Morse G G
University of Maine School of Nursing, USA.
Nurs Outlook. 1995 Nov-Dec;43(6):273-7. doi: 10.1016/s0029-6554(95)80093-x.
To operate from a feminist paradigm is a new way of thinking for nurse educators. Feminist perspectives in nursing provide a new stage of consciousness--one that values women's voices, their way of knowing, and their life experiences, and, most important, one that challenges traditional patriarchal practices. Furthermore, nursing curricula with feminist perspectives provides a biopsychosocial approach that encourages the full recognition of variables that can influence women's health, such as socioeconomic status, racial and ethnic background, and biobehavioral factors. The debate in medicine over a specialty in women's health is not unique. The history of academia abounds with descriptions of struggles to establish new fields and disciplines. Recent specialties, such as pediatrics and gerontology, which are distinguished by age rather than specific organ or system, struggled for establishment and recognition. Historically, nursing curricula has emulated the biomedical model that is reductionistic and contradictory to nursing's holistic mission. Rather than classifying women's health into a separate entity, women's health may be introduced into present curricula by employing feminist ideals and pedagogy throughout the curriculum. This approach would provide a mechanism to explore women's health issues that were previously minimally addressed at best, or not addressed at all. More important, students would be provided with an opportunity to examine the societal effects of racism, sexism, and classism, and this education would potentially lead to a growing awareness of concerns specific to women and minorities.
从女性主义范式开展工作,对护理教育工作者来说是一种新的思维方式。护理领域的女性主义视角开启了一个新的意识阶段——重视女性的声音、她们的认知方式和生活经历,最重要的是,挑战传统的父权制做法。此外,具有女性主义视角的护理课程提供了一种生物心理社会方法,鼓励充分认识可能影响女性健康的各种变量,如社会经济地位、种族和民族背景以及生物行为因素。医学领域关于女性健康专科的争论并非个例。学术史上充斥着关于建立新领域和学科的斗争描述。最近出现的专科,如儿科学和老年医学,是以年龄而非特定器官或系统来区分的,它们也曾为建立和获得认可而努力。从历史上看,护理课程一直效仿生物医学模式,这种模式具有还原论性质,与护理的整体使命相矛盾。与其将女性健康归类为一个单独的实体,不如通过在整个课程中运用女性主义理念和教学法,将女性健康引入现有的课程中。这种方法将提供一种机制,来探索以前最多只是很少涉及或根本没有涉及的女性健康问题。更重要的是,学生将有机会审视种族主义、性别歧视和阶级歧视的社会影响,这种教育可能会使人们越来越意识到女性和少数群体特有的问题。