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具有颠覆传统护理教育潜力的论述:护理教师关于规范批判性能力的探讨

Discourses with potential to disrupt traditional nursing education: Nursing teachers' talk about norm-critical competence.

作者信息

Tengelin Ellinor, Dahlborg-Lyckhage Elisabeth

机构信息

Department of Health Sciences; University West, Trollhättan, Sweden.

School of Health and Welfare; Jönköping University, Jönköping, Sweden.

出版信息

Nurs Inq. 2017 Jan;24(1). doi: 10.1111/nin.12166. Epub 2016 Nov 5.

Abstract

This paper describes the discourses underlying nursing teachers' talk about their own norm-critical competence. Norm criticism is an approach that promotes awareness and criticism of the norms and power structures that exert an excluding effect in society in general and in the healthcare encounter in particular. Given the unequal relationships that can exist in healthcare, for example relationships shaped by racism, sexism and classism, a norm-critical approach to nursing education would help illuminate these matters. The studied empirical material consisted of focus group interviews. Nursing teachers discussed their norm-critical competence based on the university course "Norm-Aware Caring" in which they had recently participated. Through a critical discourse analysis, three discourses were identified in their talk, all of which had the potential to disrupt traditional, normative nursing education. However, in all three discourses there was an underlying discourse of normality, clearly positioning the teachers as exemplifying the "normal." The binary constructed between normality and otherness contradicts a basic tenet of the norm-critical approach and may hamper the development of genuine norm-critical competence in nursing education.

摘要

本文描述了护理教师谈论自身规范批判能力背后的话语。规范批判是一种促进对规范和权力结构的认识与批判的方法,这些规范和权力结构在整个社会,尤其是在医疗护理过程中产生排斥性影响。鉴于医疗护理中可能存在的不平等关系,例如由种族主义、性别歧视和阶级歧视所塑造的关系,护理教育中的规范批判方法将有助于阐明这些问题。所研究的实证材料包括焦点小组访谈。护理教师基于他们最近参加的大学课程“规范意识关怀”讨论了自己的规范批判能力。通过批判性话语分析,在他们的谈话中识别出三种话语,所有这些话语都有可能扰乱传统的规范性护理教育。然而,在这三种话语中都存在一种常态话语,明确将教师定位为“常态”的典范。常态与他者之间构建的二元对立与规范批判方法的一个基本原则相矛盾,可能会阻碍护理教育中真正规范批判能力的发展。

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