Quiet quitting: Obedience a minima as a form of nursing resistance.

IF 2.6 3区 医学 Q1 NURSING Nursing Philosophy Pub Date : 2024-07-01 DOI:10.1111/nup.12493
Jean-Laurent Domingue, Kim Lauzier, Thomas Foth
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Abstract

In this article, we provide a philosophical and ethical reflection about quiet quitting as a tool of political resistance for nurses. Quiet quitting is a trend that gained traction on TikTok in July 2022 and emerged as a method of resistance among employees facing increasing demands from their workplaces at the detriment of their personal lives. It is characterised by employees refraining from exceeding the basic requirements outlined in their job descriptions. To understand why quiet quitting can be a tool of resistance useful for nurses, we first draw on Frédéric Gros' concept of 'surplus obedience' and Michael Lipsky's notion of 'routines and simplification strategies' to highlight the ethical implications associated with nurses engaging in and sustaining harmful systems, such as the neoliberal healthcare system. Leaning again on Gros, we then propose that 'obedience a minima', a concept akin to quiet quitting, can serve as a method of ethical nursing resistance. After describing what the concept entails, we provide a discussion emphasising the potential of obedience a minima as a one method, among many, that can be leveraged by nurses to challenge and resist a system that prioritises financial considerations over patient wellbeing. The article concludes by reflecting on the ethical nature of resistance in the context of nursing, that is the act of obeying oneself and refraining from participating in systems that are detrimental to the lives of Others.

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安静地退出:服从最小限度是护理抵抗的一种形式。
在这篇文章中,我们将从哲学和伦理的角度对护士以 "静默辞职 "作为一种政治反抗工具进行反思。安静辞职是 2022 年 7 月在 TikTok 上兴起的一种趋势,是员工在面对工作场所日益增长的要求时,以牺牲个人生活为代价的一种反抗方式。它的特点是员工不超越工作说明中列出的基本要求。为了理解 "默默辞职 "为何能成为一种对护士有用的抵抗工具,我们首先借鉴了弗雷德里克-格罗斯(Frédéric Gros)的 "剩余服从 "概念和迈克尔-利普斯基(Michael Lipsky)的 "常规和简化策略 "概念,以强调护士参与和维持有害制度(如新自由主义医疗保健制度)的相关伦理意义。随后,我们再次借鉴格罗斯的观点,提出了 "最低限度的服从 "这一概念,这一概念类似于 "安静地退出",可以作为护士进行伦理抵抗的一种方法。在描述了这一概念的内涵后,我们进行了讨论,强调了 "最低限度的服从 "作为一种方法的潜力,在众多方法中,护士可以利用它来挑战和抵制将经济因素置于患者福祉之上的制度。文章最后反思了护理工作中抵制的道德性质,即服从自己,不参与有损他人生命的制度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
9.10%
发文量
39
审稿时长
>12 weeks
期刊介绍: Nursing Philosophy provides a forum for discussion of philosophical issues in nursing. These focus on questions relating to the nature of nursing and to the phenomena of key relevance to it. For example, any understanding of what nursing is presupposes some conception of just what nurses are trying to do when they nurse. But what are the ends of nursing? Are they to promote health, prevent disease, promote well-being, enhance autonomy, relieve suffering, or some combination of these? How are these ends are to be met? What kind of knowledge is needed in order to nurse? Practical, theoretical, aesthetic, moral, political, ''intuitive'' or some other? Papers that explore other aspects of philosophical enquiry and analysis of relevance to nursing (and any other healthcare or social care activity) are also welcome and might include, but not be limited to, critical discussions of the work of nurse theorists who have advanced philosophical claims (e.g., Benner, Benner and Wrubel, Carper, Schrok, Watson, Parse and so on) as well as critical engagement with philosophers (e.g., Heidegger, Husserl, Kuhn, Polanyi, Taylor, MacIntyre and so on) whose work informs health care in general and nursing in particular.
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