The Work of Nurses in Primary Health Care: Crossings of the New Public Management-Reference-Cited by-同舟云学术

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

Published:2023-05-26 Issue:11 Volume:11 Page:1562
ISSN:2227-9032
Container-title:Healthcare
language:en
Short-container-title:Healthcare

Author:

Kasper Maristel Silva¹²^ORCID,Santos Felipe Lima dos¹²^ORCID,Oliveira Poliana Silva de¹^ORCID,Silva Janaina Pereira da¹³,Santos Karen da Silva¹⁴,Araujo Priscila Norié de¹^ORCID,Souza Gabriella Carrijo¹,Quintão Cássia Bianca de Souza⁵^ORCID,Viana Angelina Lettiere⁶^ORCID,Matumoto Silvia⁶^ORCID,Mishima Silvana Martins⁶^ORCID,Fermino Tauani Zampieri⁶,Abrahão Ana Lucia⁷,Righi Liane Beatriz⁸,Monceau Gilles²^ORCID,Fortuna Cinira Magali⁶^ORCID

Affiliation:

1. Public Health Nursing Graduate Program, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto 14040-902, São Paulo, Brazil

2. Laboratoire École-Mutations-Apprentissages, CY Cergy Paris Université, 92230 Gennevilliers, France

3. Laboratoire Interdisciplinaire de Recherche sur les Transformations des Pratiques Educatives et des Pratiques Sociales, Université Paris-Est-Créteil-Val-de-Marne, 94010 Créteil, France

4. Laboratoire Éducation et Diversité en Espaces Francophones, 87036 Limoges, France

5. Technology and Innovation in Nursing Professional Master Program, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto 14040-902, São Paulo, Brazil

6. Public Health Nursing Graduate Program, Department of Maternal-Infant and Public Health Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto 14040-902, São Paulo, Brazil

7. Department of Medical-Surgical Nursing, Aurora de Afonso Costa College of Nursing at Fluminense Federal University, Niterói 24020-090, Rio de Janeiro, Brazil

8. Department of Collective Health, Health Sciences Center of the Federal University of Santa Maria, Santa Maria 97105-900, Rio Grande do Sul, Brazil

Abstract

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.

Funder

National Council for Scientific and Technological Development

Coordination for the Improvement of Higher Education Personnel

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Link

https://www.mdpi.com/2227-9032/11/11/1562/pdf

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