作为护理抵抗的社会正义:在急诊室内对福卡尔德式话语的分析
Allie Slemon1, Vicky Bungay2, Colleen Varcoe2
1School of Nursing, University of Victoria, Victoria, British Columbia, Canada.
概括
护士通过系统的方法挑战主导的分配观点,承认和解决急诊室的健康不平等,从而实现社会正义. 这种转变支持更好的患者护理和健康结果.
科学领域:
- 护理实践 护理实践
- 社会正义研究 社会正义研究
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 社会正义是护理的核心价值,但它的概念化和实际应用,特别是在急诊室,缺乏经验深度.
- 在医疗保健中仍然存在结构性不平等,需要了解护士如何感知和实施社会正义.
研究的目的:
- 分析护士的言论和机构文本如何在急诊室内构建社会正义.
- 探索这些话语如何影响在护理实践中实现社会正义.
主要方法:
- 福卡尔德语对25次与急诊室护士的采访和27份机构文件进行话语分析.
- 利用了Iris Marion Young关于分配和系统社会正义范式的理论.
主要成果:
- 确定了社会正义的主导分布式范式,经常受到护士系统方法的挑战.
- 护士的系统性范式通过分拣,减少伤害和护理规划等实践促进了对不平等的认识和纠正.
结论:
- 护理中社会正义的概念化在很大程度上是分配性的.
- 通过系统性范式重建社会正义,可以赋予护士实施减少健康和医疗保健不平等的做法.
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