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迈向抛弃“主人的工具”:普适性护理身份的政治。

Towards abandoning the master's tools: The politics of a universal nursing identity.

机构信息

Leadership Studies, University of Victoria, Victoria, BC, Canada.

出版信息

Nurs Inq. 2021 Apr;28(2):e12395. doi: 10.1111/nin.12395. Epub 2020 Dec 17.

Abstract

Healthcare environments continue to prove discriminatory and marginalizing towards patients and healthcare workers themselves, which contributes to inequitable health outcomes across lines of socially constructed difference. This content and discourse analysis of nursing identity scholarship asks whether there is a connection between nursing identity and oppressive behaviour by examining the construction of nursing identity and the foundational discourses, sometimes in absentia, that support such a construction. Bourdieu's concepts of social fields and Audre Lorde's concept of the master's house are applied as a framework towards understanding the constructs of power and status in healthcare. The analysis identifies a gap in nursing identity literature where social constructs of difference are not considered. In the reviewed literature, nursing identity has been co-opted by the professionalization project in effort to stabilize a conceptualization of nursing's contribution to healthcare towards gaining professional and societal status. This leads to a monolithic, apolitical representation of nursing identity that erases difference, denies historical influence, universalizes nursing work and further marginalizes marginalized identities. The oppressive and hegemonic nature of a universal nursing identity may contribute to a lack of disciplinary reflexivity about the ongoing influences of foundational discursive constructs of gender, epistemology, power and professional status.

摘要

医疗环境继续对患者和医疗工作者本身表现出歧视和边缘化,导致社会结构差异线上的健康结果不平等。通过检查护理身份的构建以及支持这种构建的基础话语(有时是缺席的),对护理身份的学术研究进行内容和话语分析,以探究护理身份和压迫性行为之间是否存在联系。布尔迪厄的社会场域概念和奥德雷·洛德的主人之屋概念被用作理解医疗保健中权力和地位结构的框架。分析发现,护理身份文献中存在一个空白,即没有考虑社会差异的构建。在已审查的文献中,护理身份已被专业化项目所采用,以努力稳定对护理对医疗保健的贡献的概念化,以获得专业和社会地位。这导致了一种单一的、非政治的护理身份表象,抹杀了差异,否认了历史影响,将护理工作普遍化,并进一步边缘化边缘化的身份。普遍护理身份的压迫性和霸权性质可能导致对基础话语构建的性别、认识论、权力和专业地位的持续影响缺乏学科反思。

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