'Looking like a bad person': vocabulary of motives and narrative analysis in a story of nursing collegiality.

'Looking like a bad person': vocabulary of motives and narrative analysis in a story of nursing collegiality.
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“看起来像个坏人”:护理学院故事中的动机词汇和叙事分析。

DOI:
10.1111/nin.12088
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发表时间:
2015
期刊:
影响因子:
2.3
通讯作者:
Padgett,StephenM
Padgett,StephenM
中科院分区:
医学3区
文献类型:
--
作者:
Padgett,StephenM

文献摘要

被引文献

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护士之间的合作对于完成护理任务、提高安全和质量以及职业自我监管是必要的。护士,尤其是医院的护士,比其他专业人员更有可能在团队中工作,但这些关系尚未得到很好的探索。欺凌、恐吓和恐惧的情况经常被提及,而相互尊重的分歧却很少被描述。在本文中,仔细阅读了一位护士讲述的关于她与另一位护士的对话冲突的故事。我使用威廉·卡洛斯·威廉姆斯的“三元线”来格式化采访文本的扩展摘录,以便使口语的节奏和组织可见。米尔斯的“动机词汇”概念用于检查每位护士所采用的修辞策略。最后,我分析了故事的叙事结构,强调了道德的确定性和不确定性如何让读者参与故事,以及美德在护理话语中的复杂作用。
Collegiality among nurses is necessary for the accomplishment of the tasks of care, for safety and quality improvement and for professional self‐regulation. Nurses, especially in hospitals, are more likely to work in groups than other professionals, yet those relationships have not been well explored. Bullying, intimidation and fear are frequently identified, while respectful disagreements are rarely described. In this paper, a single story by a nurse about her conversational conflict with another nurse is given a close reading. I use the ‘triadic line’ of William Carlos Williams to format an extended excerpt of interview text, in order to make visible the rhythms and organization of spoken language. Mills' concept of a ‘vocabulary of motives’ is used to examine the rhetorical strategies deployed by each nurse. Finally, I analyze the narrative structure of the story, highlighting the ways that moral certainty and uncertainty function to involve the reader in the story, and the complex role of virtue in nursing discourse.