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护理作为“不服从”的实践:护士自我的关怀、帕拉塞尔斯和毫无根据悖论的瓦解。

Nursing as 'disobedient' practice: care of the nurse's self, parrhesia, and the dismantling of a baseless paradox.

机构信息

School of Nursing, Faculty of Health Sciences, University of Ottawa, Ontario, Canada.

出版信息

Nurs Philos. 2013 Jul;14(3):154-67. doi: 10.1111/nup.12015.

DOI:10.1111/nup.12015
PMID:23745657
Abstract

In this paper, I discuss nurses' ongoing difficulty in engaging with politics and address the persistent belief that political positioning is antithetical to quality nursing care. I suggest that nurses are not faced with choosing either caring for their patients or engaging with politics. I base my discussion on the assumption that such dichotomy is meaningless and that engaging with issues of relationships firmly grounds nursing in the realm of politics. I argue that the ethical merit of nursing care relies instead on positioning nurses squarely at the centre of care activities, experiences, and functions. Such positioning makes possible what Foucault called 'practices of self-formation', that is, micro-level processes that balance out the ubiquitous economic, cultural, legal, and scientific technologies that steadily constitute subjects in this era of modernity. Nurses, then, become not a group that needs to be controlled and governed, but individuals who must care for their self before they may care for anyone else.

摘要

在本文中,我讨论了护士在参与政治方面持续面临的困难,并探讨了一种持续存在的观点,即政治立场与高质量护理护理是相悖的。我认为,护士不必在照顾病人和参与政治之间做出选择。我的讨论基于这样一种假设,即这种二分法毫无意义,而与关系问题的接触将护理牢固地置于政治领域。我认为,护理的伦理价值在于将护士直接定位在护理活动、经验和功能的中心。这种定位使福柯所说的“自我形成实践”成为可能,即微观层面的过程,这些过程平衡了无处不在的经济、文化、法律和科学技术,这些技术在现代性的这个时代不断地构成主体。因此,护士不是一个需要被控制和管理的群体,而是必须先照顾好自己,然后才能照顾他人的个体。

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