Campbell-Heider N, Pollock D
School of Nursing, University of Rochester, NY 14642.
Soc Sci Med. 1987;25(5):421-5. doi: 10.1016/0277-9536(87)90166-3.
This paper discusses social and cultural factors that impede collegial interaction of physicians and nurses. While physicians encourage a form of 'team work' in which nurses are subordinate, nurses seek mutual collegiality with physicians. This phenomenon is apparent in various degrees between all educational categories of nurses and physicians. We suggest that nurse expectations of status enhancement through increased knowledge and skill--the nurse practitioner model--fail to consider the deeply rooted structures of hierarchy, in particular gender hierarchy, that pervades medical care. Physician-nurse collegiality does offer benefits to patients; to achieve it nurses must devise methods to alter these structural barriers.
本文探讨了阻碍医生与护士之间职业互动的社会和文化因素。虽然医生倡导一种护士处于从属地位的“团队合作”形式，但护士寻求与医生建立相互平等的职业关系。这种现象在护士和医生的所有教育类别之间都有不同程度的体现。我们认为，护士期望通过增加知识和技能来提升地位——即执业护士模式——没有考虑到在医疗保健中根深蒂固的等级制度结构，尤其是性别等级制度。医生与护士之间的平等合作确实能给患者带来好处；为了实现这一点，护士必须想出方法来改变这些结构性障碍。
