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培养何种专业人才?以硕士层次护士教育作为职业化策略。

Creating what sort of professional? Master's level nurse education as a professionalising strategy.

作者信息

Gerrish Kate, McManus Mike, Ashworth Peter

机构信息

School of Nursing and Midwifery, The University of Sheffield, UK.

出版信息

Nurs Inq. 2003 Jun;10(2):103-12. doi: 10.1046/j.1440-1800.2003.00168.x.

Abstract

This paper reports on a detailed analysis of selected findings from a larger study of master's level nurse education. It locates some features of such education within the contemporary situation of nursing as a profession and interprets the role of master's level nurse education as a professionalising strategy. In-depth interviews were undertaken with a purposive sample of 18 nurse lecturers drawn from eight universities in the United Kingdom. The interview agenda explored participants' perspectives of the characteristics of master's level performance in practice. Interview transcripts were interpreted by drawing upon hermeneutic methodology. The following themes emerged. (a) The credibility of the master's level nurse was of central importance. In terms of the literature of professionalisation, this may be interpreted as a factor in enhancing the legitimacy of nursing as an occupation. (b) The clinical capability attributed to the nurse is interpreted as leading to an increase in the authority commanded by the expert professional. Thus, the individual capability of the master's level nurse enhances the attribution of autonomous skill to the occupation as a whole. (c) The master's level nurse is seen to exercise influence and leadership and this strengthens the power and status of nursing. Nursing does not have the appearance of a 'traditional' profession, neither has it a clear stance as a 'new profession'. Rather it appears to be especially responsive to the tide of public opinion manifest through government edicts. While nursing is employing rhetoric that espouses both positions, the direction of master's level education is anomalous.

摘要

本文报告了对一项关于硕士层次护理教育的大型研究中部分选定研究结果的详细分析。它将这种教育的一些特征置于护理作为一种职业的当代背景下,并将硕士层次护理教育的作用解释为一种专业化策略。对从英国八所大学抽取的18名护士讲师进行了有目的抽样的深度访谈。访谈议程探讨了参与者对实践中硕士层次表现特征的看法。访谈记录采用诠释学方法进行解读。出现了以下主题。(a)硕士层次护士的可信度至关重要。就专业化文献而言,这可被解释为增强护理作为一种职业合法性的一个因素。(b)赋予护士的临床能力被解释为导致专家型专业人员所拥有的权威增加。因此,硕士层次护士的个人能力增强了整个职业对自主技能的归属。(c)硕士层次护士被视为发挥影响力和领导力,这增强了护理的权力和地位。护理既没有“传统”职业的表象,也没有作为“新职业”的明确立场。相反,它似乎对通过政府法令体现的公众舆论潮流特别敏感。虽然护理使用支持这两种立场的言辞,但硕士层次教育的方向却与众不同。

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