Boundary-work

边界 - 工作
  • 文章类型: Journal Article
    在医疗机构中部署高级执业护士(APNs)的研究强调了APNs向更广泛的,在与其他卫生工作者谈判专业界限和新的工作身份方面,护理角色定义不明确。然而,边界工作和职业认同的理论很少应用于APNs与普通护士和较低专业职位的同事的关系,例如护理助理。APNs与这些同事的关系仍然知之甚少。本文旨在帮助解决这一差距。它基于对试点项目的定性研究,该项目在法国卫生系统中引入APN(pre-APN),名为“临床护士专家(PrefICS)”。数据是通过实地观察和对APN之前的访谈收集的,普通护士,护理助理,医生和护理等级制度,为了评估四家医院的PrepICS项目的实施情况,一个健康中心和一个癌症控制中心。分析表明,面对他们的角色仅限于与医生合作的风险,APNs与普通护士和护理助理一起从事不同形式的边界工作,与这些同事谈判新的专业关系。一些前APN以顾问的身份出现,并领导旨在与普通护士和护理助理发展和分享护理知识和能力的活动。其他前APN在护理专业和工作环境方面都围绕着改革派的角色塑造了他们的工作身份。APNs之前与普通护士和护理助理的边界工作产生了工作空间,在这些工作空间中,APNs通过在不同专业领域之间谈判新的专业联系和经纪知识,与这些同事交融他们的工作身份。APN前自我分类水平的变化反映了护理和护理助理专业的不同观点,前APN开始建立新的联盟,以共同反思他们的实践和关怀。
    Research on the deployment of advanced practice nurses (APNs) in healthcare settings highlights significant challenges for APNs transitioning to a broader, less well-defined nursing role in negotiating professional boundaries and a new work identity with other health workers. However, theories of boundary-work and professional identity have been rarely applied to APNs relationships with general nurses and colleagues in lower professional position such as nursing-assistants. APNs relationships with these colleagues remain poorly understood. This article aims to contribute to addressing this gap. It is based on qualitative research on a pilot-project prefiguring the introduction of APN (pre-APN) in the French Health system entitled the Prefiguration of Clinical Nurse Specialists (PrefICS). Data were collected through field observations and interviews with pre-APNs, general nurses, nursing-assistants, doctors and nursing hierarchy, to assess the implementation of PrefICS project in four hospitals, one health centre and one cancer control centre. The analysis shows that facing the risk of their role being limited to collaborations with doctors, pre-APNs engaged in different forms of boundary-work with general nurses and nursing-assistants, to negotiate new professional relationships with these colleagues. Some pre-APNs presented themselves as resource persons and led activities aimed at developing and sharing nursing knowledges and competencies with general nurses and nursing-assistants. Other pre-APNs shaped their work identity around a reformist role in terms of both the nursing profession and work environments. Pre-APNs boundary work with general nurses and nursing-assistants produced work spaces in which pre-APNs interwove their work identity with these colleagues by negotiating new professional ties and brokering knowledges between different professional worlds. Changes in levels of pre-APN self-categorization reflected different views of the nursing and nursing-assistant professions, from which pre-APNs started building new alliances for a shared reflective work on their practice and about caring.
