巴西护理实践重点的转变。

The changing focus of nursing practice in Brazil.

作者信息

Silva M, Alves Rozendo C, Laus Ribas Gomes E, Puntel de Almeida M C

出版信息

Int Hist Nurs J. 1998 Summer;3(4):19-24.

PMID:11620422

Abstract

Using a historical-social perspective, the authors aim at understanding and analysing the vision of supervision and leadership in the history of Brazilian nursing from 1930 to 1995. The empirical material comprised journal articles, books, theses and proceedings. In the first period (1930-1949), preliminary expressions of the organization and control of nursing work were found. In the second (1950-1969), the concept of human relations at work emerged in the third period (1970-1979) evidence was found for concern about staffing structures following changes in the health sector. In the most recent period (1980-1995), a new perspective is established, emphasising nursing as a social practice related to supervision rather than leadership. Based on this historical search, and linked with views of health practice and change in Brazilian society, supervision and leadership can be located within management ideas and practice. These concepts are understood, generally, within a theoretical critique that should demonstrate a close relationship with control of workers or the work process and its effects in the health sector, especially in nursing.

摘要

作者从历史-社会视角出发，旨在理解和分析1930年至1995年巴西护理史上的监督与领导观念。实证材料包括期刊文章、书籍、论文和会议记录。在第一个时期（1930 - 1949年），发现了护理工作组织与控制的初步表现。在第二个时期（1950 - 1969年），工作中的人际关系概念出现；在第三个时期（1970 - 1979年），发现了卫生部门变革后对人员配置结构的关注。在最近一个时期（1980 - 1995年），确立了一种新视角，强调护理是一种与监督而非领导相关的社会实践。基于这一历史探寻，并结合巴西社会的健康实践与变革观点，监督和领导可置于管理理念与实践之中。一般而言，这些概念是在一种理论批判的框架内被理解的，这种批判应表明与对工人或工作流程的控制及其在卫生部门，尤其是护理领域的影响有着密切关系。