认识论上的不公正是否值得应用于心理健康护士教育?

IF 2.9 1区 哲学 Q1 ETHICS
Nursing Ethics Pub Date : 2024-11-01 Epub Date: 2024-08-09 DOI:10.1177/09697330241259154
Jane Fisher
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引用次数: 0

摘要

本文探讨了认识论不公正的哲学概念,并论证了其对心理健康护士教育和临床实践的意义和相关性。认识论不公正一词对于心理健康护士来说可能并不熟悉,但其影响却在对服务使用者的知识、证词和解释的否定、沉默和怀疑中显而易见。现有的专业价值观和临床标准缺乏对认识论和相关伦理问题的深入和批判性探讨。尽管以人为本的护理和重视服务使用者的声音是核心原则,但认识论上的不公正仍在继续发生。仅仅要求护士倾听服务使用者的声音并不能概括认识论上的不公正。这是对认识论的过度简化,忽视了社会影响和知识交流的复杂性。认识论上的不公正为护理课程带来了新的创新,并符合heutagogy的原则。它鼓励围绕权力不平等和交叉性伦理问题进行深入的反思。将其纳入心理健康护理教育中,可以对作为一种沉默和耻辱形式的精神病诊断的社会和政治力量进行审查。通过认识论价值和伦理反思提示,将其实际应用到心理健康护理教育和实践中。教育者和讲师可将其用于注册前心理健康护士教育、注册后教育和持续职业发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is epistemic injustice a worthy application to mental health nurse education?

This paper explores the philosophical concept of epistemic injustice and contends its significance and relevance to mental health nurse education and clinical practice. The term epistemic injustice may be unfamiliar to mental health nurses, yet the effects are readily visible in the dismissing, silencing, and doubting of service users' knowledge, testimony, and interpretation. Existing professional values and clinical standards lack depth and critical exploration pertaining to epistemology and associated ethical concerns. Despite central tenets of person-centred care and valuing the service users' voice, epistemic injustice continues to occur. Epistemic injustice cannot be summed up merely by asking nurses to listen to service users. This represents an oversimplification of epistemology, ignoring the complexities of social influence and knowledge exchanges. Epistemic injustice brings something new and innovative to the nursing curriculum and fits within the principles of heutagogy. It encourages deep reflexivity surrounding the ethical issues of power inequalities and intersectionality. Inclusion in mental health nursing education allows for the social and political powers of psychiatric diagnosis as a form of silencing and stigma to be examined. Practical application is made to mental health nursing education and practice with epistemological values and ethical reflexive prompts. These can be utilised by educators and lecturers for pre-registration mental health nurse education, post-registration, and continued professional development.

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来源期刊
Nursing Ethics
Nursing Ethics 医学-护理
CiteScore
7.80
自引率
11.90%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Nursing Ethics takes a practical approach to this complex subject and relates each topic to the working environment. The articles on ethical and legal issues are written in a comprehensible style and official documents are analysed in a user-friendly way. The international Editorial Board ensures the selection of a wide range of high quality articles of global significance.
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