Eastlick Kushner Kaysi, Harrison Margaret J
Faculty of Nursing, Centre for Health Promotion Studies, School of Public Health at University of Alberta, Edmonton, Alberta, Canada.
J Holist Nurs. 2011 Mar;29(1):7-17; quiz 18-20. doi: 10.1177/0898010110376323. Epub 2010 Jul 30.
We investigated how mothers employed in support staff positions make personal and family health decisions.
We used a critical feminist grounded theory design.
Twenty women employed at a large Canadian institution participated over two years in repeat interactive interviews.
"Finding a balance" was the emergent core process of health decision making in response to the basic social problem of multiple demands and uncoordinated, sometimes conflicting ideologies. Women emphasized recursive movement within a continuous process of four action phases: cueing in, figuring out, generating solutions, and assessing results. Two distinct views of finding a balance were revealed: weighing competing interests or harmonizing multiple interests. These distinctive views contributed to variation in women's approaches to decision making and to their personal and family health experiences.
Women's experiences suggest a capacity for reflective practice in health decision making that provides an excellent basis for holistic, emancipatory nursing practice.
我们调查了担任辅助人员职位的母亲如何做出个人和家庭健康决策。
我们采用了批判性女性主义扎根理论设计。
二十名受雇于加拿大一家大型机构的女性在两年时间里参与了多次互动访谈。
“找到平衡”是应对多种需求以及不协调、有时相互冲突的意识形态这一基本社会问题时健康决策的新出现的核心过程。女性强调在四个行动阶段的连续过程中的递归运动：提示、弄清楚、生成解决方案和评估结果。揭示了两种不同的找到平衡的观点：权衡相互竞争的利益或协调多种利益。这些独特的观点导致了女性决策方式及其个人和家庭健康经历的差异。
女性的经历表明在健康决策中具有反思性实践的能力，这为整体的、解放性的护理实践提供了极好的基础。
