Dean D J
J Adv Nurs. 1983 Nov;8(6):535-9. doi: 10.1111/j.1365-2648.1983.tb00482.x.
The fiduciary relationship between the client and the professional who has been hired to provide a service rarely exists today between nurses and patients, Nurses are employed by the State and operate in organizations where elements of both the bureaucratic and professional models are integrated. This paper discusses nursing's adaptation to the ever-changing health system in the United Kingdom and how this has resulted in the involvement of senior nurses in the political process. The mechanisms which result in policy output are discussed with reference to the power of nurses. It is argued that all nurses have a role in the decision-making process through the use of influence which will result from the development of political awareness.
如今，在护士与患者之间，很少存在那种受雇提供服务的专业人员与客户之间的信托关系。护士受雇于国家，在官僚模式和专业模式要素相互融合的组织中工作。本文讨论了英国护理行业对不断变化的卫生系统的适应情况，以及这如何导致高级护士参与政治进程。结合护士的权力，探讨了产生政策输出的机制。本文认为，所有护士都可以通过培养政治意识来发挥影响力，从而在决策过程中发挥作用。
