The Work of Nurses in Primary Health Care: Crossings of the New Public Management - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Healthcare Année : 2023

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

Le travail des infirmières de soins primaires: Croisements du Nouveau management public

Gilles Monceau

Résumé

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.

Dates et versions

hal-04110789 , version 1 (30-05-2023)

Identifiants

Citer

Maristel Silva Kasper, Felipe Lima Dos Santos, Poliana Silva De Oliveira, Janaina Pereira Da Silva, Karen da Silva Santos, et al.. The Work of Nurses in Primary Health Care: Crossings of the New Public Management. Healthcare, 2023, 11 (11), pp.1562. ⟨10.3390/healthcare11111562⟩. ⟨hal-04110789⟩
13 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More