中国医院护理中心主义的历史根源 (1835年至今):一条路径依赖分析
Jackie Zhanbiao Li1,2, Duo Wang3, Huohuo Dai4,5
1Faculty of Business, Curtin University Malaysia, Miri, Malaysia.
International nursing review
|February 23, 2026
概括
中国的护理专业仍然被边缘化,因为历史的机构路径依赖. 改革必须针对治理结构,而不仅仅是教育,真正的专业化和赋权.
科学领域:
- 医疗保健政策 医疗保健政策
- 护理历史 护理历史
- 机构理论是制度理论.
背景情况:
- 尽管取得了进展,但中国的护理专业仍面临着结构性边缘化.
- 了解历史根源对于解决护理服从至关重要.
研究的目的:
- 追踪中国医院护理中心主义的历史演变 (1835年至今).
- 检查机构路径依赖如何塑造护理在医生主导的系统中的下属地位.
主要方法:
- 路径依赖理论应用于中国护理发展的五个关键阶段 (1835年至今).
- 分析使用了四维框架 (专业,组织,财政,治理) 跨越不同的数据源.
主要成果:
- 护理一直被嵌入到一个"医生领导,护士下属"的治理结构中.
- 根深蒂固的制度安排限制了护理的专业范围,尽管教育和立法改革.
结论:
- 作为辅助角色的历史性制度化阻碍了护理身份,治理参与和资源获取.
- 有效的护理专业化需要重组治理机制,并解决根深蒂固的制度逻辑.
- 赋权需要重新设计医院治理中的护理角色,决策和职业道路.
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