Bevis E M
Nurs Manage. 1993 Apr;24(4):56-61.
As the whole context of nursing continues to change radically in the face of unmet societal needs, nothing short of total revolution will suffice. Nurses must take control of nursing practice and be critical of the nation's inadequate "sick-care" system in order to effect sweeping changes in the scope, availability and efficacy of healthcare in the U.S. To do this requires an acknowledgment that true nursing education cannot exist without nursing practice. The transformation of curriculum must center on caring, which characterizes what nurses really do in a medically dominated system focused exclusively on curing.
鉴于护理的整体环境在面对未被满足的社会需求时持续发生根本性变化,彻底的变革是必要的。护士必须掌控护理实践,并对国家不完善的“疾病护理”系统提出批评,以便在美国医疗保健的范围、可及性和有效性方面实现全面变革。要做到这一点,需要承认没有护理实践就不可能存在真正的护理教育。课程的转变必须以关怀为核心,关怀体现了护士在一个完全专注于治疗的医疗主导系统中实际所做的工作。