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首页> 外文期刊>Journal of clinical nursing >Breastfeeding woman or lactating object? A critical philosophical discussion on the influence of Cartesian dualism on breastfeeding in the neonatal intensive care unit
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Breastfeeding woman or lactating object? A critical philosophical discussion on the influence of Cartesian dualism on breastfeeding in the neonatal intensive care unit

机译:母乳喂养女人或哺乳期对象? 关于笛卡尔二元论对新生儿重症监护单位母乳喂养的关键哲学探讨

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Aim This discursive paper aims to bring to the foreground the ongoing influence of Cartesian dualism and other important contextual complexities on breastfeeding in the neonatal intensive care unit (NICU). Background Breastfeeding is widely supported as the optimal form of nutrition for the first 6 months of life and beyond. Amidst a myriad of contextual factors, current breastfeeding rates are below globally targeted goals. For premature and/or critically ill infants, the importance of receiving breast milk is often encouraged based on its immunological and nutritive benefits as opposed to the entirety of the breastfeeding interaction, underscoring the influence of dualism in the NICU. Design The impact of Cartesian dualism and other sociocultural underpinnings of breastfeeding focused within the NICU environment are illustrated through a critical, philosophical discussion. Methods Relevant historical context is provided followed by an overview of the realities of contemporary breastfeeding. These are presented as a frame of reference for the NICU breastfeeding experiences currently encountered by many mothers of preterm and critically ill neonates, further illustrated using a clinical exemplar as well as the author's own observations from neonatal nursing practice. Relevance to clinical practice Shifting away from a dualistic approach requires rethinking breastfeeding support interactions between NICU nurses and mothers. To address the disembodied and often mechanistic approach to care inherent in the dominant Western medical model, a relational approach to breastfeeding support in the NICU is suggested and discussed. Conclusion Future research from a more critical lens is needed to examine the complex dynamics involved when nurses and mothers are negotiating decisions and processes related to infant feeding. In focusing on the relational dimensions of the breastfeeding experience, nurses can resist the dualistic influence and dominant discourses impacting infant feeding and motherhood in the 21st century.
机译:旨在使笛卡尔二元化和其他重要的语境复杂性在新生儿重症监护单位(NICU)中的持续影响。背景技术母乳喂养被广泛支持为生命的前6个月的最佳营养形式。在无数的语境因素中,目前的母乳喂养率低于全球目标目标。对于早产和/或批判性的婴儿,通常会根据其免疫和营养益处来鼓励接受母乳的重要性,而不是完整的母乳喂养相互作用,强调了二元主义在Nicu的影响。通过批判性的哲学讨论,说明了笛卡尔二元化和母乳喂养的其他社会养殖基础的影响。方法提供了相关的历史背景,然后概述当代母乳喂养的现实。这些被呈现为目前被早产和批判性新生儿的许多母乳喂养的尼古尔母乳喂养经历的参考框架,进一步使用临床样本进一步说明以及作者自身的新生儿护理实践的观察。与临床实践转移远离二元化方法的相关性需要重新思考Nicu护士和母亲之间的母乳喂养支持相互作用。为了解决中间人在主导的西方医学模式中的保密和经常机械方法,建议并讨论了NICU中的母乳喂养支持的关系方法。结论需要更多关键镜头的未来研究来检查护士和母亲是否正在谈判与婴儿喂养有关的决策和流程所涉及的复杂动态。在专注于母乳喂养经验的关系维度方面,护士可以抵抗21世纪影响婴幼儿喂养和母性的二元影响和主导话语。

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