Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Nurs Philos. 2022 Apr;23(2):e12377. doi: 10.1111/nup.12377. Epub 2021 Dec 5.
Seeking to answer the question of what it is that nurses do, scholars researching nursing have worked with theoretical approaches ranging from the more abstract to the concrete: from philosophizing the nature of nursing to emphasizing the interpersonal nature of nursing practice to exploring processes of clinical decision-making. In this paper, we engage with Bourdieu's theory of practice as an alternative approach that helps to understand the finer points of nurses' everyday practices of nursing as being grounded in an ontology of practice. We first outline the foundations of Bourdieu's thinking as he established both a relational philosophy of science and an embodied philosophy of action to develop the theory of practice around notions of habitus, capital and field. Then, using the inter-relationships of these key elements of the theory of practice as a 'toolkit to think with', we explore an instance of nursing in practice in an acute care setting and show how, in taking account of social context, the dialectics between the elements reveal the social interactions that are accomplished in the doing. Moving to the relationships of these three elements with Bourdieu's further notions of illusio, symbolic power and symbolic violence, we uncover an ontology of nursing practices in the everyday. We conclude by summarising what this ontology of practice has to offer investigations into practices of nursing in any social context.
为了回答护士具体做什么这一问题,从事护理研究的学者们已经从抽象到具体的理论方法进行了研究:从哲学的角度思考护理的本质,到强调护理实践的人际本质,再到探索临床决策过程。在本文中,我们采用布迪厄的实践理论作为一种替代方法,这种方法有助于理解护士日常护理实践的细微之处,因为这些实践是基于实践本体论的。我们首先概述了布迪厄思想的基础,他建立了一种关系科学哲学和一种体现行动的哲学,围绕习惯、资本和领域的概念来发展实践理论。然后,我们使用该理论实践的这些关键要素之间的相互关系作为“思考的工具包”,探讨了一个急性护理环境中的护理实践实例,并展示了如何通过考虑社会背景,这些要素之间的辩证关系揭示了在实践中完成的社会互动。将这三个要素的关系与布迪厄的幻想、象征性权力和象征性暴力的进一步概念联系起来,我们揭示了日常护理实践的本体论。最后,我们总结了这种实践本体论为任何社会背景下的护理实践研究提供了什么。