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  • 文章类型: Journal Article
    虽然哲学思想的追求随着时间的推移而改变,哲学实践和方法论没有跟上。哲学追求的价值不仅包括一个人追求的思想和目标,还包括一个人追求它们的方法。在本文中,我们阐明了实证方法如何有益于科学哲学,特别提倡使用定性方法来理解科学探究的社会和规范方面。在将定性方法置于实证科学哲学中之后,我们讨论如何适应这些传统的社会学方法,以经验为哲学问题提供信息。我们的目标是出于哲学目的使定性方法规范化和合法化,并讨论它们如何以更普遍的非理想化方式阐明科学实践的描述性和规范性组成部分。我们认为,定性方法特别适合于对科学社会规范的哲学兴趣,他们的可实现性,和他们的可变性。此外,与哲学中更多的历史案例研究不同,定性方法可以提高泛化性的信心,虽然有限,从一个具体的样本到一个更大的班级。最后,我们从社会认识论和科学社会学中解决了对经验科学哲学独特性的担忧。
    While the pursuitworthiness of philosophical ideas has changed over time, philosophical practice and methodology have not kept pace. The worthiness of a philosophical pursuit includes not only the ideas and objectives one pursues but also the methods with which one pursues them. In this paper, we articulate how empirical approaches benefit philosophy of science, particularly advocating for the use of qualitative methods for understanding the social and normative aspects of scientific inquiry. After situating qualitative methods within empirical philosophy of science, we discuss how to adapt these traditionally sociological methods to empirically inform philosophical questions. Our aim is to normalize and legitimize qualitative methods for philosophical purposes and discuss how they can elucidate descriptive and normative components of scientific practice in a more generalizable non-idealized manner. We contend that qualitative methods are particularly well suited to philosophical interest in the social norms of science, their achievability, and their mutability. Furthermore, unlike more historical case studies in philosophy, qualitative methods enable more confidence in generalizability, albeit limited, from a concrete sample to a larger class. We conclude by addressing anxieties about the distinctness of empirical philosophy of science from social epistemology and from sociology of science.
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  • 文章类型: Journal Article
    在19世纪的美国,欧洲种族被认为是深色皮肤和工人阶级。到1950年代,他们被重新归类为美国白人。同化理论表明,欧洲人的群体间互动,例如社会经济素养和与盎格鲁-撒克逊白人的通婚,导致了他们的同化和种族重新分类。该理论预计阶级流动性会转化为白度的重新分类,因此非欧洲人的向上流动性也将推动他们进入白度。尽管非欧洲人成功的群体间互动,他们的同化和归属仍有待辩论。如果欧洲人和非欧洲人都参与了相似的群体间互动,还有哪个因素决定了他们的差异同化结果?作为回应,我们概念化了一个用于理解群体归属的边界模型。要做到这一点,我们区分象征性和表型或躯体种族。前者提供并附加了soma的含义。此边界模型包括个体“群体间互动”和多数群体“象征性种族边界扩张-收缩”的综合影响。只有当多数群体的边界扩大到认识到群体间的互动有意义并将新来者包括为种族群体内部人时,同化结果才会发生。我们重新审视了欧洲种族的案例,以表明白度的象征性边界扩大了,将其重新分类为被同化的白人。因此,我们提出了四个假设,关于在白度等主类别中重新分类群体的可能性。
    In 19th century U.S., European ethnics were considered dark-skinned and working-class. By the 1950s, they were re-categorized as White Americans. Assimilation theory suggests that Europeans\' intergroup interactions such as socioeconomic attainments and intermarriage with Anglo-Saxon Whites led to their assimilation and racial re-categorization. The theory anticipates that class mobility translates into re-categorization into Whiteness such that non-Europeans\' upward mobility will also propel them into Whiteness. Despite non-Europeans\' successful intergroup interactions, their assimilation and belonging is still up for debate. If both Europeans and non-Europeans have participated in similar rates of intergroup interactions, which other factor has determined their differential assimilation outcomes? In response, we conceptualize a boundary model for understanding group belonging. To do so, we distinguish between symbolic and phenotype or somatic race. The former provides and attaches meanings to soma. This boundary model comprises the combined effects of individuals\' intergroup interactions and majority groups\' symbolic racial boundary expansion-contraction. Assimilation outcome occurs only when majority groups\' boundary expands to recognize intergroup interactions as meaningful and to include newcomers as racial group insiders. We revisit the case of European ethnics to show that the symbolic boundary of Whiteness expanded to re-categorize them as assimilated Whites. Accordingly, we formulate four hypotheses about the possibilities of re-categorizing groups in and out of a master category such as Whiteness.
