Gavin J N
Faculty of Health Studies, Buckinghamshire College, Chalfont, St Giles, England.
J Adv Nurs. 1997 Oct;26(4):692-7. doi: 10.1046/j.1365-2648.1997.00391.x.
A review of the concept of ideology in a nursing context is presented. The meaning of a nursing ideology is explored and that meaning compared to the proposals for the future of nursing contained in the 1996 report on The Future Healthcare Workforce published by the University of Manchester, England. The paper suggests a number of core beliefs and values that are generally supported in nursing and their implications for the future development of the profession. These include a commitment to the role of science in nursing, the concept of caring in nursing practice and the continued pursuit of the professional project. The paper will demonstrate the extent to which the proposals contained within the report for a 'generic career' compliment or conflict with the suggested ideology of nursing. It concludes with a reference to the policy-making process at local and national levels and the opportunities available to nurses to influence the direction of change. The paper reflects the volatility of the current political climate in health care and the extent to which nurses operating in that climate feel empowered or disenfranchised.
本文对护理领域意识形态的概念进行了综述。探讨了护理意识形态的含义,并将其与英国曼彻斯特大学1996年发表的《未来医疗劳动力》报告中关于护理未来的建议进行了比较。本文提出了一些在护理领域普遍得到支持的核心信念和价值观,以及它们对该专业未来发展的影响。这些信念和价值观包括对科学在护理中的作用的承诺、护理实践中的关怀概念以及对专业项目的持续追求。本文将展示报告中关于“通用职业”的建议在多大程度上与所建议的护理意识形态相契合或冲突。文章最后提到了地方和国家层面的决策过程,以及护士影响变革方向的机会。本文反映了当前医疗保健政治气候的波动性,以及在这种气候下工作的护士感到有权力或被剥夺权利的程度。