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照护轨迹学:丹麦新生儿科医护人员在决策中的体验

Careography: Staff Experiences of Navigating Decisions in Neonatology in Denmark.

机构信息

a Centre for Medical Science and Technology Studies, Department of Public Health , University of Copenhagen , Copenhagen , Denmark.

出版信息

Med Anthropol. 2018 Apr;37(3):253-266. doi: 10.1080/01459740.2017.1313841. Epub 2017 Apr 24.

Abstract

In this article, we explore medical doctors' moral experiences of being responsible for decisions on the lives and sometimes deaths of infants in a Danish Neonatal Intensive Care Unit (NICU). Drawing on fieldwork, we investigate how clinicians navigate the tension between exercising medical authority and enabling parental involvement in decisions. Introducing the term "careography", we call attention to how the doctors steer this tension through care for the infant, parents, colleagues, and society in ways that help them overcome moral ambivalences. We suggest that "careography" holds analytical potential to bridge anthropological theories of power, experience, and care.

摘要

在本文中,我们探讨了丹麦新生儿重症监护病房(NICU)的医生在对婴儿的生命和有时是死亡负责时的道德体验。通过实地调查,我们研究了临床医生如何应对行使医疗权威和使父母参与决策之间的紧张关系。通过引入“护理地理学”一词,我们提请注意医生如何通过护理婴儿、父母、同事和社会来驾驭这种紧张关系,从而帮助他们克服道德上的矛盾。我们认为,“护理地理学”具有分析潜力,可以弥合权力、经验和护理的人类学理论之间的差距。

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