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为什么护士应该是马克思主义者。

Why nurses should be Marxists.

机构信息

Faculty of Health and Social Sciences, Bournemouth University, Poole, UK.

出版信息

Nurs Philos. 2019 Oct;20(4):e12269. doi: 10.1111/nup.12269. Epub 2019 Jul 17.

Abstract

The argument that nurses should be Marxists is made by looking at the primary areas of nursing activity in turn, giving an example of how capitalist economic relations negatively impact upon that activity, and providing a Marxist explanation of the reasons why it has that impact. In relation to the nursing activity of health promotion, it is argued that capitalism's generation of social inequality undermines the health of the population. In relation to curative activities, the focus is on how capitalism's reckless pursuit of profit has subverted the sustainability of bactericidal interventions. The argument in relation to comforting and assistive care is that the ownership and control of health services by capitalist corporations undermines therapeutic relationships. Finally, in relation to supportive care, it is contended that capitalism's requirement for a disciplined workforce can compromise healthcare professionals' support of employees. It is concluded that if nurses aspire to have some control over their activities, then it is a good idea for them to avail of Marxism's capacity to identify the socio-economic mechanisms by which capitalism affects nursing care.

摘要

认为护士应该是马克思主义者的观点是通过依次考察护理活动的主要领域得出的,举出一个例子说明资本主义经济关系如何对该活动产生负面影响,并从马克思主义的角度解释其产生影响的原因。在与促进健康的护理活动有关的内容中,论点认为资本主义造成的社会不平等破坏了人口健康。在与治疗活动有关的内容中,重点是资本主义对利润的肆无忌惮的追求如何破坏了杀菌干预的可持续性。在与安慰和辅助护理有关的内容中,论点认为资本主义对卫生服务的所有权和控制权破坏了治疗关系。最后,在支持性护理方面,认为资本主义对纪律严明的劳动力的要求可能会损害医疗保健专业人员对员工的支持。结论是,如果护士希望对自己的活动有一定的控制,那么利用马克思主义识别资本主义影响护理的社会经济机制的能力是一个好主意。

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