White R
J Adv Nurs. 1984 Sep;9(5):505-12. doi: 10.1111/j.1365-2648.1984.tb00403.x.
This paper looks at five historical trends in the field of macro-policy making for nursing. From these it postulates that nursing is, now, a pluralist structure with three main interest groups. Each interest group has its own view of reality and therefore its own goals and strategies, some of which are in conflict with those of the other groups. Furthermore, the goals of the nursing groups are also in conflict with those of the government health department. The paper proposes a typology for nursing which takes account of these conflicts, helps to identify the areas of conflict and makes a proposal for the future structure which would help to achieve a more harmonious framework in the NHS.
本文探讨了护理宏观政策制定领域的五个历史趋势。据此推测,如今护理行业是一个具有三个主要利益集团的多元结构。每个利益集团对现实都有自己的看法,因此也有自己的目标和策略,其中一些与其他集团的目标和策略相冲突。此外,护理集团的目标也与政府卫生部门的目标相冲突。本文提出了一种护理类型学,该类型学考虑到这些冲突,有助于识别冲突领域,并为未来结构提出建议,这将有助于在英国国家医疗服务体系(NHS)中实现更和谐的框架。