Faculty of Nursing and the Dossetor Health Ethics Centre, University of Alberta, Edmonton, AB, Canada.
Nurs Philos. 2011 Jul;12(3):158-66. doi: 10.1111/j.1466-769X.2011.00492.x.
Corporate and commercial values are inducing some healthcare organizations to prescribe a customer service model that reframes the provision of nursing care. In this paper it is argued that such a model is incommensurable with nursing conceived as a moral practice and ultimately places nurses at risk. Based upon understanding from ongoing research on compassion fatigue, it is proposed that compassion fatigue as currently experienced by nurses may not arise predominantly from too great a demand for compassion, but rather from barriers to enacting compassionate care. These barriers are often systemic. The paradigm shift in which healthcare environments are viewed as marketplaces rather than moral communities has the potential to radically affect the evolution of nursing as a discipline.
企业和商业价值观正在促使一些医疗机构采用一种客户服务模式，重新构建护理服务的提供方式。本文认为，这种模式与将护理视为道德实践的理念是不可通约的，最终会使护士面临风险。基于对同情疲劳的持续研究的理解，有人提出，护士目前所经历的同情疲劳可能不是主要源于对同情的过度需求，而是源于实施同情护理的障碍。这些障碍往往是系统性的。将医疗环境视为市场而不是道德共同体的范式转变有可能从根本上影响护理作为一门学科的发展。
