新自由主义理性:对护理护理中的患者的现实化和失识的主要动力
1School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
概括
新自由主义医疗改革,优先考虑经济效率,导致患者物质化和护士分离. 这种"忘记认可"破坏了护理道德,因为它将患者视为对象,而不是需要同情护理的个人.
科学领域:
- 社会哲学 社会哲学是一个社会哲学.
- 医疗保健道德 医疗保健道德
- 批判理论是批判的理论.
背景情况:
- 新自由主义对医疗保健系统的影响往往以经济效率为理由.
- 这种观点挑战了市场驱动的医疗保健模式中护理的伦理基础.
研究的目的:
- 批判性地分析新自由主义转型对医疗保健,特别是护理的影响.
- 将这些变化重新定义为影响人类身份和社会关系的病态后果.
- 探索新自由主义理性如何导致患者物化和护士分离.
主要方法:
- 哲学和批判性的社会分析,借鉴了阿克塞尔·霍内斯的工作.
- 考察新自由主义理性作为一种政府形式.
- 分析护理中的"忘记认可"概念.
主要成果:
- 医疗保健中的新自由主义导致患者的物化,一种违反护理道德原则的"忘记认可".
- 护理被简化为工具性理性,专注于技术方面,忽视情感参与.
- 新自由主义的理性促进了护士的疏远,并使患者成为客观,阻碍了对其独特经验的认可.
结论:
- 新自由主义医疗理性将患者护理转化为客观化过程,与护理的伦理基础相矛盾.
- 护士必须批判性地抵制新自由主义的理性,夺回他们的代理权,并倡导真正的,基于认可的患者护理.
- 挑战新自由主义对于振兴护理和减轻其对患者福祉和社会关系的有害影响至关重要.
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