Purvis Janet K
Rankin School of Nursing, St Francis Xavier University, Antigonish, Canada.
Nurs Inq. 2023 Apr;30(2):e12536. doi: 10.1111/nin.12536. Epub 2022 Oct 19.
This study examines the Canadian Code of Ethics for Registered Nurses as a discursive mechanism for shaping nurses' professional identity using a Foucauldian lens. Nurses are considered essential in healthcare, yet the nursing profession has struggled to be recognized for its discipline-specific knowledge and expertise and, as such, has remained the subject of and subject to the dominant discourses within healthcare and society generally. Developing a professional identity in nursing begins after the necessary education and training are achieved and embodies the profession's history, values, code of ethics, and expectations of the profession that distinguish it from other professions. Since nurses' professional identity is shaped through discourse, it raises the question of whether there are spaces to reconceptualize nurses' subject position within health care. Since professional identity is considered the embodiment of knowledge and practice, the code of ethics bears examination both for its effect on nurses' professional identity and as a potential site from which to challenge hegemonic assumptions. This article discusses the concept of professional identity in nursing and its development through the discursive formations in the code of ethics. The sources of power/knowledge are examined as both mechanisms of control and as spaces for change.
本研究运用福柯主义视角，将《加拿大注册护士伦理守则》视为塑造护士职业身份的一种话语机制进行考察。护士在医疗保健中被视为不可或缺，但护理专业一直难以因其特定学科的知识和专业技能而获得认可，因此，总体而言，它一直是医疗保健和社会中主流话语的主题且受其影响。护士在完成必要的教育和培训后开始形成职业身份，这种身份体现了该职业的历史、价值观、伦理守则以及与其他职业相区别的职业期望。由于护士的职业身份是通过话语塑造的，这就引发了一个问题，即在医疗保健领域是否存在重新构想护士主体地位的空间。由于职业身份被视为知识和实践的体现，伦理守则既要考察其对护士职业身份的影响，也要考察其作为挑战霸权假设的潜在场所。本文通过伦理守则中的话语构成来探讨护理领域职业身份的概念及其发展。权力/知识的来源既被视为控制机制，也被视为变革空间。
