The Work of Nurses in Primary Health Care: Crossings of the New Public Management

被引：3

作者：

Kasper, Maristel Silva ^{[1
,2
]}

Santos, Felipe Lima dos ^{[1
,2
]}

Oliveira, Poliana Silva de ^{[1
]}

Silva, Janaina Pereira da ^{[1
,3
]}

Santos, Karen da Silva ^{[1
,4
]}

Araujo, Priscila Norie de ^{[1
]}

Souza, Gabriella Carrijo ^{[1
]}

Quintao, Cassia Bianca de Souza ^{[5
]}

Viana, Angelina Lettiere ^{[6
]}

Matumoto, Silvia ^{[6
]}

Mishima, Silvana Martins ^{[6
]}

Fermino, Tauani Zampieri ^{[6
]}

Abrahao, Ana Lucia ^{[7
]}

Righi, Liane Beatriz ^{[8
]}

Monceau, Gilles ^{[2
]}

Fortuna, Cinira Magali ^{[6
]}

机构：

[1] Univ Sao Paulo, Publ Hlth Nursing Grad Program, Ribeirao Preto Coll Nursing, BR-14040902 Ribeirao Preto, SP, Brazil

[2] CY Cergy Paris Univ, Lab Ecole Mutat Apprentissages, F-92230 Gennevilliers, France

[3] Univ Paris Est Creteil Val De Marne, Lab Interdisciplinaire Rech Transformat Prat Educ, F-94010 Creteil, France

[4] Lab Educ & Divers Espaces Francophones, F-87036 Limoges, France

[5] Univ Sao Paulo, Technol & Innovat Nursing Profess Master Program, Ribeirao Preto Coll Nursing, BR-14040902 Ribeirao Preto, SP, Brazil

[6] Univ Sao Paulo, Dept Maternal Infant & Publ Hlth Nursing, Publ Hlth Nursing Grad Program, Ribeirao Preto Coll Nursing, BR-14040902 Ribeirao Preto, SP, Brazil

[7] Fluminense Fed Univ, Dept Med Surg Nursing, Aurora Afonso Costa Coll Nursing, BR-24020090 Niteroi, RJ, Brazil

[8] Fed Univ St Maria, Dept Collect Hlth, Hlth Sci Ctr, BR-97105900 Santa Maria, RS, Brazil

来源：

HEALTHCARE | 2023年 / 11卷 / 11期

关键词：

work; nurses; primary care nursing; primary health care; health management; NURSING-CARE;

D O I：

10.3390/healthcare11111562

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The literature in the field of health management mentions a concept called new public management (NPM), introduced in Brazil and France at the end of the 20th century. The objective of the study was to analyze the repercussions of the work of nurses in primary health care in Brazil and France under the influence of NPM. This is an excerpt of a double-titled thesis, which is a research intervention with nurses from two Brazilian states and five French departments. Data were produced between February 2019 and July 2021. The public policy Health on the Hour acted as an institutional transducer, provoking a reduction in access and producing effects on professional practices. In both countries, NPM amplified the predominance of technical and quantifiable acts, the focus on individual care, and the loss of autonomy. Nurses reported insurmountable situations, using the metaphor "Sophie's choice". The results showed that making dilemmatic decisions has been the daily routine of nurses, which has not resulted in debureaucratization and higher quality of care.

引用

页数：12

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