Holbaek Hospital, Holbaek, Denmark.
The programme for Theology, Philosophy, and History of Ideas, Faculty of Arts, School of Culture and Society, The University of Aarhus, Aarhus, Denmark.
Nurs Philos. 2021 Jan;22(1):e12336. doi: 10.1111/nup.12336. Epub 2020 Oct 28.
Based on a historical and a contemporary fieldwork at a Danish hospital, this article offers a genealogical and philosophical exploration of the development of nurses' doing and focus within a hospital setting from the 1800 s to the present day. This exploration finds that nurses' doing has changed during history, which is reflected in their focus. Thus, nurses' focus has developed from, what the Danish philosopher Uffe Juul Jensen refers to as a situation-oriented, to a disease-oriented practice, and while new values are established, the conception of care as a core value in nursing seems to have receded. This article also argues that today's nurses are doing what doctors did in the 19th century. The French philosopher Michel Foucault discusses how things repeat themselves in new ways and new contexts. The nursing profession has become 'a career open to the talents' where nurses with the appropriate skills and talents are able to build a career, within which they provide status, position and legitimacy. The conclusion of the article discusses the significance of this development for patients and the nursing profession.
基于一项在丹麦医院进行的历史和当代实地研究，本文从 19 世纪至今，对护士在医院环境中的工作内容和重点的发展进行了谱系学和哲学探讨。这一探讨发现，护士的工作内容随着历史的发展而发生了变化，这反映在他们的工作重点上。因此，护士的工作重点已经从丹麦哲学家乌费·尤尔·延森（Uffe Juul Jensen）所说的面向情况的实践，发展为面向疾病的实践，而在新的价值观得以确立的同时，护理作为核心价值的概念似乎已经退居其次。本文还认为，如今的护士所做的工作，正是 19 世纪医生所做的。法国哲学家米歇尔·福柯（Michel Foucault）探讨了事物如何以新的方式和新的背景重复出现。护理专业已经成为“一个向人才开放的职业”，有适当技能和才能的护士能够在这个职业中建立自己的事业，在这个事业中，他们提供地位、职位和合法性。文章的结论讨论了这一发展对患者和护理行业的意义。
