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北欧国家工会资助的护士期刊中对抗菌药物耐药性的表述 - 福柯视角。

Articulations of antimicrobial resistance in trade union financed journals for nurses in Scandinavia - A Foucauldian perspective.

机构信息

Department of Health Sciences, Integrative Health Research, Faculty of Medicine, Lund University, Lund, Sweden.

Department of Service Management and Service Studies, Lund University, Helsingborg, Sweden.

出版信息

Nurs Inq. 2021 Jul;28(3):e12396. doi: 10.1111/nin.12396. Epub 2021 Jan 23.

Abstract

Antimicrobial resistance (AMR) in bacterial infections is a growing threat to humanity and a challenge to healthcare systems worldwide. Healthcare professionals have an important role in preventing AMR and the spreading of infections. This article focuses on trade union financed journals for nurses in Scandinavia studying how the journals articulate AMR to its readership. A systematic literature search over an eleven-year period was conducted, using web-based national trade union financed journals, searching for 'bacteria' and 'resistance'. A thematic analysis, inspired by Foucault's concepts of power and governmentality, was made of 131 texts to understand, which kind of practices, strategies and policies the journals frame regarding AMR. The time period studied resulted in the recognition of four separate themes: the horror scenario, the 'dangerous' other, healthcare professionals as a source of resistance development and AMR as a field of research and producer of research qualifications. The study concludes that the journals tend: to present AMR in apocalyptic terms with more research and pharmaceutical industries needed for avoidance; to point out problems in other countries, populations, and sometimes nurses' working conditions, but primarily with other professionals' behaviour; and lastly, to present the nurse as a good fairy and disciplinator of doctors.

摘要

细菌感染中的抗菌药物耐药性(AMR)是对人类的日益严重的威胁,也是对全球医疗保健系统的挑战。医疗保健专业人员在预防 AMR 和感染传播方面发挥着重要作用。本文重点介绍了斯堪的纳维亚地区为护士提供资金的工会期刊,研究这些期刊如何向读者传达 AMR。在十一年的时间里,使用基于网络的全国性工会资助期刊,对“细菌”和“耐药性”进行了系统的文献检索,共搜索到 131 篇文章,以了解期刊对 AMR 提出的实践、策略和政策。所研究的时间段确定了四个单独的主题:恐怖场景、“危险”的他者、医护人员是耐药性发展的根源以及 AMR 作为一个研究领域和研究资格的产生者。研究得出的结论是,这些期刊倾向于:以世界末日的方式呈现 AMR,认为需要更多的研究和制药行业来避免这种情况;指出其他国家、人群和有时护士工作条件中的问题,但主要是针对其他专业人员的行为;最后,将护士描绘成一个好仙女和医生的管理者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfb7/8365678/aac6ee97f75a/NIN-28-e12396-g001.jpg

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