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Disciplinary power on daily practices of nurses and physicians in the hospital.

Authors
  • Mattar E Silva, Tauana W1
  • McLean, Donna2
  • Velloso, Isabela C3
  • 1 Graduate Program, School of Nursing, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. , (Brazil)
  • 2 Department of Nursing Foundations, Faculty of Nursing, MacEwan University, Edmonton, Alberta, Canada. , (Canada)
  • 3 Department of Applied Nursing, School of Nursing, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. , (Brazil)
Type
Published Article
Journal
Nursing Inquiry
Publisher
Wiley (Blackwell Publishing)
Publication Date
Apr 01, 2022
Volume
29
Issue
2
Identifiers
DOI: 10.1111/nin.12455
PMID: 34414630
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To understand power relations, it is important to consider that power is an attribute, and whoever has it at a given moment is in the condition of dominant and whoever is under its exercise is dominated. Moreover, we must consider that these positions are interchangeable, changing when relations of force change. Power relations represent the pursuit of supremacy through knowledge, with struggles for better positioning in the social structure. In this study, we analyze the effects of disciplinary power on daily practices of nurses and physicians in the hospital environment, more specifically in intensive care units. From the perspective of disciplines, power is exercised in a discreet, modest, calculated and permanent way, through the establishment of rules and norms. In this context, despite the strong appreciation of a medical-centered model, it is observed that nurses gain visibility through knowledge and the defense of institutional norms and rules, which can generate tensions in daily professional practices. © 2021 John Wiley & Sons Ltd.

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