Sydney Nursing School, The University of Sydney, Sydney, NSW 2006, Australia.
Nurs Philos. 2013 Jul;14(3):201-11. doi: 10.1111/nup.12019.
The purpose of this paper is to explore how nurses are enrolled into and take part in programmes of efficiency and effectiveness. Using the philosophical theorizing about desire as a force or power, I focus specifically on what is understood as relations between desire and productivity in current Westernized health-care systems. Use is made of the idea from Spinoza that human emotions consist only of pleasure, pain, and desire as these act as a motive force. This is then linked with more contemporary work on the politics and discourses of desire. A report on the implementation of a productivity programme in the United Kingdom, The Productive Ward: Releasing time to care™, is explored for the ways its developers set about motivating nurses to endorse and enact the programme. In exploring the mechanics of desire in these processes, a view of desire as productive is promoted. Looking at desire as assembling actions, and an assemblage, moves the analysis to an interrogation of actions and practices used to enable and bring nurses to the process. Moreover, in working through the various modalities and operations of desire, the potential and limits of such projects are abstracted. Such potentials and limits are necessarily set by the intensification of power and desire in the capitalist economy, saturating areas of nursing, and health-care provision.
本文旨在探讨护士如何参与效率和效益计划。本文运用关于欲望的哲学理论，将其视为一种力量或动力，特别关注当前西方化医疗保健系统中理解的欲望与生产力之间的关系。本文采用斯宾诺莎的观点，即人类情感仅由快乐、痛苦和欲望组成，因为这些情感是动机。然后将其与关于欲望的政治和话语的更现代的工作联系起来。本文探讨了英国实施生产力计划的报告，即《高效病房：释放时间进行护理》，以了解其开发者如何激励护士认可和实施该计划。在探索这些过程中的欲望机制时，本文提倡将欲望视为具有生产力的。将欲望视为组装行动和组合，将分析转向对用于使护士参与该过程的行动和实践的质疑。此外，通过对欲望的各种形式和操作的研究，抽象出了这些项目的潜力和局限性。这些潜力和局限性必然受到资本主义经济中权力和欲望的强化的限制，这种强化充斥着护理和医疗保健领域。
