McLain B R
Department of Family Health Care Nursing, School of Nursing, University of California, San Francisco, CA 94143.
Res Nurs Health. 1988 Dec;11(6):391-8. doi: 10.1002/nur.4770110607.
The purpose of this critical theory study was to investigate the observed failure of nurses and physicians to collaborate, and the underlying meaning behind this failure. Using a phenomenological and participatory approach, 18 family nurse practitioners and physicians in joint practice were interviewed separately and together about their practice relationships. Transcribed interviews and data summaries were returned to the participants for review and validation. Emergent themes were analyzed using the critical theory of Jürgen Habermas. Results demonstrated that distorted communication and nonmeaningful interactions were promoted by both nurses and physicians. Elements identified as contributing to more successful collaborative practices included a willingness to move beyond basic information exchange in nurse/physician interactions, the willingness and ability to challenge distortions and assumptions in the relationship, and a belief system based on critical self-reflection.
这项批判性理论研究的目的是调查观察到的护士与医生之间协作失败的情况，以及这种失败背后的潜在意义。采用现象学和参与式方法，分别对18名联合执业的家庭护士从业者和医生进行了单独访谈和共同访谈，了解他们的执业关系。访谈记录和数据摘要返回给参与者进行审查和验证。使用尤尔根·哈贝马斯的批判性理论对浮现出的主题进行分析。结果表明，护士和医生都助长了沟通扭曲和无意义的互动。被确定为有助于更成功协作实践的因素包括：愿意超越护士/医生互动中的基本信息交流，愿意并有能力挑战关系中的扭曲和假设，以及基于批判性自我反思的信仰体系。
