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[从医疗保健中的无力感认知到为正义而战]

[From the perception of powerlessness to the fight for justice in healthcare].

作者信息

Berti Heloisa Wey

机构信息

Departamento de Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, SP, 18618-970, Brazil.

出版信息

Cien Saude Colet. 2011 Apr;16(4):2271-8. doi: 10.1590/s1413-81232011000400026.

DOI:10.1590/s1413-81232011000400026
PMID:21584468
Abstract

The search for communicative settings for reflection concerning the exercise and practice of nursing based on bioethical frameworks sought to comprehend how participant nurses interpret the reality of their praxis vis-à-vis the observance of justice. The focal group technique was used for data collection and the latter was analyzed using Grounded Theory. Three phenomena were identified: conceptualizing a sense of justice; feeling powerless in living with inequities/injustice; and moving towards the fight for justice. From the inter-relation of such phenomena, the core categories emerged, namely constructing mechanisms to overcome injustice and inequities which undermine quality in nursing care, and the experience of recently-graduated nurses in a public hospital in the interior of São Paulo State. Focal group strategy proved to be highly adequate for achieving the proposed objectives, and Grounded Theory made it possible to assess the movement undertaken by the nurses in this experience.

摘要

基于生物伦理框架,探寻有关护理实践与操作反思的交流情境,旨在理解参与研究的护士如何对照正义的遵守情况来诠释其实践的现实状况。采用焦点小组技术进行数据收集,并运用扎根理论对数据进行分析。识别出了三种现象:形成正义感;在面对不平等/不公正现象时感到无力;以及朝着为正义而斗争的方向迈进。从这些现象的相互关系中,浮现出了核心类别,即构建机制以克服破坏护理质量的不公正和不平等现象,以及圣保罗州内陆一家公立医院新毕业护士的经历。事实证明,焦点小组策略非常适合实现预定目标,而扎根理论则使评估护士在这一经历中的行动成为可能。

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