Erasmus School of Health Policy and Management, Erasmus University, Rotterdam, The Netherlands.
Sociol Health Illn. 2022 Sep;44(8):1305-1323. doi: 10.1111/1467-9566.13508. Epub 2022 Aug 5.
This article draws on ethnographic research to conceptualise how nurses mobilise assemblages of caring to organise and deliver COVID care; particularly so by reorganising organisational infrastructures and practices of safe and good care. Based on participatory observations, interviews and nurse diaries, all collected during the early phase of the pandemic, the research shows how the organising work of nurses unfolds at different health-care layers: in the daily care for patients and their families, in the coordination of care in and between hospitals, and at the level of the health-care system. These findings contrast with the dominant pandemic-image of nurses as 'heroes at the bedside', which fosters the classic and microlevel view of nursing and leaves the broader contribution of nurses to the pandemic unaddressed. Theoretically, the study adds to the literature on translational mobilisation and assemblage theory by focussing on the layered and often invisible organising work of nurses in health care.
本文借鉴民族志研究,从概念上探讨护士如何调动关怀的组合来组织和提供 COVID 护理;特别是通过重新组织组织基础设施和安全与良好护理的实践。基于参与观察、访谈和护士日记,这些都是在大流行早期收集的,研究表明护士的组织工作是如何在不同的医疗保健层面展开的:在对患者及其家人的日常护理中,在医院内部和之间的护理协调中,以及在医疗保健系统层面。这些发现与将护士描绘成“床边英雄”的主导大流行形象形成对比,这种形象助长了对护理的经典和微观观点,而忽略了护士对大流行的更广泛贡献。从理论上讲,该研究通过关注护理在医疗保健中的分层且往往无形的组织工作,为关于翻译动员和组合理论的文献做出了贡献。