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医生和护士专业实践中的权力关系配置。

Configuration of power relations in physicians and nurses' professional practices.

机构信息

Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.

出版信息

Rev Bras Enferm. 2020;73 Suppl 1:e20180629. doi: 10.1590/0034-7167-2018-0629. Epub 2020 May 15.

DOI:10.1590/0034-7167-2018-0629
PMID:32428173
Abstract

OBJECTIVE

to analyze the configuration of power relations constituted in and by the knowledge and daily practices of physicians and nurses in an Intensive Care Unit (ICU).

METHOD

qualitative study in which data were collected through interviews with physicians and nurses from an ICU of a hospital in Belo Horizonte, Minas Gerais. A semi-structured script was used. Data were analyzed through discourse analysis in a Foucaultian perspective.

RESULTS

three categories were developed - Professional Identity: self-recognition in the profession; Discipline: individualizing attitudes or collective need?; and Circularity of knowledge and power in the constitution of daily practices. Final considerations: the identity, discipline and circulation of power are connected in a continuous movement of subjectivation of the subject, which, in turn, uses discourse as a persuasion strategy to modify the position taken over in different situations thereby causing the circulation of power.

摘要

目的

分析重症监护病房(ICU)的医生和护士的知识与日常实践中构成和由其构成的权力关系的结构。

方法

定性研究,通过对来自米纳斯吉拉斯州贝洛奥里藏特市一家医院 ICU 的医生和护士进行访谈收集数据。使用半结构化脚本。通过福柯的话语分析视角对数据进行分析。

结果

形成了三个类别——专业认同:在专业中的自我认同;纪律:个体化态度还是集体需求?;以及知识和权力的循环在日常实践中的构成。最终思考:身份、纪律和权力的循环是相互联系的,这种联系是主体的主观化的连续运动,而主体又将话语作为一种说服策略来改变在不同情况下采取的立场,从而导致权力的循环。

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