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家庭健康团队中的权力关系:聚焦于护理工作。

Power relations in the family health team: focus on nursing.

作者信息

Silva Iramildes Souza, Arantes Cássia Irene Spinelli

机构信息

Universidade Federal de São Carlos, Postgraduate Program in Nursing. São Carlos, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2017 May-Jun;70(3):580-587. doi: 10.1590/0034-7167-2015-0171.

Abstract

OBJECTIVE

to analyze the power relations that permeate the work of the family health team, and to discuss perspectives of emancipation of these subjects, focusing on nursing and community health agents.

METHOD

a qualitative study with a family health team from a municipality in the countryside of the state of São Paulo. Data were collected through systematic observation and interview with workers. A thematic content analysis was performed.

RESULTS

three categories were identified: the work of the family health team and power relations; power relations between the nurse and the healthcare team; and the relations among the nursing team and between community agents and the nurse. The team produces relations of power moved by hierarchical knowledge that move in the search for the reordering of powers.

FINAL CONSIDERATIONS

it is necessary to review the contradictions present in the performance scenario of the family health teams, with a view toward making power relations more flexible.

摘要

目的

分析渗透于家庭健康团队工作中的权力关系,并探讨这些主体的解放视角,重点关注护士和社区健康工作者。

方法

对圣保罗州农村一个市镇的家庭健康团队进行定性研究。通过对工作人员的系统观察和访谈收集数据。进行了主题内容分析。

结果

确定了三个类别:家庭健康团队的工作与权力关系;护士与医疗团队之间的权力关系;以及护理团队之间以及社区工作者与护士之间的关系。该团队产生了由等级知识驱动的权力关系,这些关系旨在寻求权力的重新排序。

最终思考

有必要审视家庭健康团队工作场景中存在的矛盾,以使权力关系更加灵活。

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