以人为中心的护理错误:解构话语,重新想象实践
1Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, England.
概括
尽管以人为中心的护理占据着重要地位,但由于系统性障碍,它面临着实施挑战. 这种批评认为,对于一个
科学领域:
- 医疗保健政策和实践 医疗保健政策和实践
- 护理的哲学 护理的哲学
- 专业道德的职业道德.
背景情况:
- 以人为中心的护理被广泛采用为医疗保健的黄金标准,影响机构和专业身份.
- 尽管它很突出,但官僚结构和相互矛盾的议程阻碍了以人为中心的护理的一贯实施.
- 现有的框架未能使医疗保健专业人员能够挑战那些损害患者自主权和代理权的做法.
研究的目的:
- 批评医疗保健中以人为中心的护理的现状和实施.
- 探索由哲学概念启发的医疗保健专业人员新模式的潜力.
- 提出一个"超专业"的模式,使从业者能够维护真正的护理原则.
主要方法:
- 对以人为中心的护理进行解构性批评,借鉴德里德哲学.
- 对医疗保健实践和专业角色的哲学调查.
- 基于尼采哲学的"超专业"的概念化.
主要成果:
- 据说以人为中心的护理在实践中"死亡",受到其支持者和系统性问题的破坏.
- 这个概念的原始意图和受益人受到质疑.
- "超专业"模式为真正的实践提供了框架,并抵制了妥协的护理.
结论:
- 以人为中心的护理的失败需要在医疗保健实践中进行范式转变.
- "超专业"模式为赋权的医疗保健专业人员提供了一个愿景,致力于真正的患者倡导.
- 这种新模式鼓励从业人员挑战制度约束,并确保患者的声音是关键的护理决策.
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