Exhausting care: On the collateral realities of caring in the early days of the Covid-19 pandemic

Exhausting care: On the collateral realities of caring in the early days of the Covid-19 pandemic
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DOI:
10.1016/j.socscimed.2024.116617
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发表时间:
2024-01-26
影响因子:
5.4
通讯作者:
Lancaster,Kari
Lancaster,Kari
中科院分区:
医学2区
文献类型:
--
作者:
Rhodes,Tim;Osorio,Maria Paula Ruiz;Lancaster,Kari

文献摘要

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我们探讨护理作为一个网站的多样性和紧张局势。通过对哥伦比亚19名医护人员的定性访谈,我们追踪了2019冠状病毒病大流行初期“令人精疲力竭的护理”的叙述。帐户涉及疲惫的照顾,不间断地工作,以应对特殊的需求,提高传染病的关注,在面对预期死亡的照顾压力,并努力继续照顾在面对约束。我们汇集了约翰·劳(2010年,2011年)关于“间接现实”的工作与劳伦·伯兰特(2011年)关于“残酷的乐观主义”的论文,以探索护理作为一个实践场所,在这种实践中,良好的承诺也可以成为现实的伤害,给定的结构条件。通过“进行”的反射性叙述,面对被“磨损”的护理,一个叙事贯穿于医疗保健工作者的帐户,我们提请注意耗尽护理作为个人和政治的附带现实,在一次的耐力和提取的做法。我们认为,与新型冠状病毒肺炎疫情的非凡性相关的令人疲惫的护理也存在于日常生活的平凡性和缓慢的暴力中。对照料的残酷的乐观主义是一种关系,在这种关系中,照料的劳动再现了一种有害的状况。
We explore care as a site of multiplicity and tension. Working with the qualitative interview accounts of nineteen health care workers in Colombia, we trace a narrative of ‘exhausting care’ in the early days of the Covid-19 pandemic. Accounts relate exhausting care to working without break in response to extraordinary demand, heightened contagion concern, the pressures of caring in the face of anticipated death, and efforts to carry on caring in the face of constraint. We bring together the work of John Law (2010, 2011) on ‘collateral realities’ with Lauren Berlant’s (2011) thesis of ‘cruel optimism’ to explore care as a site of practice in which the promise of the good can also become materialised as harm, given structural conditions. Through the reflexive narrative of ‘carrying on’ in the face of being ‘worn down’ by care, a narrative which runs through health care worker accounts, we draw attention to the collateral realities of exhausting care as personal and political, at once a practice of endurance and extraction. We argue that the exhausting care that relates to the extraordinariness of the Covid-19 pandemic also resides in the ordinariness, and slower violence, of the everyday. The cruel optimism of care is a relation in which the labour of care reproduces a harmful situation.