Cameron P, Willis K, Crack G
Nurse Educ Today. 1995 Oct;15(5):336-40. doi: 10.1016/s0260-6917(95)80005-0.
Social and behavioural sciences are established components in the curriculum of undergraduate nursing degrees. The purpose is to introduce future and practising nurses to the social and political influences which inform their workplaces and practices. Inevitably an awareness of the structural barriers and the powerful political interests involved in health can lead to feelings of powerlessness and despair of achieving change. Yet the skills of critical analysis and political awareness developed in study such as this are essential for health workers in the increasingly complex and politically charged domain in which they work. This paper will explore problems and barriers encountered in development of curriculum and teaching social and behavioural sciences in health. It will propose an alternative conceptual model, based on post-structuralism, as one way of addressing these barriers. This approach shifts the focus from meta-theoretical sociological concepts such as class, gender and culture, to one of examining subject positions, discourse, contestation and local action, thus enabling the exploration and development of possibilities for change. The paper will also provide a case study to illustrate this alternative approach.
社会科学和行为科学是本科护理学位课程中的既定组成部分。其目的是让未来的和在职的护士了解影响其工作场所和实践的社会及政治因素。不可避免的是，意识到健康领域存在的结构性障碍以及强大的政治利益，可能会导致无力感和对实现变革的绝望。然而，在这类学习中培养的批判性分析和政治意识技能，对于在日益复杂且充满政治因素的工作领域中的卫生工作者来说至关重要。本文将探讨在健康领域开发社会科学和行为科学课程及教学过程中遇到的问题和障碍。它将提出一种基于后结构主义的替代概念模型，作为解决这些障碍的一种方式。这种方法将重点从诸如阶级、性别和文化等元理论社会学概念，转向审视主体位置、话语、争议和地方行动，从而能够探索和发展变革的可能性。本文还将提供一个案例研究来说明这种替代方法。
