大流行期间的情绪风险工作:医疗保健专业人员对COVID-19病房的看法

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Risk & Society Pub Date : 2022-10-18 DOI:10.1080/13698575.2022.2137107
T. Larsen, Nina Halberg, P. S. Jensen, K. Christensen
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引用次数: 0

摘要

2020年3月,丹麦各医院设立了新冠肺炎病房。来自不同专科和病房的医护人员被转移到这些新病房,以照顾入院的COVID-19严重感染患者。基于对丹麦哥本哈根一家医院COVID-19病房的民族志田野调查,包括对护理人员的焦点小组访谈,我们打算通过深入了解所开展的工作与专业人员谈论工作的方式之间的关系,探索COVID-19病房的实践。我们使用了一种行为方法来研究处理大流行风险工作的制度方式是如何形成的,以及如何与卫生专业人员的新反应相关联。实证分析指出,提供COVID-19护理的护理人员的情绪反应是核心。为了探索这些情绪反应,我们借鉴了玛丽·道格拉斯和黛博拉·勒普顿的“情绪风险组合”概念。我们的分析提供了洞察情绪是如何在情境中产生的,并与机构风险理解联系在一起。我们表明,COVID-19病房的工作是基于一种制度秩序,这种秩序在大流行期间被打乱,产生了严重的不安全感。尽管这些情绪是在结构上产生的,但它们同时被内化为无能感和羞耻感。
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Emotional risk work during the pandemic: Healthcare professionals’ perceptions from a COVID-19 ward
In March 2020, COVID-19 wards were established in hospitals in Denmark. Healthcare professionals from a variety of specialities and wards were transferred to these new wards to care for patients admitted with severe COVID-19 infections. Based on ethnographic fieldwork in a COVID-19 ward at a hospital in Copenhagen, Denmark, including focus group interviews with nursing staff, we intended to explore practices in a COVID-19 ward by seeking insight into the relation between the work carried out and the professionals’ ways of talking about it. We used a performative approach of studying how the institutional ways of handling pandemic risk work comes into being and relates to the health professionals’ emerging responses. The empirical analysis pointed at emotional responses by the nursing staff providing COVID-19 care as central. To explore these emotional responses we draw on the work of Mary Douglas and Deborah Lupton’s concept of the ‘emotion-risk-assemblage’. Our analysis provides insight into how emotions are contextually produced and linked to institutional risk understandings. We show that work in the COVID-19 ward was based on an institutional order that was disrupted during the pandemic, producing significant emotions of insecurity. Although these emotions are structurally produced, they are simultaneously internalised as feelings of incompetence and shame.
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来源期刊
CiteScore
3.30
自引率
14.30%
发文量
23
期刊介绍: Health Risk & Society is an international scholarly journal devoted to a theoretical and empirical understanding of the social processes which influence the ways in which health risks are taken, communicated, assessed and managed. Public awareness of risk is associated with the development of high profile media debates about specific risks. Although risk issues arise in a variety of areas, such as technological usage and the environment, they are particularly evident in health. Not only is health a major issue of personal and collective concern, but failure to effectively assess and manage risk is likely to result in health problems.
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