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另一种护理是可能的:伦理学,政治经济,在一个不确定的世界中的可能性
1Elaine Marieb College of Nursing, University of Massachusetts Amherst, Amherst, Massachusetts, USA.
概括
COVID-19 疫情揭示了医疗保健基础设施和护理的关键问题. 这篇论文探讨了替代的护理历史和伦理,以促进团结,并重新想象超越资本主义的医疗保健未来.
科学领域:
- 护理学研究 护理学研究
- 科学哲学的哲学科学哲学
- 卫生社会学 卫生社会学
背景情况:
- 由于COVID-19的流行,医疗保健资源分配和医疗保健的商品化加剧了现有的不平等现象.
- 护理正处于一个关键时刻,面临着决定,这些决定将在系统压力中塑造其未来.
- 当前的医疗保健系统受到压力,这凸显了对护理角色和价值观的重新评估的必要性.
研究的目的:
- 探索护理的替代历史叙述和本体学基础.
- 通过考虑历史影响和当前挑战,研究护理集体伦理学的潜力.
- 批评护理与后期资本主义的结合,并提出转向以社区为中心,道德的医疗保健模式.
主要方法:
- 哲学探究,借鉴伊斯贝尔·斯坦格斯的"慢科学"概念.
- 分析历史护理叙事及其对专业认同的影响.
- 在资本主义框架内对当代护理实践的伦理和本体学批判.
主要成果:
- 通过检查较少探索的护理历史起源来确定"替代的飞行路线".
- 揭示了某些历史叙述和资本主义压力如何抑制护士提供护理的能力.
- 建议接受替代历史可以培养集体伦理,并重新想象护理的未来.
结论:
- 护理必须面对它对新自由主义和资本主义的投降,以解决道德和本体学的影响.
- 基于团结和社区合作的集体道德可以重塑医疗保健.
- 利用全世界护士和助产士的集体力量和想象力,对于创造一个更公平的医疗保健未来至关重要.
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