Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.
Nurs Inq. 2020 Jul;27(3):e12346. doi: 10.1111/nin.12346. Epub 2020 Feb 16.
Nursing practice occurs in the context of conversations with healthcare users, other healthcare professionals, and healthcare institutions. This discussion paper draws on symbolic interactionism and Fairclough's method of critical discourse analysis to examine language that nurses use to describe the people in their care and their practice. We discuss how nurses' use of language constructs meaning about healthcare users and their own work. Through language, nurses are articulating what they believe about healthcare users and nursing practice. We argue that the language nurses use can contribute to viewing their practice as tasks on bodies that must be accomplished efficiently and objectively within the biomedical model, rather than relational and person-centered. Moreover, the language nurses use can perpetuate a sense of powerlessness within healthcare systems yet paradoxically they are in a position of power over healthcare users. Nurses' compliance with the efficiency and biomedical model results in a lack of emphasis on the full breadth of nursing work, which could be enacted in relational rather than power-laden practices. We conclude by positing that careful use of language among nurses in all settings is essential, if we are to begin to articulate what nursing is to ourselves and to others.
护理实践是在与医疗保健用户、其他医疗保健专业人员和医疗机构的对话背景下进行的。本文讨论了符号互动论和 Fairclough 的批判话语分析方法，以探讨护士用来描述他们所照顾的人和他们的实践的语言。我们讨论了护士使用语言构建关于医疗保健用户和他们自己的工作的意义。通过语言，护士表达了他们对医疗保健用户和护理实践的看法。我们认为，护士使用的语言可能会导致将他们的实践视为必须在生物医学模式下高效、客观地完成的身体任务，而不是关系和以人为中心的实践。此外，护士使用的语言可能会在医疗保健系统中造成一种无能为力的感觉，但矛盾的是，他们对医疗保健用户拥有权力。护士对效率和生物医学模式的遵守导致对护理工作的全部范围缺乏重视，这些工作可以在关系而不是权力 laden 的实践中实施。我们最后提出，如果我们要开始向自己和他人阐明护理是什么，那么护士在所有环境中都要谨慎使用语言。
