伦理谈判的牧师实践:社区护士和患者自我管理的实施
1Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, London, UK.
Sociology of health & illness
|October 2, 2025
概括
社区护士通过调和患者的自我管理来应对道德挑战,促进患者的自我管理.
科学领域:
- 社会学 社会学 社会学
- 卫生政策 卫生政策
- 政府性研究 治理性研究
背景情况:
- 全球卫生政策越来越强调患者对长期疾病的自我管理.
- 社会学理论,特别是福柯的政府性,分析了"负责任"患者身份的构建.
- 卫生专业人员充当"牧师",塑造患者的决策和自给自足.
研究的目的:
- 探索英格兰社区护士如何实施鼓励患者自我管理的政策.
- 调查护士在平衡"浪费观看"与专业护理价值观时所进行的伦理谈判.
- 检查"集体技术"在定义伦理护理实践中的作用.
主要方法:
- 在基于社区的综合护理 (CBIC) 服务中收集民族学数据.
- 对护士互动和决策过程的分析.
- 政府性理论和牧师护理模型的应用.
主要成果:
- 参与"道德谈判实践"的护士,以协调竞争的效率和护理需求.
- 社区护士集体使用"集体的技术"来定义伦理实践.
- 护士们将重点从个体患者的"自我技术"转移到以团队为基础的方法.
结论:
- 专业社区不断努力在新自由主义医疗保健系统中保持道德标准.
- 社区护士的集体行动对于应对复杂的政策要求至关重要.
- 这项研究有助于理解政府性在医疗保健环境中的实际实施.
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