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首页> 外文期刊>Science, Technology and Human Values >Blurring Boundaries: Structural Constraints, Space, Tools, and Agency in an Operating Theater
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Blurring Boundaries: Structural Constraints, Space, Tools, and Agency in an Operating Theater

机译：模糊边界：手术室中的结构约束，空间，工具和代理

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摘要

This study looks at the interactions between health workers, physical space, surgical tools, and the "patient-body" in an operating theater. My aim is to explore the approaches of Katz, Rawlings, and Collins and to show that when rituals, restrictive entrance procedures, and clothing requirements are not in place, when rules are not observed for reasons that this article addresses, the boundary between the operating theater and its surroundings blurs. It becomes a trivialized space. Data were collected in the regional hospital of one major town of the Extreme Nord of Cameroon. I describe a context of crisis and a lack of equipment and personnel that narrow the boundaries of the operating room (the limits of which are supposed to be kept sterile and isolated) but do not erase them. Restrictive entrance procedures, clothing requirements, rituals, and rules that are supposed to separate the operating theater from its surroundings, as Katz has shown, are not observed. Instead, the theater is connected to its surroundings through an "intriguing combination of practices" consistent with the analyses of Rawling and Collins. Thus, the operating theater is not a closed and limited area inside the hospital that can be completely isolated from its surroundings. There is continuity between the interior and the exterior.
机译：这项研究着眼于手术室中医务人员，物理空间，手术工具和“病人身体”之间的相互作用。我的目的是探索Katz，Rawlings和Collins的方法，并表明当没有仪式，严格的进入程序和服装要求时，由于本文所针对的原因而没有遵守规则时，剧院及其周围环境模糊。它变成了琐碎的空间。数据是在喀麦隆至尊北部一个主要城镇的地区医院收集的。我描述了危机的背景，以及缺乏缩小手术室边界（应该将其界限保持无菌和隔离）的设备和人员，但并没有消除它们。正如卡兹所表明的那样，没有遵守限制性的进入程序，服装要求，仪式和规则，这些规则应该使手术室与周围环境区分开。取而代之的是，剧院通过与罗林和柯林斯分析一致的“有趣的实践组合”与周围环境相连。因此，手术室不是医院内部可以完全与其周围环境隔离的封闭且有限的区域。内部和外部之间具有连续性。

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