Deakin University, Burwood 3125, Vic., Australia.
Nurs Inq. 2009 Sep;16(3):251-60. doi: 10.1111/j.1440-1800.2009.00449.x.
The nurses' relationship to knowledge has been theorised in a variety of different ways, not the least being in relation to medical dominance. In this study, the authors report on one of the findings of a case study into nurses' anxiety informed by psychoanalytic theory. They argue that the nurse's subjection to the knowledge of the other health professional, inclusive of the doctor, can be a transference arising in the context of anxiety for the nurse. Grasped by anxiety, the nurse finds their own knowledge insufficient and in this moment can operate a transference to their non-nursing colleague, who obligingly, responds. This transference is not present in the change-of-shift handover report though, when the other's knowledge is suspect, even open to derision. Thus, this reference to the knowledge of the other is not consistently present in nursing and can be seen to be just one way that nurses organise themselves in relation to anxiety. Therefore, those wanting to break down the medical dominance of the nursing profession might consider other ways nurses might organise themselves in relation to anxiety, so that the political dominance of the other is not reinforced via transference to that other.
护士与知识的关系已经以各种不同的方式进行了理论化，尤其是与医学主导地位有关。在这项研究中，作者报告了一项基于精神分析理论的对护士焦虑进行个案研究的发现之一。他们认为，护士对其他卫生专业人员（包括医生）的知识的服从，可以是护士焦虑背景下产生的移情。被焦虑所抓住的护士发现自己的知识不足，在这个时刻，他们可以对他们的非护理同事进行移情，而这位同事则会欣然回应。然而，在交接班报告中，这种移情并不存在，因为其他人的知识是可疑的，甚至可以被嘲笑。因此，这种对他人知识的提及在护理中并不总是存在，并且可以被视为护士应对焦虑的一种方式。因此，那些希望打破护理专业医学主导地位的人可能会考虑其他方式，让护士在面对焦虑时能够组织自己，从而避免通过向其他人转移来强化其他人的政治主导地位。
