ABSTRACT

A good culture of care, empowering individuals within organisations to care and reflecting wider social expectations about care, is now a well-documented aspiration in managing practices of laboratory animal research and establishing priorities for patient and public health. However, there is little attention to how different institutional cultures of care interact and what happens to the accountabilities of caring roles and the entanglements of caring practices when institutional cultures meet. Drawing on research exploring the increasing practices of patient and public involvement (PPI) within animal research in the UK, we identify three ways in which cultures of care are changing in encounters between biomedical researchers and people affected by health conditions. Firstly, patient involvement in animal research brings additional bodies to care for within research facilities. Secondly, patient and public groups are seen as an increasingly important group to convey a culture of care to. Thirdly, involvement brings opportunities for patients and publics to connect care for both human and animals. However, more attention is required to understand how shifts towards cultures of care distribute power and responsibility to care within institutions and at their boundaries, where responsibilities to care may be disconnected from the power to effect meaningful changes.

摘要

良好的关怀文化，赋予组织内的个人关怀和反映更广泛的社会对关怀的期望，现在已成为管理实验室动物研究实践和确定患者和公共卫生优先事项的有据可查的愿望。然而，很少有人关注不同的护理机构文化如何相互作用，以及当机构文化相遇时护理角色的责任和护理实践的纠缠会发生什么。根据探索英国动物研究中患者和公众参与 (PPI) 不断增加的做法的研究，我们确定了护理文化在生物医学研究人员与受健康状况影响的人之间的接触中发生变化的三种方式。首先，患者参与动物研究会带来更多的身体在研究设施内进行护理。其次，患者和公共团体被视为一个越来越重要的群体，可以向其传达关怀文化。第三，参与为患者和公众带来了连接人类和动物护理的机会。然而，需要更多的关注来理解向护理文化的转变如何在机构内部及其边界分配护理的权力和责任，在这些地方，护理责任可能与实现有意义变革的权力脱节。