Raftos M, Mannix J, Jackson D
School of Nursing, Faculty of Health and Behavioural Sciences, Griffith University, Nathan, Queensland.
J Adv Nurs. 1997 Dec;26(6):1142-9.
Holism is claimed to be the signifying feature that sets women's health apart from traditional approaches to health care. As such, articles published in the nursing literature about women's health would, one might expect, reflect the centrality of holism to women's health care nursing. The findings of a study which examined the content and the focus of articles published about women's health in journals indexed by CINAHL in the period 1993-1995 challenge this assumption. It was found that women's health is a taken-for-granted notion and is used interchangeably and synonymously to refer to reproductive health, maternal health, neonatal health, family health and (hetero) sexual health. Confounding the view that holism is foundational to a women's health perspective, the papers forming the study's sample largely depict issues to do with women's health from a narrow and stereotypical perspective and with a bio-medical focus. Women were referred to as fragmented bodies, body parts and diseases, and were depicted as being passive and silent. By contrast, the voice (and the activity) of nurses and nursing's imperative to intervene was clearly discernible.
整体论据称是将女性健康与传统医疗保健方法区分开来的显著特征。因此，可以预期，护理文献中发表的有关女性健康的文章会反映整体论在女性健康护理中的核心地位。一项研究调查了1993年至1995年期间被CINAHL索引的期刊上发表的有关女性健康的文章的内容和重点，其结果对这一假设提出了挑战。研究发现，女性健康是一个被视为理所当然的概念，被交替使用且同义地用来指代生殖健康、孕产妇健康、新生儿健康、家庭健康和（异性）性健康。构成该研究样本的论文很大程度上从狭隘和刻板的角度以及生物医学的关注点来描述与女性健康有关的问题，这与整体论是女性健康观点的基础这一观点相悖。女性被视为碎片化的身体、身体部位和疾病，并被描绘为被动和沉默的。相比之下，护士的声音（以及活动）以及护理干预的必要性清晰可辨。
