Hall J M, Stevens P E, Meleis A I
Department of Mental Health Community & Administrative Nursing, University of California, San Francisco School of Nursing.
ANS Adv Nurs Sci. 1994 Jun;16(4):23-41. doi: 10.1097/00012272-199406000-00005.
This article explicates marginalization as a guiding concept for the development of nursing knowledge that values diversity. The seven key properties of marginalization as it applies to the domain of nursing are (1) intermediacy, (2) differentiation, (3) power, (4) secrecy, (5) reflectiveness, (6) voice, and (7) liminality. Through examination of each of these properties, the relationship between marginalization and vulnerability is clarified, and by this means the relevance of marginalization for health is established. The implications for shaping future nursing research, theory, and practice related to the health of diverse populations are discussed.
本文阐述了边缘化这一指导概念,用于发展重视多样性的护理知识。适用于护理领域的边缘化的七个关键特性为:(1)中介性,(2)差异性,(3)权力,(4)隐秘性,(5)反思性,(6)话语权,以及(7)阈限性。通过对这些特性逐一进行审视,边缘化与脆弱性之间的关系得以明晰,借此确立了边缘化对健康的相关性。文中还讨论了其对塑造未来与不同人群健康相关的护理研究、理论及实践的影响。