Katims I
SUNY at New Paltz, USA.
Sch Inq Nurs Pract. 1995 Fall;9(3):231-40; discussion 241-4.
Despite the relational worldview that underpins nursing caring, the cultural value of individualism remains firmly embedded in nursing's conceptual systems. Individualism forms the basis of notions such as autonomy, self-reliance, personal rights and entitlement. When nurses concomitantly espouse the value of care, an orientation that stands in contrast to the predominant societal motif of the autonomous individual, they find themselves having to reconcile contrary ideals. The significance of the coexistence of the values of individualism and care rests upon the capability of each to contrast and sharpen our understanding of the other. The convergent outcome is the empowerment of nurses to refine their understanding of the human condition in illness and health, and to articulate a public practice of care that would temper the fundamental mark of nointerference in the traditional notion of individualism in American culture.
尽管关系世界观是护理关怀的基础,但个人主义的文化价值观仍深深植根于护理的概念体系中。个人主义构成了诸如自主性、自力更生、个人权利和应享权利等观念的基础。当护士同时拥护关怀的价值观时,这种取向与自主个体占主导地位的社会主题形成对比,他们发现自己不得不调和相互矛盾的理想。个人主义价值观和关怀价值观并存的重要性在于,二者都有能力相互对比并加深我们对彼此的理解。趋同的结果是使护士有能力深化其对疾病与健康状态下人类状况的理解,并阐明一种公共关怀实践,这种实践将缓和美国文化中传统个人主义观念中不干涉的基本特征。