Winch Sarah, Creedy Debra, Chaboyer And Wendy
Nursing Education and Research Unit, Princess Alexandra Hospital, Woolloongabba, Brisbane, Australia.
Nurs Inq. 2002 Sep;9(3):156-61. doi: 10.1046/j.1440-1800.2002.00148.x.
Drawing on the Foucauldian concept of 'governmentality' to analyse the evidence-based movement in nursing, we argue that it is possible to identify the governance of nursing practice and hence nurses across two distinct axes; that of the political (governance through political and economic means) and the personal (governance of the self through the cultivation of the practices required by nurses to put evidence into practice). The evaluation of nursing work through evidence-based reviews provides detailed information that may enable governments to target and instruct nurses regarding their work in the interest of preserving the health of the population as a whole. Political governance of the nursing population becomes possible through centralised discursive mechanisms, such as evidence-based reviews that present nursing practice as an intelligible field whose elements are connected in a more or less systematic manner. The identity of the evidence-based nurse requires the modern nurse to develop new skills and attitudes. Evidence-based nursing is an emerging technology of government that judges nursing research and knowledge and has the capacity to direct nursing practice at both the political and personal level.
借鉴福柯的“治理术”概念来分析护理领域的循证运动，我们认为，有可能从两个不同的轴来确定护理实践的治理方式，进而确定护士的治理方式；一个是政治轴（通过政治和经济手段进行治理），另一个是个人轴（通过培养护士将证据应用于实践所需的实践来进行自我治理）。通过循证综述对护理工作进行评估，可提供详细信息，使政府能够为了维护全体民众的健康，针对护士的工作进行定位并给予指导。通过集中化的话语机制，如将护理实践呈现为一个可理解的领域，其要素以或多或少系统的方式相互关联的循证综述，对护士群体进行政治治理成为可能。循证护士的身份要求现代护士培养新的技能和态度。循证护理是一种新兴的治理技术，它评判护理研究和知识，并能够在政治和个人层面指导护理实践。
