结构阻碍了护士实施所需变革的能力.
结论:
- 组织结构和主流的生物医学话语阻碍了护士采取以患者为中心,生物心理社会方法的努力.
- 改变护理实践的障碍深深植根于制度和社会话语中.
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