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护理监督:与家庭健康中的权力关系相互影响。

Nursing supervision: interfaces with power relations in family health.

机构信息

Universidade Federal de São Carlos, Programa de Pós-Graduação em Enfermagem, São Carlos, SP, Brazil.

出版信息

Rev Esc Enferm USP. 2022 Aug 1;56:e20220034. doi: 10.1590/1980-220X-REEUSP-2022-0034en. eCollection 2022.

Abstract

OBJECTIVE

To analyze nursing supervision from the perspective of power relations in family health.

METHOD

An exploratory, descriptive and interpretive research with a qualitative approach. Data were collected through semi-structured interviews with 37 workers from six health teams in a city in the countryside of São Paulo. They were submitted to thematic content analysis, based on the health work process theoretical framework and Foucault's power category.

RESULTS

Two thematic categories were constructed: Nursing supervision from the perspective of surveillance and control in relationships of disciplinary power in family health; The duality of nursing supervision in family health between oppressive power and positive power.

CONCLUSION

The power present in nursing supervision is expressed as control and producer of things, which not only oppresses, but also has positive effects on building healthy work environments, valuing interactions, establishing trust, strengthening teamwork and supporting workers, aspects that result in the promotion of psychological safety in family health.

摘要

目的

从家庭健康中的权力关系角度分析护理监督。

方法

这是一项探索性、描述性和解释性的研究,采用定性方法。数据通过对来自圣保罗农村地区一个城市的六个卫生团队的 37 名工作人员进行半结构化访谈收集。根据卫生工作过程理论框架和福柯的权力范畴,对数据进行了主题内容分析。

结果

构建了两个主题类别:从家庭健康中纪律权力关系的监督和控制角度看待护理监督;家庭健康中护理监督的双重性,既有压迫性权力,也有积极权力。

结论

护理监督中存在的权力表现为控制和生产事物,它不仅具有压迫性,而且对营造健康的工作环境、重视互动、建立信任、加强团队合作和支持工作人员具有积极影响,这些方面都有助于促进家庭健康中的心理安全。

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BMC Health Serv Res. 2021 Aug 5;21(1):773. doi: 10.1186/s12913-021-06740-6.
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Conflict as a possible catalyst for democratic relations in the work of the Family Health team.
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