Nursing philosophy : an international journal for healthcare professionals最新文献_第6页

Mediating patienthood-from an ethics of to an ethics with technology. 调解耐心——从技术伦理到技术伦理。

Nursing philosophy : an international journal for healthcare professionals Pub Date : 1900-01-01 DOI: 10.1111/nup.12153

A. H. Kiran

{"title":"Mediating patienthood-from an ethics of to an ethics with technology.","authors":"A. H. Kiran","doi":"10.1111/nup.12153","DOIUrl":"https://doi.org/10.1111/nup.12153","url":null,"abstract":"The changes that happen to healthcare services after the implementation of new assistive healthcare technologies (also called 'welfare technology' in the Nordic countries) concern more than increased efficiency and reducing healthcare expenditure. Of particular interest from an ethical point of view are the manners in which technologies shape the roles and identities of care receivers and healthcare personnel. The notion of 'patienthood' is explored in this paper as something that is both challenged by new technologies, and as something that is opened up for active and potentially positive reshaping when care receivers support their illness or frailty with assistive healthcare technologies. This dual effect of technologies (as both challenge and opportunity) requires a rethinking of ethics of technologies, which for most part have been preoccupied with ethical issues prior to the implementation of a new technology into a healthcare service. Ethics of technology should also contribute to the concrete efforts of care receivers to establish something approximating a 'good patienthood' in relation to a new technology, making it opportune to dub it, instead, an ethics with technology. This paper explores how assistive healthcare technologies impact on care receivers and the care situation, and in relation to the notion of patienthood, before turning to what this implies for an ethics that has as its goal to support care receivers to reach a life with the technology that is in line with their own notions of well-being and a good life.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116823390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

The case for "structural missingness:" A critical discourse of missed care. “结构性缺失”案例:缺失护理的批判性论述。

Nursing philosophy : an international journal for healthcare professionals Pub Date : 1900-01-01 DOI: 10.1111/nup.12279

Jane Hopkins Walsh, Jessica Dillard-Wright

{"title":"The case for \"structural missingness:\" A critical discourse of missed care.","authors":"Jane Hopkins Walsh, Jessica Dillard-Wright","doi":"10.1111/nup.12279","DOIUrl":"https://doi.org/10.1111/nup.12279","url":null,"abstract":"Stimulated by our conversations at the 2018 International Philosophy of Nursing Society Conference and our shared interests, the coauthors present an argument for augmenting the broader discussion of \"missed care\" with our synthesized concept called structural missingness. We take the problem of missed care to be largely grounded on a particular economic construction of the healthcare system within an era of what some are calling the Capitalocene, capturing the pervasive influence of capitalism on nature, humanity and the world order. Our perspective is that of the United States, however, extrapolations can be made to the social and healthcare systems in other countries. We are concerned with the underlying conditions that structurally reify inequality and ultimately undermine nursing practice. To situate the discussion, we briefly review existing literature on the contextualization of missed care. We understand contemporary circumstances of missed care as a function of the neoliberalization of healthcare, including the idea of nursing as a commodity. From this, we discuss the implications of missed care, which forms the basis of our critique. Synthesizing the term \"structural missingness, we locate a moral imperative in the professional and disciplinary commitments of nursing to consider who and what have been left out. This moral imperative for the nursing profession, along with other social and health related professions, underscores our obligation to be involved in uncovering inequities and conceptualizing upstream solutions for structural missingness.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130276073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Situated technology in reproductive health care: Do we need a new theory of the subject to promote person-centred care? 生殖保健中的定位技术:我们是否需要一种新的主题理论来促进以人为本的护理?

Nursing philosophy : an international journal for healthcare professionals Pub Date : 1900-01-01 DOI: 10.1111/nup.12159

