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从颠覆到固化公平:急诊科护士促进公平实践的话语分析

From Subversion to Hard-Wiring Equity: A Discourse Analysis of Nurses' Equity-Promoting Practices in Emergency Departments.

作者信息

Slemon Allie, Bungay Vicky, Varcoe Colleen, Blanchet Garneau Amélie

机构信息

Author Affiliations: School of Nursing, University of Victoria, Victoria, British Columbia, Canada (Dr Slemon); School of Nursing, The University of British Columbia, Vancouver, Canada (Drs Bungay and Varcoe); and Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada (Dr Blanchet Garneau).

出版信息

ANS Adv Nurs Sci. 2025;48(1):3-20. doi: 10.1097/ANS.0000000000000517. Epub 2023 Nov 20.

Abstract

Nursing has articulated a shared commitment to equity in response to inequities in health and health care; however, understandings of how nurses enact equity are needed to uphold this professional mandate. This Foucauldian discourse analysis examined how nurses' equity-promoting practices are shaped by dominant discourses within the emergency department and illustrated that within this institutional context that constrained equity, nurses engaged in equity-promoting practices through subversion of discursive power. This study illustrates the need for embedding equity discourses within health care systems and ensuring meaningful supports for nurses in enacting equity-promoting practices within the emergency department setting.

摘要

护理界已明确表达了对健康和医疗保健领域不平等现象做出公平回应的共同承诺;然而,需要了解护士如何践行公平,以维护这一专业使命。这项福柯式话语分析研究了急诊科内的主流话语如何塑造护士促进公平的实践,并表明在这种限制公平的机构背景下,护士通过颠覆话语权力来参与促进公平的实践。本研究表明,有必要将公平话语融入医疗保健系统,并确保为护士在急诊科环境中践行促进公平的实践提供有意义的支持。

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