Bull Hist Med. 2020;94(4):710-725. doi: 10.1353/bhm.2020.0092.
In his classic article, Charles Rosenberg brilliantly sets up epidemics as social phenomena of three interrelated stages-progressive revelation, develop ment of an explanatory framework to manage randomness, and negotiation of public response. This framework, although written almost thirty years ago, still resonates. Even as we have experienced different kinds of infectious epidemics over the last century (Ebola, AIDS), his stages still help us understand how society constructs the meaning of epidemics and manages policies, structures, and postepidemic explanations. Whether Rosenberg's three stages actually help frame the meaning of an epidemic for individual patients and professional care providers, for whom the epidemic is local and personal, is the subject of this essay, with an emphasis on the following question: What is the meaning of an epidemic from a nursing perspective?
在他的经典文章中,查尔斯·罗森伯格(Charles Rosenberg)精彩地将传染病设定为三个相互关联阶段的社会现象——逐步揭示、发展解释框架以应对随机性,以及协商公众反应。尽管这个框架是在将近三十年前写的,但它仍然有共鸣。即使在过去的一个世纪里,我们经历了不同类型的传染病(埃博拉病毒、艾滋病),他的阶段仍然帮助我们理解社会如何构建传染病的意义以及管理政策、结构和疫情后的解释。罗森伯格的三个阶段是否真的有助于为个体患者和专业护理人员框定传染病的意义,对于他们来说,传染病是局部的和个人的,这是本文的主题,重点是以下问题:从护理的角度来看,传染病的意义是什么?