Isabela Silva Câncio Velloso

Reflexões sobre relações de poder na prática de enfermagem

Reflections on power relations in nursing practice involves questions related to the daily practice of nursing staff as well the subjectivity of those involved in them. Nursing practice is more than a practice in itself. It assumes the dimension of meaning ascribed to it by different subjects who interact in the places where the practice takes place. We propose a reflection about power relations in nursing practice, considering their complexity, the many processes that constitute them and the circumstances that determine the ways of thinking about and acting in relation to them. Such reflection implies to think about the subjects subjectivity the way professional boundaries are established, and the effects of these relations upon the subjects involved, since power relations are in continuous transformations.Uma reflexao sobre relacoes de poder na pratica de enfermagem envolve aspectos das praticas cotidianas da equipe de enfermagem e da subjetividade dos sujeitos nelas envolvidos. A pratica de enfermagem e muito mais do que uma pratica em si. Assume a dimensao do significado atribuido pelos diferentes sujeitos que interagem em seus diversos cenarios. Propoe-se, aqui, uma reflexao sobre as relacoes de poder na pratica de enfermagem, considerando sua complexidade, os multiplos processos que as constituem e as circunstâncias que determinam as formas de se pensar e de se agir em relacao a elas. Para isso, e preciso pensar a subjetividade do sujeito, considerando-se como os limites profissionais sao estabelecidos e mantidos e quais sao os efeitos dessas relacoes para os sujeitos envolvidos, uma vez que relacoes de poder sao definidas em transformacoes continuas.

Trabalhadores de uma Unidade Básica de Saúde na interface com a violência

ABSTRACT Objective: This study sought to understand how social violence affects the work of family health teams in a basic health unit in BeloHorizonte - MG. Methods: This is a qualitative case study. Data were collected by semistructured interviews with 12 individuals workingin a basic health unit in Belo Horizonte - two nurses, five auxillary nurses, three ACS’s, a doctor and a guard – interviews we re then subjectedto discourse analysis. Results: The workers recognized the violent situations in the community where they work; they feel fear, insecurity,and adopt several defense mechanisms to reduce suffering. They also reported feeling hurt by their poor working conditions. Conclusion: The effectiveness of health care is challenged by violence, and it and requires strategies for coping with the same within the unit byestablishing links with other social institutions. Keywords : Violence; Patient care team; Family health; Working conditions RESUMEN Objetivo : En este estudio se tuvo como objetivo comprender como la violencia social interfiere en el trabajo de los equipos de Salud de laFamilia de una Unidad Basica de Salud de Belo Horizonte - MG.

Reflections about power relations in nursing practice

Reflections on power relations in nursing practice involves questions related to the daily practice of nursing staff as well the subjectivity of those involved in them. Nursing practice is more than a practice in itself. It assumes the dimension of meaning ascribed to it by different subjects who interact in the places where the practice takes place. We propose a reflection about power relations in nursing practice, considering their complexity, the many processes that constitute them and the circumstances that determine the ways of thinking about and acting in relation to them. Such reflection implies to think about the subjects subjectivity the way professional boundaries are established, and the effects of these relations upon the subjects involved, since power relations are in continuous transformations.Uma reflexao sobre relacoes de poder na pratica de enfermagem envolve aspectos das praticas cotidianas da equipe de enfermagem e da subjetividade dos sujeitos nelas envolvidos. A pratica de enfermagem e muito mais do que uma pratica em si. Assume a dimensao do significado atribuido pelos diferentes sujeitos que interagem em seus diversos cenarios. Propoe-se, aqui, uma reflexao sobre as relacoes de poder na pratica de enfermagem, considerando sua complexidade, os multiplos processos que as constituem e as circunstâncias que determinam as formas de se pensar e de se agir em relacao a elas. Para isso, e preciso pensar a subjetividade do sujeito, considerando-se como os limites profissionais sao estabelecidos e mantidos e quais sao os efeitos dessas relacoes para os sujeitos envolvidos, uma vez que relacoes de poder sao definidas em transformacoes continuas.

Gerenciamento da diferença: relações de poder e limites profissionais no serviço de atendimento móvel de urgência

Background: The Mobile Emergency Care Service (Servico de Atendimento Movel de Urgencia - SAMU), which is provided by the Brazilian Health System, is influen...

Configurations of power relations in the Brazilian emergency care system: analyzing a context of visible practices

In this paper, we make explicit the changing configurations of power relations that currently characterize the Brazilian Emergency Care System (SAMU) team in Belo Horizonte, Brazil. The SAMU is a recent innovation in Brazilian healthcare service delivery. A qualitative case study methodology was used to explore SAMUs current organizational arrangements, specifically the power relations that have developed and that demonstrate internal team struggles over space and defense of particular occupational interests. The argument advanced in this paper is that these professionals are developing their work in conditions of exposure, that is, they are always being observed by someone, and that such observational exposure provides the conditions whereby everyday emergency care practices are enacted such that practice is shaped by, as well as shapes, particular, yet recognizable power relationships. Data were collected through the observation of the SAMUs work processes and through semi-structured interviews. Research materials were analyzed using discourse analysis. In the emergency care process of work, visibility is actually embedded in the disciplinary context and can thus be analyzed as a technique applied to produce disciplined individuals through the simple mechanisms elaborated by Foucault such as hierarchical surveillance, normalizing judgment, and the examination.

Reflexiones sobre relaciones de poder en la práctica de enfermeria

Reflections on power relations in nursing practice involves questions related to the daily practice of nursing staff as well the subjectivity of those involved in them. Nursing practice is more than a practice in itself. It assumes the dimension of meaning ascribed to it by different subjects who interact in the places where the practice takes place. We propose a reflection about power relations in nursing practice, considering their complexity, the many processes that constitute them and the circumstances that determine the ways of thinking about and acting in relation to them. Such reflection implies to think about the subjects subjectivity the way professional boundaries are established, and the effects of these relations upon the subjects involved, since power relations are in continuous transformations.Uma reflexao sobre relacoes de poder na pratica de enfermagem envolve aspectos das praticas cotidianas da equipe de enfermagem e da subjetividade dos sujeitos nelas envolvidos. A pratica de enfermagem e muito mais do que uma pratica em si. Assume a dimensao do significado atribuido pelos diferentes sujeitos que interagem em seus diversos cenarios. Propoe-se, aqui, uma reflexao sobre as relacoes de poder na pratica de enfermagem, considerando sua complexidade, os multiplos processos que as constituem e as circunstâncias que determinam as formas de se pensar e de se agir em relacao a elas. Para isso, e preciso pensar a subjetividade do sujeito, considerando-se como os limites profissionais sao estabelecidos e mantidos e quais sao os efeitos dessas relacoes para os sujeitos envolvidos, uma vez que relacoes de poder sao definidas em transformacoes continuas.