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A critical analysis of the failure of nurses to raise concerns about poor patient care

机译:对护士失败的批判性分析,提高患者护理的疑虑

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Abstract The occurrence of poor patient care is emerging as one of the most significant, challenging, and critical issues confronting contemporary nursing and those responsible for the provision of health care more generally. Indeed, as a consequence of the increased recognition of the manner in which nurses can be implicated in the occurrence of poor patient care, there has been sustained critical debate that seeks to understand how such healthcare failings can occur and, in particular, why nurses seemingly fail to intervene, raise concerns, and effectively respond to prevent the occurrence and continuation of such poor patient care. In seeking to contribute to this critical discussion, and in contrast to those “situational explanations” that maintain that the failure to raise concerns is a consequence of the contextual factors and challenging conditions to which nurses can be subject in the clinical setting, this paper will provide a resolutely philosophical analysis of that failure. In particular, it will draw upon the work of Jean‐Paul Sartre—the French philosopher generally regarded as one of the most influential thinkers of the twentieth century—in order to propose that his work can be productively recontextualized to provide a detailed, challenging, and provocative critical analysis of the occurrence and continuation of poor patient care and the role of individual nurse practitioners in such healthcare failings.
机译:摘要贫困患者护理的发生是充满了当代护理的最重要,挑战和关键问题之一,以及更普遍地提供保健服务的人。事实上,由于增加了护士可以涉及患者护理的方式的方式增加,因此持续审查了辩论,即寻求如何出现这种医疗保健失败,特别是为什么护士看似未能干预,提高问题,并有效地响应,以防止这种贫困患者护理的发生和延续。在寻求促进这项重要讨论中,与那些“情境解释”相反,认为未能提高关注的问题是护士在临床环境中可能受到临床环境所致的上下文因素和具有挑战性的条件的结果提供对该失败的坚决哲学分析。特别是,它将借鉴Jean-Paul Sartre的工作 - 法国哲学家通常被认为是二十世纪最有影响力的思想家之一 - 为了提出他的作品可以妥善化,以提供详细,具有挑战性的,对患者护理差和持续性的挑衅性分析以及个人护士从业者在这种医疗保健失败中的作用。

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