Artiklen diskuterer New Public Governance i lyset af en omsorgsforståelse.
New Public Governance baserer sig på et menneskesyn, hvor det individuelle
menneske er aktør i eget liv, og sygeplejefaglig omsorg baserer
sig på et relationelt menneskesyn, hvor det moralske ansvar for hinanden
står centralt. Artiklens formål er derfor at identificere det moralske
ansvars faldgruber med henblik på at fremsætte nye handlemuligheder
for at forebygge omsorgssvigt i et New Public Governance-sundhedssystem.
Florence Nightingale bringes ind som det moralske ansvars forbillede,
da hun tager udgangspunkt i at skabe livsbefordende handlemuligheder i
et relationelt samarbejde med patienten. Det er et samarbejde, der
tager udgangspunkt i personen og dennes eksistens. Der argumenteres
for et påtrængende handlekrav om, at sygeplejersken i den konkrete
omsorgssituation skal opdage, hvilken appel om hjælp patienten udtrykker,
og hvilke livsfænomener der trænger sig på.
Problemet er, at New Public Governaces ideal om selvforvaltning
og involvering kan medføre ansvarsforflygtigelse og omsorgssvigt.
Derfor handler det om at generobre omsorgen som samfundets værdi
og i hver enkelt situation vurdere, hvad der er den rette ansvarsfordeling
mellem patient og sygeplejerske.
The article discusses New Public Governance in the light of an
understanding of care and caring. New Public Governance is based
on a view of humanity where each human being is an actor in his
own life. Nursing care is based on a relational view of humanity
where the moral responsibility for fellow human beings is a key
element. The purpose of the article is to identify the pitfalls
of the moral responsibility to put forward new ways of acting to
prevent neglect of care in a New Public Governance healthcare system.
Florence Nightingale is introduced as a role model for moral
responsibility, as her point of departure is to create life-conducing
ways of acting in a relational collaboration with the patient. This collaboration
is based on the person and the existence of this person. The article
argues for a pressing demand to act and that the nurse in the specific
care situation must discover which appeal for help is expressed
by the patient and which life phenomena are at stake.
The New Public Governance ideal is that self-management and involvement
may lead to avoidance of responsibility and neglect of care. Thus, the
focus should be to reclaim care as a value in society and assess
the right distribution of responsibility between the patient and
the nurse in each individual situation.