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家庭层面的官僚主义:超越“街头”,揭示场所如何塑造社区公共卫生护士实施家庭暴力政策的方式。

Home level bureaucracy: moving beyond the 'street' to uncover the ways that place shapes the ways that community public health nurses implement domestic abuse policy.

机构信息

Department of Nursing Studies, University of Edinburgh, Edinburgh, UK.

Public Health and Gender Based Violence, NHS Lothian, Edinburgh, UK.

出版信息

Sociol Health Illn. 2019 Sep;41(7):1426-1443. doi: 10.1111/1467-9566.12968. Epub 2019 Jun 26.

DOI:10.1111/1467-9566.12968
PMID:31241189
Abstract

Street-level bureaucracy is an increasingly useful way to understand how strategic policy is implemented in day-to-day practice. This approach has uncovered the ways that individual health and social care practitioners work within institutional constraints to influence policy implementation at the micro-level. Nonetheless, despite the diversity of settings where these street-level bureaucrats (SLBs) work, little attention has been focused on the impact of place on policy delivery. This paper draws on empirical research to examine the ways that delivering government domestic abuse policy in the intimate space of the family home shapes the delivery of strategic policy in the everyday. Drawing on qualitative research with Health Visitors (HVs) in the UK in 2016, the study findings illuminate the ways that the material, socio-spatial and idealised boundaries of the family home shape the implementation of policy. Key themes in the HV's narratives emerged as they described themselves as both a danger and in danger in the family home. In challenging the ontological security of the home (Giddens 1990) - privacy, security and control are key concepts here - HVs described how they shape their actions to achieve policy outcomes while simultaneously managing threats to the home, to professional identity and to self.

摘要

街头官僚是一种日益有用的方法,可以了解战略政策如何在日常实践中得到实施。这种方法揭示了个体卫生和社会保健从业者如何在制度限制内工作,以在微观层面影响政策实施。尽管这些基层官僚(SLB)工作的环境多种多样,但很少有人关注地点对政策交付的影响。本文利用实证研究来考察在家庭这一亲密空间中实施政府家庭暴力政策的方式如何塑造日常战略政策的实施。该研究利用了 2016 年在英国对健康访问者(HV)的定性研究,研究结果阐明了家庭住宅的物质、社会空间和理想化边界塑造政策实施的方式。当 HV 们在家庭住宅中描述自己既是危险的又是处于危险之中时,他们的叙述中出现了关键主题。通过挑战家庭的本体论安全(吉登斯 1990)——这里的关键概念是隐私、安全和控制——HV 们描述了他们如何在实现政策成果的同时,管理对家庭、职业身份和自我的威胁,从而塑造自己的行动。

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