Richman Joel, Mercer Dave
Manchester Metropolitan University, Department of Health Care Studies, Elizabeth Gaskell Campus, Manchester, UK.
J Nurs Manag. 2004 Sep;12(5):290-8. doi: 10.1111/j.1365-2834.2004.00444.x.
A new managerial language of modernization has accompanied political restructuring of the National Health Service. Corporate goals of efficiency and audit have been integrated with the ideological manifesto of New Labour in stressing citizenship, inclusion and empowerment. Drawing on the theoretical insights of anthropology and sociology, this article critically reviews the relationship between health policy, organizational culture and nursing practise through an exploration of language in terms of "rhetoric", "jargon" and "metaphor". It is suggested that beyond the bewildering vocabulary of "buzz words" is a fundamental contradiction between the ethic of caring and the expectations of Government. Finally thought is given to the role of professional education and training where intellectual engagement with the ritual categories of "newspeak" is a subversive act.
一种关于现代化的新管理语言伴随着国民医疗服务体系的政治重组出现。效率和审计的企业目标已与新工党强调公民身份、包容和赋权的意识形态宣言相结合。本文借鉴人类学和社会学的理论见解，通过从“修辞”“行话”和“隐喻”方面对语言进行探究，批判性地审视了卫生政策、组织文化与护理实践之间的关系。研究表明，在令人困惑的“流行语”词汇背后，是关怀伦理与政府期望之间的根本矛盾。最后思考了专业教育与培训的作用，其中对“新语”的仪式性范畴进行理性参与是一种颠覆性的行为。
