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护士在重症监护病房的管理经历与管理工作

Nurses' Experiences of Managing and Management in a Critical Care Unit.

作者信息

Ogle K Robyn, Glass Nel

机构信息

Australian Catholic University, Melbourne, Victoria, Australia.

出版信息

Glob Qual Nurs Res. 2014 Jun 3;1:2333393614532617. doi: 10.1177/2333393614532617. eCollection 2014 Jan-Dec.

DOI:10.1177/2333393614532617
PMID:28462287
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5342859/
Abstract

In this article, we describe the major findings of an ethnographic study undertaken to investigate nurses' experiences of managing nurses and being managed by nurses in an Australian critical care unit. Our purpose was to valorize and make space for nurses to speak of their experiences and investigate the cultural practices and knowledges that comprised nursing management discourses. Subjugated practices, knowledges, and discourses were identified, revealing how nurses were inscribed by, or resisted, the discourses, including their multiple mobile subject positions. Informed by critical, feminist, and postmodern perspectives, nine mobile subject positions were identified. Direct participant observation, participant interviews, and reflective field notes were analyzed for dominant and subjugated discourses. The major finding described is the subject position of "junior novice." Nurses informed by dominant patriarchal and organizational discourses participated in constructing and reinscribing their own submissive identity reflected in interprofessional relations that lacked individual valuing and undermined their self-esteem.

摘要

在本文中,我们描述了一项人种志研究的主要发现,该研究旨在调查澳大利亚一家重症监护病房护士管理护士以及被护士管理的经历。我们的目的是重视护士谈论自身经历的机会并为其创造空间,同时调查构成护理管理话语的文化实践和知识。我们识别出了被压制的实践、知识和话语,揭示了护士如何被这些话语铭刻或抵制,包括他们多重灵活的主体位置。基于批判、女性主义和后现代视角,我们识别出了九个灵活的主体位置。我们对直接参与观察、参与式访谈和反思性实地笔记进行了分析,以找出主导性和被压制性话语。所描述的主要发现是“初级新手”这一主体位置。受主导性父权制和组织话语影响的护士参与构建并重新铭刻了他们自身顺从的身份,这体现在缺乏个体重视并损害他们自尊的跨专业关系中。