Corbett K
School of Health, Biological and Environmental Sciences, Middlesex University, London, England.
J Adv Nurs. 1998 Sep;28(3):524-31. doi: 10.1046/j.1365-2648.1998.00802.x.
This paper develops a framework of empowerment within which to examine the commissioning process for nurse education arising from market reform of the British National Health Service (NHS). The paper argues that an imbalance in this commissioning process favours theoretical products, such as the diploma-level nursing curricula (Project 2000). Also, the university setting of nurse education is seen as clinically de-skilling both nurse teachers and student nurses as well as influencing the discourses on clinical skills. The paper further argues that the effects of such trends are a captive market in nurse education contracting and a displacement of nursing knowledge. An approach to commissioning nurse education is described which may counter such trends and positively impact on NHS organizational development and quality. Further reform of the commissioning process is described in context of pragmatic health legislation.
本文构建了一个赋权框架，用以审视英国国家医疗服务体系（NHS）市场改革所引发的护士教育委托过程。本文认为，这一委托过程中的失衡有利于理论性产物，比如文凭级护理课程（2000计划）。此外，护士教育的大学环境被视为会使护士教师和学生护士在临床方面技能退化，同时也会影响关于临床技能的论述。本文进一步指出，此类趋势的影响包括护士教育承包方面的垄断市场以及护理知识的替代。文中描述了一种护士教育委托方法，该方法可能会对抗此类趋势，并对NHS的组织发展和质量产生积极影响。在务实的卫生立法背景下，文中还描述了委托过程的进一步改革。
