手术室护理中的管理:护士对各个外科医生的了解。
Governance in operating room nursing: nurses' knowledge of individual surgeons.
作者信息
Riley Robin Glenda, Manias Elizabeth
机构信息
The University of Melbourne, Melbourne, Victoria, Australia.
出版信息
Soc Sci Med. 2006 Mar;62(6):1541-51. doi: 10.1016/j.socscimed.2005.08.007. Epub 2005 Sep 26.
This paper explores governance and control in operating room nurses' clinical practice. Traditionally, operating room nurses have been portrayed as "handmaidens" to the surgeons, a position which implies that nurses' bodies and the knowledge they use in practice are sites of discursive control by others. This paper unsettles this understanding by showing how operating room nurses studied ethnographically in an Australian setting are both disciplined by and actively shape practice through knowing surgeons' technical requirements for surgery, through inscribing them in discourses of time, and through having deep knowledge of the surgeons' "soul". We argue that as a form of governance, nurses' knowledge of surgeons is a subjugated form of knowledge, located low down on a hierarchy of knowledges. Furthermore, as a form of governance that has previously been unarticulated in the literature, it transcends the traditional lines of authority and control in the nurse-doctor relationship. The data in this paper are drawn from an ethnographic study that explored a range of nurse-nurse and nurse-doctor communication practices in operating room nursing.
本文探讨手术室护士临床实践中的管理与控制。传统上,手术室护士被描绘为外科医生的“女仆”,这一角色意味着护士的身体以及她们在实践中运用的知识是他人话语控制的对象。本文通过展示在澳大利亚背景下进行人种志研究的手术室护士如何既受到外科医生手术技术要求的约束,又通过将这些要求铭刻在时间话语中,并深入了解外科医生的“灵魂”,从而积极塑造实践,打破了这种认知。我们认为,作为一种管理形式,护士对外科医生的了解是一种被压制的知识形式,处于知识等级体系的底层。此外,作为一种此前文献中未明确阐述的管理形式,它超越了护士与医生关系中传统的权威和控制界限。本文的数据来自一项人种志研究,该研究探讨了手术室护理中一系列护士与护士、护士与医生的沟通实践。