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Nurses’ Experiences of Managing and Management in a Critical Care Unit

机译:护士在重症监护室的管理和管理经验

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摘要

In this article, we describe the major findings of an ethnographic study undertaken to investigate nurses’ experiences of managing nurses and being managed by nurses in an Australian critical care unit. Our purpose was to valorize and make space for nurses to speak of their experiences and investigate the cultural practices and knowledges that comprised nursing management discourses. Subjugated practices, knowledges, and discourses were identified, revealing how nurses were inscribed by, or resisted, the discourses, including their multiple mobile subject positions. Informed by critical, feminist, and postmodern perspectives, nine mobile subject positions were identified. Direct participant observation, participant interviews, and reflective field notes were analyzed for dominant and subjugated discourses. The major finding described is the subject position of “junior novice.” Nurses informed by dominant patriarchal and organizational discourses participated in constructing and reinscribing their own submissive identity reflected in interprofessional relations that lacked individual valuing and undermined their self-esteem.
机译:在本文中,我们描述了一项民族志研究的主要发现,该研究旨在调查护士在澳大利亚重症监护室中管理护士和由护士管理的经历。我们的目的是为护士们讲价并留出空间,让他们说出自己的经验,并调查包括护理管理课程在内的文化实践和知识。确定了被征服的实践,知识和话语,揭示了护士是如何被话语铭记或抵抗的,包括他们的多个流动主题位置。受到批判,女权主义和后现代主义观点的启发,确定了九种流动主题位置。分析了参与者的直接观察,参与者访谈和反思性领域笔记,分析了占主导地位和被屈服的话语。描述的主要发现是“初级新手”的主题位置。掌握重男轻女权和组织性话语的护士参与了建构和重新确立自己的顺从身份,反映在缺乏个人价值并损害其自尊的专业间关系中。

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