Williams Veazey Leah, Broom Alex, Kenny Katherine, Degeling Chris, Wyer Mary, Hor Suyin, Broom Jennifer, Burns Penny, Gilbert Gwendolyn L
Sydney Centre for Healthy Societies, School of Social and Political Sciences, University of Sydney, NSW, 2006, Australia.
Centre for Health Engagement, Evidence and Values, University of Wollongong, NSW, 2522, Australia.
SSM Qual Res Health. 2022 Dec;2:100110. doi: 10.1016/j.ssmqr.2022.100110. Epub 2022 Jun 7.
From the adoption of mask-wearing in public settings to the omnipresence of hand-sanitising, the SARS-CoV-2 pandemic has brought unprecedented cultural attention to infection prevention and control (IPC) in everyday life. At the same time, the pandemic threat has enlivened and unsettled hospital IPC processes, fracturing confidence, demanding new forms of evidence, and ultimately involving a rapid reassembling of what constitutes safe care. Here, drawing on semi-structured interviews with 63 frontline healthcare workers from two states in Australia, interviewed between September 2020 and March 2021, we illuminate some of the affective dimensions of IPC at a time of rapid change and evolving uncertainty. We track how a collective sense of risk and safety is relationally produced, redefining attitudes and practices around infective risk, and transforming accepted paradigms of care and self-protection. Drawing on Puig de la Bellacasa's formulation, we propose the notion of IPC as a multidimensional matter of care. Highlighting the complex negotiation of space and time in relation to infection control and care illustrates a series of paradoxes, the understanding of which helps illuminate not only how IPC , in practice, but also what it to those working on the frontline of the pandemic.
从在公共场所佩戴口罩的普及到无处不在的手部消毒，新冠疫情使日常生活中的感染预防与控制（IPC）受到了前所未有的文化关注。与此同时，疫情威胁使医院的IPC流程活跃起来，但也使其陷入混乱，破坏了信心，需要新的证据形式，最终涉及对安全护理构成要素的快速重新整合。在此，我们对2020年9月至2021年3月期间来自澳大利亚两个州的63名一线医护人员进行了半结构化访谈，以此阐明在快速变化和不确定性不断演变的时期IPC的一些情感维度。我们追踪集体风险和安全感是如何在关系中产生的，重新定义围绕感染风险的态度和做法，并转变公认的护理和自我保护范式。借鉴普伊格·德拉·贝拉卡萨的表述，我们提出IPC是一个多维护理问题的概念。强调与感染控制和护理相关的空间和时间的复杂协商揭示了一系列悖论，对这些悖论的理解不仅有助于阐明IPC在实践中的情况，还能说明它对疫情一线工作人员意味着什么。
