Abstract：
From October 2008 through 2010, journalists Charles Ornstein and Tracey Weber produced for the Los Angeles Times and ProPublica a series of investigative reports on the performance of the California Board of Registered Nursing (BRN), finding that it took an average of 3.5 years to act on complaints of professional misconduct by registered nurses, including sexual assault of patients, substance use, and repeat medication errors that resulted in patients dying. In June 2009, Governor Arnold Schwarzenegger announced that he was firing members of the BRN. Its executive officer resigned shortly thereafter. This case study analyzes interviews with nine participants, including the journalists and individuals who were public and nurse members of the BRN in 2009. Four themes emerged: (1) There is a tension between what are perceived to be the public\'s interests versus nursing\'s interests; (2) Political naiveté about government and organizational culture can lead to the personalization of actions directed at institutions; (3) A sense of fatalism may be reinforced by organizational culture; and (4) The role and use of media in a free society may be obscured when one is the focus of investigative journalism. Nurses who seek to operate in the public sector must be grounded in the political realities of complex governmental forces that may appear to be illogical or personally offensive. Media, particularly news media, is a powerful tool for influencing these forces. Nurses should employ strategic approaches to the use of media in order to advance their voices as advocates for the public\'s interests.
摘要：
从2008年10月到2010年，记者CharlesOrnstein和TraceyWeber为《洛杉矶时报》和ProPublica制作了一系列有关加利福尼亚注册护理委员会（BRN）表现的调查报告，发现对注册护士的专业不当行为投诉平均需要3.5年的时间，包括对病人的性侵犯,物质使用,并重复导致患者死亡的用药错误。2009年6月，州长阿诺德·施瓦辛格宣布他将解雇BRN成员。此后不久，其执行官辞职。本案例研究分析了对9名参与者的访谈，包括2009年BRN的公众和护士成员的记者和个人。出现了四个主题：（1）被认为是公众的利益与护理的利益之间存在紧张关系；（2）关于政府和组织文化的政治天真可以导致针对机构的行动的个性化；（3）组织文化可能会增强宿命论；（4）当媒体成为调查性新闻的焦点时，媒体在自由社会中的作用和使用可能会被掩盖。寻求在公共部门工作的护士必须以复杂的政府力量的政治现实为基础，这些力量似乎不合逻辑或个人冒犯。媒体,特别是新闻媒体，是影响这些力量的有力工具。护士应该采用战略方法来使用媒体，以提高他们作为公众利益倡导者的声音。
