对宿舍招生语言的批判性话语分析
Robert Parker1, Fuqin Liu1, Nina Fredland1
1Texas Woman's University, Denton, TX, USA.
The American journal of hospice & palliative care
|November 13, 2025
概括
住院招生障碍是由社会因素和权力动态塑造的,影响患者和家庭的决策. 了解这些话语是改善终身护理的关键.
科学领域:
- 医学社会学 医学社会学
- 卫生沟通健康沟通
- 话语分析 话语分析
背景情况:
- 医疗保险受益人群中的临终关怀入学人数正在下降,尽管已证明有好处.
- 确定的障碍包括缺乏知识,对医疗保健的不信任以及提供者多样性问题.
- 围绕临终关怀注册的论述仍然没有得到充分的研究,掩盖了社会和权力相关的障碍.
研究的目的:
- 分析影响住院招生决策的语言和权力动态.
- 探索患者,护理人员和医疗保健专业人员之间的这些动态.
- 使用一个批判性话语分析框架.
主要方法:
- 基于费尔克洛的三维框架的定性批判性话语分析 (CDA).
- 多个案例研究设计涉及四个参与者群体:患者,家庭护理人员,宿舍护士和医疗主任.
主要成果:
- 三种主要话语出现了:决策动力学,帮助,信念和相信.
- 这些话语揭示了社会结构和权力关系如何影响入学率.
- 个人信念也在宿舍招生讨论中发挥着重要作用.
结论:
- 社会结构,权力关系和个人信仰显著影响住院招生话语.
- 需要以患者为中心的方法来解决家庭动态,社会规范和自主权.
- 识别和参与这些因素可以改善宿舍护理的准入.
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