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Nurses and the wise organisation: Techne and phronesis in Australian general practice

机译：护士和明智的组织：澳大利亚全科医师的技术和语调

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摘要

This paper draws on classical theories of wisdom to explore the organisational impact of nurses on Australian general practice. Between 2004 and 2008, numbers of general practice nurses doubled, the most rapid influx of nurses into any Australian workplace over the decade. Using data from the Australian General Practice Nurses Study, we argue that nurses had a positive impact because they introduced techne at the organisational level and amplified phronesis in clinical activities. In its Hippocratic formulation, techne refers to a field of definable knowledge, which is purposeful and useful and requires mastery of rational principles. Nursing, with its focus on system and accountability, brought techne out of the GP's consulting room and into the general practice as a whole. Nurses also exemplify phronesis, an Aristotelian virtue connoting a reasoned and honourable capacity to make judgements: the practical wisdom that defines the interaction between clinician and patient in general practice. At a time of significant GP shortage, doctors and nurses began to collaborate around their more complex and time-consuming patients, leading to a deepening of phronesis in the workplace. By bringing techne to bear on the organisation, and complementing and enhancing phronesis, nurses propel organisational wisdom in general practices.
机译：本文借鉴经典的智慧理论，探讨护士对澳大利亚全科医生的组织影响。在2004年至2008年之间，全科护士人数翻了一番，这是近十年来澳大利亚所有工作场所中护士流入量最快的一次。利用澳大利亚全科护士研究的数据，我们认为护士具有积极的影响，因为他们在组织层面引入了技术，并在临床活动中扩大了语气。在其希波克拉底式的表述中，技术是指可定义的知识领域，这是有目的和有用的，并且需要掌握理性的原理。护理以系统和责任制为重点，将技术带出了GP的咨询室，并进入了整个通用实践。护士还体现了语气，这是亚里士多德式的美德，寓意着做出判断的理性和光荣的能力：这是定义临床医生和患者在一般实践中相互作用的实用智慧。在GP严重短缺的时候，医生和护士开始围绕他们更复杂和耗时的患者进行协作，从而导致工作场所的通气加深。通过使技术对组织产生影响，补充和增强语气，护士在一般实践中推动组织智慧。

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