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  • 文章类型: Journal Article
    要了解COVID-19的居家订单如何影响年轻人的性和社会发展,我们对青春期女孩进行了五个虚拟焦点小组(n=34),trans\',和2021年4月至6月期间16-19岁的非二元青年在GTA中。我们询问了家庭的经历,隐私,以及加拿大第三波期间的性生活。使用具有NVivo的感应框架对自动生成的缩放转录本进行编码。对编码数据的现场注释和团队讨论为分析提供了信息。本文探讨了大流行期间的性健康如何与,依赖于,在家里谈判。利用交叉理论和体现理论,这项研究分析了青年的不同身份如何塑造他们对性健康的理解和体验。我们发现年轻人不仅需要看不见的空间,但重要的是,闻所未闻。我们认为声音是边界工作的重要组成部分,它揭示了年轻人在不稳定时期构建空间的方式。青年主要通过(a)隔音来协商声音隐私,(b)声音警告和(c)“无声保证”,我们创造了一个术语,用来描述其他家庭成员沉默的前身,以便让年轻人感到足够安全,可以实践性健康。我们发现白人青年认为卧室是性生活的最佳空间,但是BIPOC青年认为卧室只是他们最好的选择,仍然发现他们必须协商隐私。关注交叉性理论,我们扩展了McRobbie和Garber\(1976)的卧室文化概念,并扩大了Hernes\(2004)的物理概念,社会和心理边界工作,包括声音作为第四类,跨越其中。这项研究显示了隐私,性别和性身份是在极端不确定的时候在家里协商的,强调在大流行期间,家庭作为一个“地方”的影响,构建性健康。绘制青年实践体现性福祉的方式和地点,揭示了私人和公共对身份的理解与性和家庭地理相关的方式。我们将家庭理解为一个复杂的空间,不仅可以决定性健康,但是健康促进的界限可以谈判。最后,我们提出了支持青少年性健康的建议,在家内外,在COVID-19期间和之后。
    To understand how COVID-19\'s stay-at-home orders impacted youths\' sexual and social development, we conducted five virtual focus groups (n = 34) with adolescent girls\', trans\', and non-binary youths\' aged 16-19 between April-June 2021 in the GTA. We queried experiences of home, privacy, and sexual wellbeing during Canada\'s third wave. Auto-generated zoom transcripts were coded using an inductive framework with NVivo. Field notes and team discussions on the coded data informed the analysis. This paper explores how sexual wellbeing during the pandemic is practiced in relation to, dependent upon, and negotiated at home. Using intersectionality theory and embodiment theory, this research analyzes how youth\'s diverse identities shape their understandings and experiences of sexual wellbeing. We found youth needed spaces where they were not only unseen, but importantly, unheard. We argue sound as an important piece of boundary-work that reveals the way youth construct space during precarious times. Youth primarily negotiated sonic privacy through (a) sound-proofing, (b) sound warnings and (c) \"silent reassurance\", a term we coined to describe the precursor of silence from other household members in order for youth to feel safe enough to practice sexual wellbeing. We found that white youth cited the bedroom as the best space for sexual wellbeing practices, but BIPOC youth felt the bedroom was only their best available option and still found they had to negotiate privacy. Attending to intersectionality theory, we expand on McRobbie and Garber\'s (1976) bedroom culture concept and widen Hernes\' (2004) concept of physical, social and mental boundary-work to include sound as a fourth type, which straddles among them. This research shows how privacy, gender and sexual identities were negotiated at home in times of extreme uncertainty, highlighting how implications of home as a \'place\' during the pandemic, constructs sexual wellbeing. Mapping how and where youth practice embodied sexual wellbeing exposes the ways that private and public understandings of identity relate to sexuality and geographies of home. We understand the home as a complex space that can not only determine sexual wellbeing, but where health promoting boundaries can be negotiated. We conclude with suggestions for supporting adolescent sexual wellbeing, inside and outside the home, during and after COVID-19.
