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Configuration of power relations in physicians and nurses’ professional practices

Configuración de las relaciones de poder en las prácticas profesionales de médicos y enfermeros

ABSTRACT

Objective:

to analyze the configuration of power relations constituted in and by the knowledge and daily practices of physicians and nurses in an Intensive Care Unit (ICU).

Method:

qualitative study in which data were collected through interviews with physicians and nurses from an ICU of a hospital in Belo Horizonte, Minas Gerais. A semi-structured script was used. Data were analyzed through discourse analysis in a Foucaultian perspective.

Results:

three categories were developed - Professional Identity: self-recognition in the profession; Discipline: individualizing attitudes or collective need?; and Circularity of knowledge and power in the constitution of daily practices.

Final considerations:

the identity, discipline and circulation of power are connected in a continuous movement of subjectivation of the subject, which, in turn, uses discourse as a persuasion strategy to modify the position taken over in different situations thereby causing the circulation of power.

Descriptors:
Physician-Nurse Relations; Hospitals; Power (Psychology); Professional Practice; Health Knowledge, Attitudes, Practice

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