Lewis Steven
President, Access Consulting Saskatoon, SK.
Nurs Leadersh (Tor Ont). 2014 Dec;27(4):65-70. doi: 10.12927/cjnl.2015.24138.
Nursing is everywhere in healthcare and at all levels, and is among other things numerically dominant. Yet it arguably plays a less prominent role in charting the future course of the system than it should. As in any complex system, power matters in health, and the history of healthcare and gender relations explains a good deal of why nursing's influence has not rivaled that of medicine. But society has progressed immensely in the last century and nursing has both contributed to and benefited from these broader social trajectories. If the profession is to expand its leadership role in healthcare, it will have to reflect on its internal politics, its culture of representation and decision-making, and how to translate its diversity into a coherent change agenda. Perhaps above all it must champion and focus on the public interest to avoid being defined as just another interest group.
护理在医疗保健领域无处不在，且处于各个层面，在数量上占主导地位。然而，可以说它在规划该体系未来发展方向方面所发挥的作用，本应更大却未达到。如同在任何复杂系统中一样，权力在医疗领域至关重要，而医疗保健的历史以及性别关系，很大程度上解释了为何护理的影响力未能与医学相匹敌。但在上个世纪，社会取得了巨大进步，护理既为这些更广泛的社会发展轨迹做出了贡献，也从中受益。如果该职业想要在医疗保健领域扩大其领导作用，就必须反思其内部政治、其代表性和决策文化，以及如何将其多样性转化为连贯的变革议程。也许最重要的是，它必须捍卫并关注公共利益，以免被定义为仅仅是另一个利益集团。
