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表演护理伦理:对歌唱嗓音康复政策的实用女性主义分析。

The ethics of performance care: A pragmatic feminist analysis of policy for singing voice rehabilitation.

作者信息

Brown Jenna

机构信息

Voice Study Centre UK, University of Wales Trinity St David, Bristol, UK.

出版信息

J Eval Clin Pract. 2025 Mar;31(2):e14107. doi: 10.1111/jep.14107. Epub 2024 Sep 30.

DOI:10.1111/jep.14107
PMID:39347605
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11938413/
Abstract

INTRODUCTION

This paper uses pragmatic feminist poststructuralism to explore how ethical theory is applied to singing voice rehabilitation by specialist singing teachers.

METHODS

A critical literature review examines the relationship between traditional and feminist ethical theories and their potential impact on practice. Themes have been extracted from the literature to create an intersectional feminist poststructural analysis framework, facilitating a document analysis of the foundations of three policy documents currently available to singing voice rehabilitation specialists. Poststructural deconstructivism was applied to thematic analysis to consider the impact of ethical theories on policy and practice.

FINDINGS

Policies we found to be rooted in traditional enlightenment ethics, with a focus on hyper-rationality, androcentrism and legalism. Person-centred care ethics was found to be lacking in all documents. Contrary to best-practice recommendations documents failed to provided practical guidelines for practitioners.

CONCLUSION

Findings indicate adopting an intersectional feminist ethical policy could improve existing documents via a move from legislation and authority towards care and reflexivity.

摘要

引言

本文运用实用主义女性主义后结构主义,探讨专业声乐教师如何将伦理理论应用于嗓音康复教学。

方法

通过批判性文献综述,考察传统伦理理论与女性主义伦理理论之间的关系,以及它们对实践的潜在影响。从文献中提取主题,构建一个交叉性女性主义后结构分析框架,对目前可供嗓音康复专家使用的三份政策文件的基础进行文献分析。运用后结构解构主义进行主题分析,以考量伦理理论对政策和实践的影响。

研究结果

我们发现政策植根于传统启蒙伦理,强调超理性、男性中心主义和法律主义。所有文件均缺乏以患者为中心的护理伦理。与最佳实践建议相反,文件未能为从业者提供实用指南。

结论

研究结果表明,采用交叉性女性主义伦理政策,通过从立法和权威转向护理和反思,可以改进现有文件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0250/11938413/e9916a78809c/JEP-31-0-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0250/11938413/63370287c4ab/JEP-31-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0250/11938413/1354f14b6ece/JEP-31-0-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0250/11938413/6161c16f7621/JEP-31-0-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0250/11938413/4fe97ee5dc7c/JEP-31-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0250/11938413/e9916a78809c/JEP-31-0-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0250/11938413/63370287c4ab/JEP-31-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0250/11938413/1354f14b6ece/JEP-31-0-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0250/11938413/6161c16f7621/JEP-31-0-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0250/11938413/4fe97ee5dc7c/JEP-31-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0250/11938413/e9916a78809c/JEP-31-0-g005.jpg

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Gender Gap in the Leadership of Health Institutions: The Influence of Hospital-Level Factors.卫生机构领导中的性别差距:医院层面因素的影响。
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Voice Self-assessment Protocols: Different Trends Among Organic and Behavioral Dysphonias.嗓音自我评估方案:器质性与功能性嗓音障碍的不同趋势
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Nurs Ethics. 2017 Aug;24(5):569-582. doi: 10.1177/0969733015620939. Epub 2016 Jan 24.
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