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'We inform the experience of health': Perspectives on professionalism in nursing self-employment

机译：“我们告知健康经验”：护理自雇职业的观点

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摘要

Nursing work has evolved tremendously over the last century, raising ongoing questions about nursing's professional status. Through various strategies, professionalization in nursing has to some extent been accomplished, although autonomy over nursing practice has been elusive. This is especially so in the contemporary health care system, in which managerial control is emphasized and physician dominance continues. In response to professional constraints in traditional work settings, nursing self-employment is growing. In this study I used focused ethnography to explore the professional experiences of Canadian self-employed nurses and to reconsider nursing knowledge, ethics, and professionalism in this unique context. Despite the barriers they faced, these nurses offered a perspective on nursing professionalism that transcends classic professional traits, showing how the concept of professionalism can be invoked not as a way to "prove" status but as a way to describe a sense of commitment and the contribution to societal well-being.
机译：上个世纪以来，护理工作发生了巨大的变化，不断引起人们对护理专业地位的质疑。通过各种策略，尽管在护理实践上的自主权难以捉摸，但在一定程度上已经实现了护理专业化。在现代医疗体系中尤其如此，在这种体系中，强调了管理控制，并且医生仍然占据主导地位。为了应对传统工作环境中的专业限制，护理自谋职业正在增长。在这项研究中，我使用了重点人种志，以探讨加拿大自雇护士的职业经历，并在这种独特的背景下重新考虑护理知识，伦理和专业精神。尽管他们面临着障碍，但这些护士还是提供了超越经典专业特征的护理专业素养的观点，表明了如何调用专业素养的概念不是作为一种“证明”身份的方法，而是作为一种描述承诺感和责任感的方法。对社会福祉的贡献。

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