School of Nursing, Thompson Rivers University, Kamloops, British Columbia, Canada.
University of Calgary, Calgary, Alberta, Canada.
Nurs Inq. 2019 Oct;26(4):e12312. doi: 10.1111/nin.12312. Epub 2019 Aug 21.
In this article, we discuss how we used institutional ethnography (Institutional ethnography as practice, Rowman & Littlefield, Lanham, MD and 2006) to map out powerful ruling relations that organize nurses' wound care work. In recent years, the growing number of people living with wounds that heal slowly or not at all has presented substantial challenges for those managing the demands on Canada's publicly insured health-care system. In efforts to address this burden, Canadian health-care administrators and policy-makers rely on scientific evidence about how wounds heal and what treatments are most effective. Advanced wound care exemplifies the growing authorization of particular forms of evidence that change the ways in which nurses come to know about and conduct their work. The focus of this paper's nursing inquiry is a critique of registered nurses' wound work as it arises within the established uptake of scientific evidence.
在本文中，我们讨论了如何使用制度民族志（《制度民族志实践》，罗文和利特菲尔德，拉纳姆，马里兰州，2006 年）来描绘组织护士伤口护理工作的强大统治关系。近年来，越来越多的人患有愈合缓慢或根本无法愈合的伤口，这给管理加拿大公共医疗保险制度需求的人带来了巨大挑战。为了应对这一负担，加拿大医疗保健管理人员和政策制定者依赖于关于伤口如何愈合以及哪些治疗方法最有效的科学证据。高级伤口护理是越来越多地授权使用特定形式的证据的一个例子，这些证据改变了护士了解和开展工作的方式。本文护理研究的重点是对注册护士在接受科学证据的既定过程中出现的伤口工作的批判。