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  • 文章类型: Journal Article
    目标:文献中提供了许多建议来确定工作类型是否为职业,一些人使用勾号框类型的特征和特征分析来将个人的行为和素质与预定义的列表进行比较。然而,没有具体的方法来解决什么构成或定义一个职业。许多学科的作家,包括射线照相,使用了这些不同的模型,有时结果相互矛盾。本文探讨了布迪厄用“领域”代替职业概念的使用,意味着具有共同属性的居住者网络,在这种情况下,射线技师,试图解决这个问题。
    结果:在英国,射线照相从业人员和专业机构通常使用术语专业来描述射线照相,本文探讨了射线照相术语的辩护。使用布迪厄的场论不仅有助于定义职业,但也解释了职业界限的困难,以及保护作为可信实体的职业所需的工作。
    结论:本文支持使用布迪厄场论时,射线照相是一种职业的论点。放射摄影术继续努力通过增加其象征性资本来维持其地位,方法是增加该行业的研究成果和证据基础,并通过角色扩展。
    结论:放射技师可以确信,当使用布迪厄的场论时,放射摄影是一种职业。本文展示了放射线照相术外部的理论框架和概念如何用于支持该行业内的新思维方式。
    There are many suggestions offered within the literature to decide if a job type is a profession, some using tick box type trait and characteristics analyses to compare the actions and qualities of individuals to a predefined list. However, there is no specific way to resolve what makes or defines a profession. Writers in many disciplines, including radiography, have used these different models, sometimes with conflicting results. This paper explores the use of Bourdieu\'s replacement of the concept of profession with that of a \'field\', meaning a network of occupants with common attributes, in this case radiographers, in an attempt to resolve this issue.
    In the UK, radiography practitioners and professional bodies generally use the term profession to describe radiography, and this paper explores a defence of the term for radiography. Using Bourdieu\'s field theory not only helps define a profession, but also explains the difficulties at the boundaries of professions, and the work needed to protect a profession as a credible entity.
    This paper supports the argument that radiography is a profession when using Bourdieu\'s field theory. Radiography continues to work to maintain its status by increasing its symbolic capital by increasing the research output and evidence base of the profession and through role extension.
    Radiographers can perhaps be assured that radiography is a profession when using Bourdieu\'s field theory. This paper shows how theoretical frameworks and concepts from outside radiography can be used to support new ways of thinking within the profession.
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  • 文章类型: Journal Article
    在知乎上对中国科学家科学传播者(n=15)和公民科学传播者(n=15)的定性采访表明,这两个群体之间存在斗争,被视为在线合法的科学传播者。公众用户试图展示他们作为科学传播者的热情,融入科学传播者的圈子,模糊科学家和他们之间的界限。参与的科学家倾向于轻视这种活动,并表明他们是更合法的科学传播者,具备必要的科学素养和高尚的个人道德。
    Qualitative interviews with Chinese scientist science communicators (n = 15) and citizen science communicators (n = 15) on Zhihu suggest that there is a struggle between the two groups to be seen as legitimate science communicators online. Public users tried to show their enthusiasm as science communicators, integrate into the circle of science communicators and blur the boundary between scientists and themselves. The participating scientists tend to discount such activity and indicate that they are more legitimate science communicators, possessing the requisite scientific literacy and noble personal morality.
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  • 文章类型: Journal Article
    JulianOchorowicz(1850-1917)属于第一代心理学家,他们认为这门学科是一门科学,积极的努力。同时,他是精神科学的代表,遵循严格的实证主义态度来研究心理现象。这篇文章讨论了他职业生涯的关键事件,用著名的中等尤子鱼帕拉迪诺做实验,在华沙,在1893年末和1894年初之间。Ochorowicz与Palladino的合作引起了当地和国际的广泛关注,并提高了他作为国际领先的心理研究人员的地位。在华沙,然而,这些实验引起了激烈的争议,因此,Ochorowicz名誉扫地,离开了这座城市。正如我所说,这种信誉的分离是19世纪后期媒体格局变化的结果。虽然Ochorowicz的边界工作战略和主张他的信誉是针对学术媒体的,当面对密集时,它被证明是致命的,大众媒体的每日报道。
    Julian Ochorowicz (1850-1917) belonged to the first generation of psychologists who regarded this discipline as a scientific, positive endeavor. At the same time, he was a representative of psychic sciences, following a strictly positivist attitude to researching psychic phenomena. This article discusses the key event of his career, experiments with the famous medium Eusapia Palladino, in Warsaw, between late 1893 and early 1894. Ochorowicz\'s séances with Palladino attracted wide local and international attention and improved his standing as an internationally leading psychic researcher. In Warsaw, however, these experiments were fiercely controversial and, as a result, Ochorowicz was discredited and left the city. As I argue, this dissociation of credibilities was the outcome of a changing media landscape in the late nineteenth century. While Ochorowicz\'s strategy of boundary-work and asserting his credibility aimed at scholarly media, it proved fatal when facing intensive, daily coverage in the popular press.
