Institute for Lifecourse Development, University of Greenwich, Old Royal Naval College, Park Row, London, SE10 9LS, UK.
Elaine Marieb College of Nursing, University of Massachusetts Amherst, Amherst, USA.
J Bioeth Inq. 2023 Sep;20(3):511-521. doi: 10.1007/s11673-023-10274-3. Epub 2023 Sep 15.
Resistance is a concept understudied in the context of health and healthcare. This is in part because visible forms of social protest are sometimes understood as incongruent with professional identity, leading healthcare workers to separate their visible actions from their working life. Resistance takes many forms, however, and focusing exclusively on the visible means more subtle forms of everyday resistance are likely to be missed. The overarching aim of this study was to explore how resistance was enacted within the workplace amongst a sample of twelve healthcare workers, based in the United Kingdom; exploring the forms that such action took and how this intersected with health and healthcare. In depth-interviews were conducted and results were analysed utilizing Lilja's framework (2022). Our findings suggest that resistance took a number of forms, from more direct confrontational acts, to those which sought to avoid power or which sought to create alternative or prefigurative practices or norms. These findings speak to the complexities, ambiguities, and contradictions of resistance, as carried out by healthcare workers in the workplace. While many acts had clear political motives, with issues like climate change in mind for example, participants also described how the act of providing care itself could be an act of resistance. While saying something about our participants, this also said something about the healthcare systems in which they worked. These findings also raise a range of normative issues. Perhaps needless to say, there appears to be substantial scope to expand and interrogate our findings and apply the idea of resistance to health and healthcare.
在健康和医疗保健领域,人们对“抵抗”这一概念的研究还不够深入。部分原因是,人们有时将可见形式的社会抗议理解为与专业身份不一致,这导致医疗工作者将自己的可见行为与工作生活分离开来。然而,抵抗有多种形式,如果只关注可见形式,那么更微妙的日常抵抗形式可能会被忽视。本研究的总体目标是探索英国的十二名医疗工作者在工作场所中如何采取抵抗行动,探讨这些行动的形式以及它们如何与健康和医疗保健相互交叉。我们进行了深入的访谈,并利用 Lilja 的框架(2022)对结果进行了分析。我们的研究结果表明,抵抗采取了多种形式,从更直接的对抗行为到试图避免权力或试图创造替代或预示性实践或规范的行为。这些发现反映了医疗工作者在工作场所中进行抵抗的复杂性、模糊性和矛盾性。虽然许多行为具有明确的政治动机,例如考虑到气候变化等问题,但参与者还描述了提供护理本身如何成为一种抵抗行为。虽然这些发现反映了我们的参与者,但也反映了他们所在的医疗保健系统。这些发现还引发了一系列规范性问题。不用说,似乎有很大的空间可以扩展和质疑我们的发现,并将抵抗的概念应用于健康和医疗保健。