脱下白大褂,在医学模仿之外重塑护理的身份。

IF 1.6 4区 医学
Trae Stewart
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引用次数: 0

摘要

摘要:白大褂已经成为护理界备受争议的象征——一种曾经专属于医学的服装,现在反映了关于职业身份、合法性和视觉权威的更深层次的紧张关系。尽管一些护士出于实用性或制度性政策而采用它,但它的广泛采用有强化等级制度的风险,这种等级制度贬低了护理独特的认识论,这种认识论强调关系、经验和具体化的护理。从批判理论、后结构主义和后现代主义出发,本文探讨了白大褂如何通过将护理与临床超然和科学至上的模式结合起来,使殖民模仿和认知暴力永续下去。通过历史分析和个人反思,作者探讨了统一的象征主义如何影响护士-病人动态,角色清晰度和自我感知。实际的反驳——包括卫生、病人信任和专业形象——得到了承认和解决。这篇文章最终提倡根据具体情况着装和有意义的职业仪式,比如固定仪式和基于价值的代币。这些替代方案更符合护理的多元化理念,并使护士能够根据自己的条件定义自己的视觉和象征身份。放弃白大褂并不是对专业精神的否定,而是邀请我们通过关怀、公正和真实的视角重新想象它。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Shedding the white coat to reclaim nursing's identity beyond medical mimicry.

Abstract: The white coat has become a contested symbol in nursing-a garment once exclusive to medicine that now reflects deeper tensions about professional identity, legitimacy, and visual authority. Although some nurses wear it out of practicality or institutional policy, its broader adoption risks reinforcing hierarchies that devalue nursing's distinct epistemology, which emphasizes relational, experiential, and embodied care. Drawing from critical theory, poststructuralism, and postmodernism, this essay explores how the white coat perpetuates colonial mimicry and epistemic violence by aligning nursing with a model of clinical detachment and scientific supremacy. Through both historical analysis and personal reflection, the author examines how uniform symbolism affects nurse-patient dynamics, role clarity, and self-perception. Practical counterarguments-including hygiene, patient trust, and professional image-are acknowledged and addressed. The essay ultimately advocates for context-specific attire and meaningful professional rituals, such as pinning ceremonies and value-based tokens. These alternatives better align with nursing's pluralistic philosophy and can empower nurses to define their visual and symbolic identity on their own terms. Letting go of the white coat is not a dismissal of professionalism but an invitation to reimagine it through the lens of care, justice, and authenticity.

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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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