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首页> 外文期刊>Sociology of health & illness >Modernisation as a professionalising strategy: the case of critical care in England.
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Modernisation as a professionalising strategy: the case of critical care in England.

机译：现代化作为一种​​专业化策略：英格兰的重症监护案例。

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There has been broad agreement about how to characterise the processes of 'modernisation' of the public sector in welfare societies, but rather less consensus on the impact of this modernisation on professionals. This paper takes critical care in England as a case study to explore how professionals in one setting account for the changes associated with modernisation. In contrast to reports from other arenas, critical care professionals were positive about the processes and outcomes of 'modernisation' in general, and there was a surprising lack of nostalgia in their accounts of organisational changes. However, joking comments suggested considerable scepticism about the initiatives explicitly associated with the national organisation that was charged with 'modernising' critical care, the Modernisation Agency. We suggest that the relative optimism of staff is in part explained by historical and political contingencies which meant that critical care, as a relatively new clinical specialty, benefited in tangible ways from modernisation. Further, all staff groups were able to attribute gains, rather than losses, in autonomy and authority to the modernisation of critical care. Their accounts suggest that modernisation can be a professionalising strategy, with responses to change being neither resistant nor compliant, but sceptically strategic.
机译：关于如何描述福利社会中公共部门“现代化”进程的特征已经达成了广泛共识，但是对于这种现代化对专业人员的影响却没有达成共识。本文以英格兰的重症监护为案例研究，以探索专业人士在同一环境下如何应对与现代化相关的变化。与其他领域的报告相比，重症监护专业人士总体上对“现代化”的过程和成果持积极态度，而且他们对组织变革的怀念令人惊讶地缺乏怀旧之情。但是，开玩笑的评论表明，对于与负责“现代化”重症监护的国家组织（现代化机构）明确相关的倡议，人们颇有怀疑。我们建议，工作人员相对乐观的部分原因是历史和政治上的偶然事件，这意味着重症监护作为一种相对较新的临床专业，可以从现代化中切实受益。此外，所有工作人员都能够将自主权和权威的收益而非损失归因于重症监护的现代化。他们的陈述表明，现代化可以是一种专业化的策略，对变化的反应既不具有抗拒性也非顺应性，但可以说是战略性的。

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