>Health systems in Africa have been widely studied in the social sciences. Several aspects have bee'/> The Materiality of Care and Nurses' 'Attitude Problem'
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The Materiality of Care and Nurses' 'Attitude Problem'

机译:护理的重要性和护士的“态度问题”

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>Health systems in Africa have been widely studied in the social sciences. Several aspects have been addressed in particular: the provision of and access to care, working conditions, the human resources crisis, and patient–provider relations, for example. In this respect, the idea of an “attitude problem,” with health-care providers offering different services for different patients, has been suggested. Recently, researchers have studied the impact of global health initiatives on local health systems, mainly in the fight against HIV/AIDS. Others have explored why some health issues have attracted more attention than others. Despite this wealth of studies, one point remains insufficiently addressed: the materiality of care and its impact on interactions (human and nonhuman) within hospital settings. In this article, I consider the heuristic value of the uses of a maternity ward in a resource-limited country (Cameroon) to understand health workers’ so-called attitude problem, specifically, the tension characteristic of patient–provider interactions. I suggest that this tension is related to a continuous process of translation and anticipation to adapt the maternity ward’s space to everyday activities. Drawing on Akrich’s description of technical objects, and Lussault’s pragmatics of space, I attempt to show that in this context, care is also an art of tinkering with unpredictable bodies in unstable hospitals’ spaces.
机译: >非洲的卫生系统在社会科学领域已被广泛研究。特别涉及了几个方面:例如,提供和获得护理,工作条件,人力资源危机以及患者与医患的关系。在这方面,已经提出了“态度问题”的想法,即由医疗保健提供者为不同的患者提供不同的服务。最近,研究人员研究了全球卫生倡议对当地卫生系统的影响,主要是在与艾滋病毒/艾滋病的斗争中。其他人则探讨了为什么某些健康问题比其他问题引起更多关注的原因。尽管进行了大量的研究,但是仍然有一个不足的地方需要解决:护理的重要性及其对医院环境中的相互作用(人与非人)的影响。在本文中,我考虑了在资源有限的国家(喀麦隆)使用产科病房来理解卫生工作者所谓的态度问题(特别是患者与提供者之间的紧张关系)的启发性价值。我建议,这种紧张关系与翻译和预期不断进行,以使产科病房的空间适应日常活动有关。借助Akrich对技术对象的描述以及Lussault对空间的实用性,我试图证明在这种情况下,护理也是一种在不稳定的医院空间中修补无法预测的身体的艺术。

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