B. Stanković

{"title":"Situated technology in reproductive health care: Do we need a new theory of the subject to promote person-centred care?","authors":"B. Stanković","doi":"10.1111/nup.12159","DOIUrl":"https://doi.org/10.1111/nup.12159","url":null,"abstract":"Going through reproductive experiences (especially pregnancy and childbirth) in contemporary Western societies almost inevitably involves interaction with medical practitioners and various medical technologies in institutional context. This has important consequences for women as embodied subjects. A critical appraisal of these consequences-coming dominantly from feminist scholarship-relied on a problematic theory of both technology and the subject, which are in contemporary approaches no longer considered as given, coherent and well individualized wholes, but as complex constellations that are locally situated and that can only be described empirically. In this study, we will be relying on the developments in phenomenological theory to reconceptualize women as technologically mediated embodied subjects and on the new paradigms in philosophy of technology and STS to reconstruct medical technology as situated-with the aim of reconceptualizing their relationship and exploring different possibilities for the mediating role of medical technology. It will be argued that technologization of female reproductive processes and alienating consequences for women are not necessary or directly interrelated. The role of technology varies from case to case and depends mainly on the nontechnological and relational aspects of institutional context, in which medical practitioners play a decisive role.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"225 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116232011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Nursing with care: a meditation in three voices (in memoriam John S. Drummond). 小心护理:三种声音的沉思(纪念约翰·s·德拉蒙德)。

Nursing philosophy : an international journal for healthcare professionals Pub Date : 1900-01-01 DOI: 10.1111/nup.12147

C. Ceci, M. Purkis, F. Wynn

引用次数: 1

Brave new world. 美丽的新世界。

Nursing philosophy : an international journal for healthcare professionals Pub Date : 1900-01-01 DOI: 10.1111/nup.12115

Adrián Juárez

引用次数: 0

Reconciling concepts of time and person-centred care of the older person with cognitive impairment in the acute care setting. 协调时间和以人为本的老年人在急性护理环境中的认知障碍护理的概念。

Nursing philosophy : an international journal for healthcare professionals Pub Date : 1900-01-01 DOI: 10.1111/nup.12132

Carole Rushton, A. Nilsson, D. Edvardsson

引用次数: 13

The gap between macroeconomic and microeconomic health resources allocation decisions: The case of nurses. 宏观经济和微观经济卫生资源分配决策之间的差距:以护士为例。

Nursing philosophy : an international journal for healthcare professionals Pub Date : 1900-01-01 DOI: 10.1111/nup.12283

M. Igoumenidis, P. Kiekkas, E. Papastavrou

{"title":"The gap between macroeconomic and microeconomic health resources allocation decisions: The case of nurses.","authors":"M. Igoumenidis, P. Kiekkas, E. Papastavrou","doi":"10.1111/nup.12283","DOIUrl":"https://doi.org/10.1111/nup.12283","url":null,"abstract":"The allocation of healthcare resources takes place at two distinct levels. At the macroeconomic level, policymakers decide on budgets, staffing, cost-effectiveness thresholds, clinical guidelines and insurance payments; at the microeconomic level, healthcare professionals decide on whom to treat, what the appropriate treatment is, how much time and effort should each patient receive and how urgent the need for care is. At both levels, there is a constant social need for just allocation. Policymakers are mostly guided by abstract principles of justice, thinking in terms of groups of patients, epidemiological data, impersonal statistics and economic costs. On the other hand, healthcare professionals understand the need for justice at a more personal level, as they interact with patients and, in a sense, put theory into practice. Nurses hold a unique position in healthcare systems, as, traditionally, they are closer to patients than other health professionals. This means that they have a firsthand view of the effect that their decisions have on specific patients and, therefore, nurses tend to get more influenced by their personal feelings, values and beliefs at the microeconomic level. This presentation shall examine the gap between abstract macroeconomic and concrete microeconomic health resources allocation decisions, with a particular emphasis on the role of the nurse.","PeriodicalId":391694,"journal":{"name":"Nursing philosophy : an international journal for healthcare professionals","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123870593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Personal identity. 个人的身份。

Nursing philosophy : an international journal for healthcare professionals Pub Date : 1900-01-01 DOI: 10.1017/cbo9780511759345

Hugh Upton

引用次数: 734

Reading Heidegger. 阅读海德格尔。

Nursing philosophy : an international journal for healthcare professionals Pub Date : 1900-01-01 DOI: 10.1111/nup.12271

E. Smythe, D. Spence

引用次数: 0

On being a Luddite in the new world of technological nursing care. 在技术护理的新世界里做一个勒德分子。

Nursing philosophy : an international journal for healthcare professionals Pub Date : 1900-01-01 DOI: 10.1111/nup.12116

S. Nairn

引用次数: 4