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Enhancing citizenship through nursing care in Brazil: Patients' struggle against austerity policies.
- Source :
- Nursing Inquiry; Apr2020, Vol. 27 Issue 2, p1-10, 10p, 2 Diagrams, 2 Charts
- Publication Year :
- 2020
-
Abstract
- Interpersonal relations play a critical role in both the conception and dynamics of Brazilian citizenship. Under the influence of neoliberalism, patients must build strategies to access high‐quality health care services. This study aimed to analyze the role of interpersonal relations involved in the access to and delivery of health care services in Brazil amid the influence of austerity policies and the role of nurses in enhancing citizenship through nursing care. Thirty‐one patients in a public hospital in Rio de Janeiro, Brazil, participated in qualitative interviews. A lexical analysis was conducted to analyze the interview data using Alceste® software, version 2012. The results were interpreted in light of both theoretical constructs of the Brazilian citizenship and biological subcitizenship propositions. Two lexical classes revealed contents about strategies used by patients to access high‐quality health care. In the context of budget cuts due to austerity policies, cultural aspects of Brazilian citizenship have influenced access to high‐quality health care services by creating two distinct conditions. Some patients acted as super‐citizens, while others acted as subcitizens. Nurses across the globe must spearhead the struggle for universal and equitable health care access at all levels, without losing sight of wider sociocultural aspects. [ABSTRACT FROM AUTHOR]
- Subjects :
- POLITICAL psychology
CITIZENSHIP
CONTENT analysis
CULTURE
FACTOR analysis
HEALTH services accessibility
INTERVIEWING
MEDICAL care
MEDICAL quality control
MEDICAL care costs
NATIONAL health insurance
NURSE-patient relationships
NURSES
NURSING
PATIENT advocacy
PUBLIC hospitals
RESEARCH
RESEARCH funding
PATIENTS' rights
QUALITATIVE research
GOVERNMENT policy
OCCUPATIONAL roles
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 13207881
- Volume :
- 27
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Nursing Inquiry
- Publication Type :
- Academic Journal
- Accession number :
- 142832697
- Full Text :
- https://doi.org/10.1111/nin.12337