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突发公共卫生事件:一所大学医院管理人员的社会认知

Public health emergency: social representations among managers of a university hospital.

作者信息

Souza Dirciara Barañano, Dall'Agnol Clarice Maria

机构信息

Escola de Enfermagem, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

出版信息

Rev Lat Am Enfermagem. 2013 Jul-Aug;21(4):998-1004. doi: 10.1590/S0104-11692013000400023.

DOI:10.1590/S0104-11692013000400023
PMID:23970239
Abstract

AIM

to comprehend the social representations of public health emergencies among managers who experienced the Influenza A (H1N1) Pandemic of 2009.

METHOD

a qualitative case study, with its theoretical and methodological framework based on the Theory of Social Representations. The data was obtained through the techniques of free association and semi-structured interviews, applied individually to managers who worked in different positions of the hierarchical management structure of the institution during the pandemic emergency, a total of 30 participants.

RESULTS

thematic content analysis resulted in the following categories: vulnerability, health protection, neglect - gray areas of the public sphere, and integrality. The social representations of public health emergencies attest to continuities that transit the overvalorization of negative discourses linked to the health/education public space, naturalization of the substantial character of the epidemic, and normative managerial action. However, the defense of ongoing education as a necessity associated with emergency management revealed possibilities for change in the technical-scientific perception of the management.

CONCLUSIONS

to understand healthcare/nursing workers as political beings, assuming responsibilities in the areas of the macro and micro policies of the State, the university hospitals and the work teams, is a pathway that is emerging for the management of emergencies.

摘要

目的

了解经历2009年甲型H1N1流感大流行的管理人员对突发公共卫生事件的社会表征。

方法

采用定性案例研究,其理论和方法框架基于社会表征理论。数据通过自由联想和半结构化访谈技术获得,这些技术分别应用于在大流行紧急期间在该机构分层管理结构的不同职位工作的管理人员,共有30名参与者。

结果

主题内容分析产生了以下类别:脆弱性、健康保护、忽视——公共领域的灰色地带和整体性。突发公共卫生事件的社会表征证明了连续性,这些连续性体现在与卫生/教育公共空间相关的负面话语的过度重视、疫情实质特征的自然化以及规范性管理行动中。然而,将持续教育作为与应急管理相关的必要性进行辩护,揭示了管理的技术-科学认知发生变化的可能性。

结论

将医护人员理解为政治人物,在国家、大学医院和工作团队的宏观和微观政策领域承担责任,是应急管理中正在出现的一条途径。

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