Configuration of power relations in physicians and nurses' professional practices.

Configuration of power relations in physicians and nurses' professional practices.
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医生和护士专业实践中的权力关系配置。

DOI:
10.1590/0034-7167-2018-0629
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发表时间:
2020
影响因子:
1.3
通讯作者:
A. Fernandes
A. Fernandes
中科院分区:
--
文献类型:
--
作者:
T. W. Mattar E Silva;I. Velloso;Meiriele Tavares Araújo;A. Fernandes

文献摘要

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客观化 分析重症监护病房(ICU)内科医生和护士的知识和日常实践所构成的权力关系结构。 方法 定性研究,通过采访米纳斯吉拉斯贝洛奥里藏特一家医院ICU的医生和护士收集数据。使用了半结构化的脚本。语篇分析从福柯的角度对数据进行分析。 结果 发展了三个类别--职业认同:职业中的自我认可;纪律:个人态度或集体需要?;以及知识和权力在日常实践中的循环。最后考虑:权力的同一性、规律性和流通性是在主体的主观化的持续运动中联系在一起的,而主体的主观化反过来又以话语作为说服策略来改变在不同情况下接管的位置,从而导致权力的流转。
OBJECTIVE to analyze the configuration of power relations constituted in and by the knowledge and daily practices of physicians and nurses in an Intensive Care Unit (ICU). METHOD qualitative study in which data were collected through interviews with physicians and nurses from an ICU of a hospital in Belo Horizonte, Minas Gerais. A semi-structured script was used. Data were analyzed through discourse analysis in a Foucaultian perspective. RESULTS three categories were developed - Professional Identity: self-recognition in the profession; Discipline: individualizing attitudes or collective need?; and Circularity of knowledge and power in the constitution of daily practices. Final considerations: the identity, discipline and circulation of power are connected in a continuous movement of subjectivation of the subject, which, in turn, uses discourse as a persuasion strategy to modify the position taken over in different situations thereby causing the circulation of power.