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  • 文章类型: Journal Article
    注意缺陷/多动障碍(ADHD)是最具争议的儿童精神疾病之一。随着其诊断和治疗的全球化,台湾紧随其他医学发达国家,应对儿童有问题行为的医学挑战,并遇到关于多动症的抵制话语。为现有文献做出贡献,这项研究利用社会世界框架来破译这些关于多动症的相互竞争的话语之间的关系动态,即主流精神病学,对过度诊断的批评和反精神病的抗议,并提出这些国内倡导与国外相关辩论之间的联系。此外,边界工作的概念用于分析这些集体行为者为各自的主张寻求合法性的策略。基于现有的科学伦理边界工作研究,这项研究认为,当涉及到充满不确定性的临床实践时,这两种看似截然不同的边界工作形式可能会相互支持,以便充当争端的仲裁者。尽管在这个案例研究中,这些社会世界之间的权力差异与争端的看似可预测的结果,代表他们的异质叙述和话语斗争的过程有助于破坏生物医学ADHD的看似自然化的概念化。
    Attention-deficit/hyperactivity disorder (ADHD) is one of the most controversial childhood psychiatric condition. With the globalisation of its diagnosis and treatment, Taiwan has followed other medically advanced countries in meeting the challenge of medicalising children\'s problematic behaviours and encountering the resistance discourses on ADHD. To contribute to the extant literature, this study employs the social worlds framework to decipher the relational dynamics amongst these competing discourses on ADHD, namely the mainstream psychiatry, the critiques of overdiagnosis and the antipsychiatric protest, and to suggest the links between these domestic advocacies and the relevant debates abroad. In addition, the concept of boundary-work is used to analyse the strategies through which these collective actors pursue legitimacy for their respective claims. Based on the existing research of scientific and ethical boundary-work, this study argues that when it comes to clinical practices fraught with uncertainties, these two seemingly distinct forms of boundary-work may become mutually supportive in order to act as arbiters of disputes. Despite the disparity of power amongst these social worlds in this case study with seemingly predictable outcomes of the dispute, representing their heterogeneous narratives and the process of discursive struggle helps to destabilise the seemingly naturalised conceptualisation of biomedical ADHD.
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  • 文章类型: Journal Article
    Health care encounters are opportunities for primary care practitioners to identify women experiencing domestic violence and abuse (DVA). Increasing DVA support in primary care is a global policy priority but discussion about DVA during consultations remains rare. This article explores how primary care teams in the United Kingdom negotiate the boundaries of their responsibilities for providing DVA support. In-depth interviews were undertaken with 13 general practitioners (GPs) in two urban areas of the United Kingdom. Interviews were analyzed thematically. Analysis focused on the boundary practices participants undertook to establish their professional remit regarding abuse. GPs maintained permeable boundaries with specialist DVA support services. This enabled ongoing negotiation of the role played by clinicians in identifying DVA. This permeability was achieved by limiting the boundaries of the GP role in the care of patients with DVA to identification, with the work of providing support distributed to local specialist DVA agencies.
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  • 文章类型: Journal Article
    Given the expansion of pseudoscience, there is a need to understand its mechanisms of diffusion. Our aim was to evaluate how pseudoscience operates among pharmacists. We performed 29 semi-structured interviews to assess the stance of pharmacists regarding pseudoscience. Interview data were analyzed qualitatively to seek common themes. Our results indicate that although pharmacists were broadly opposed to more extreme pseudoscientific practices, some attitudes were detected that may contribute to pseudoscience acceptance. We identified some of the processes by means of which pseudoscience boundaries with science are blurred: the minimization of risk, the hierarchy of health-related pseudoscientific therapies, inappropriate utilization of the notion of \"innocuousness,\" and the use of the placebo effect as a justification for prescription. Discursive patterns typical of pseudoscientific argumentation were also recognized, such as contradictory arguments and the sequndum quid and ad antiquitatem fallacies, which, we conclude, may contribute to a greater acceptance of pseudoscience.
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