如果一张床只是一张床,那么护士是什么呢? 护士在一个有争议的话语领域的身份谈判 - - 一个机构民族学
Lisbeth Lauge Andersen1, Lene Lauge Berring2, Bibi Hølge-Hazelton3
1Department of Nursing Education, University College Lillebaelt, Odense, Denmark.
Nursing inquiry
|November 18, 2025
概括
这项研究探讨了机构话语如何影响护理中的以人为中心的护理. 新自由主义的效率压力影响护士.
科学领域:
- 医疗保健管理的管理
- 护理学研究 护理学研究
- 卫生社会学 卫生社会学
背景情况:
- 以人为中心的护理是全球推广,以提高医疗保健质量,患者安全和护理工作环境.
- 丹麦一所大学医院将以人为中心的方法融入其核心战略和护理实践中.
- 了解机构话语和护理实践之间的相互作用对于有效实施至关重要.
研究的目的:
- 探索机构话语和护士关于意义和身份的谈判之间的联系.
- 分析这些联系对以人为中心的护理实践的影响.
- 调查机构逻辑和新自由主义效率话语如何塑造护理实践和工作环境.
主要方法:
- 机构民族学利用参与者观察和采访护士和护士经理.
- 对相关的机构文件进行审查.
- 与护士作为共同研究者的共同创作研讨会,以进行批判性反思和联合分析.
主要成果:
- 机构话语塑造了调解和协调护理实践的统治关系.
- 机构逻辑影响护士以人为中心,整体的声音.
- 新自由主义的效率论述产生了影响护士工作环境和提供以人为中心护理能力的交叉压力.
结论:
- 政策和机构话语对以人为中心的护理的提供有重大影响.
- 分析揭示了主导话语如何无意中阻碍以人为中心的做法.
- 解决新自由主义效率论述的影响对于支持护士和培养真正以人为中心的护理至关重要.
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