Purkis M E
Nurs Inq. 1996 Jun;3(2):101-11. doi: 10.1111/j.1440-1800.1996.tb00020.x.
This paper challenges contemporary portrayals in the nursing literature of the spaces within which care of patients in hospital settings is conducted. Within the wider discourse of fiscal restraint on health care spending, professional nursing has cast its disciplined eyes on details of the nurse-patient relationship for the ostensible purpose of repairing that which is treated as individual failings of nurses to practice in ways prescribed by nursing theories. Set aside in this approach to the so-called 'problems' of nursing practice has been an examination of the conditions within which nurses come in contact with patients, and a critical recognition that such contacts represent skilled accomplishments of social action. In this paper, these conditions are treated as resources available to both nurses and patients to generate accounts for the nurse's presence as well as the nurse's absence. Examples from an ethnographic study of nursing practice are used to illustrate how the spaces operating between nurses and patients are not empty voids but are social spaces through which particular meanings about nursing care can be conveyed.
本文对护理文献中有关医院环境下患者护理空间的当代描述提出了质疑。在医疗保健支出面临财政紧缩的更广泛背景下，专业护理将其严谨的目光投向了护患关系的细节，表面目的是纠正那些被视为护士个人未能按照护理理论规定方式执业的问题。在这种处理护理实践所谓“问题”的方法中，被搁置一旁的是对护士与患者接触条件的审视，以及对这样的接触代表着社会行动的熟练成果的批判性认识。在本文中，这些条件被视为护士和患者均可利用的资源，用于解释护士在场和不在场的情况。一项关于护理实践的人种志研究中的实例被用来说明，护士与患者之间的空间并非空洞无物，而是社会空间，通过这些空间可以传达有关护理的特定意义。
