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对管理霸权在护理教育中对个人影响的批判性反思。

A critical reflection on the personal impact of managerial hegemony within nurse education.

作者信息

Gordon N S, Wimpenny P

机构信息

Foresterhill College, Aberdeen, Scotland.

出版信息

J Adv Nurs. 1996 Mar;23(3):479-86. doi: 10.1111/j.1365-2648.1996.tb00009.x.

DOI:10.1111/j.1365-2648.1996.tb00009.x
PMID:8655822
Abstract

This paper, written by two male nurse teachers, describes and analyses their experience of working in a nurse education culture permeated by the philosophy of business management. The introduction of business management practices to nurse education is discussed as a reflection of the current political hegemony of market forces and individualism. The authors discuss the implications for nurse teachers of being continually exposed to these politically motivated forces which increasingly provide the paradigm for service developments within the United Kingdom health services. In discussing the impact of this exposure it is argued that at the personal level individual teachers are experiencing a degree of apathy and personal dissonance which undermines their professional value system, resulting in emotional distress and a crisis of identity. It provides a critical reflection on the way organizational dynamics and power relations influence the subjective sense-making of individuals. The authors use a multiplicity of perspectives, including those provided by individual psychology, power relations, feminism and personhood, to argue for the need to develop an alternative paradigm which is characterized by the valuing of individual persons, empathic sensitivity and the fostering of creativity.

摘要

本文由两位男护士教师撰写,描述并分析了他们在一种被商业管理理念渗透的护理教育文化中的工作经历。将商业管理实践引入护理教育被视为当前市场力量和个人主义政治霸权的一种反映。作者们讨论了持续接触这些具有政治动机的力量对护士教师的影响,这些力量越来越多地为英国医疗服务中的服务发展提供范例。在讨论这种接触的影响时,有人认为在个人层面,个别教师正经历着一定程度的冷漠和个人失调,这破坏了他们的职业价值体系,导致情绪困扰和身份认同危机。它对组织动态和权力关系影响个人主观意义建构的方式进行了批判性反思。作者们运用多种视角,包括个体心理学、权力关系、女权主义和人格等视角,主张有必要发展一种以重视个人、共情敏感性和培养创造力为特征的替代范式。

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