Lógicas de trabajo de Enfermería en instituciones públicas y privadas: deconstruyendo mitos en el escenario poscovid

Introduction: This article is part of a study on emotional distress among nursing workers in the post-COVID stage in Rosario. The objective was to explore differential aspects of institutional dynamics in public and private healthcare settings that influenced the construction of bonds among workers....

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Autores principales: Huerta, Adriana, Simonetti, Graciela Vicenta, Nores, Rosana Inés, Belizan, José, Viña, Nadia Elisabet
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2025
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Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/45806
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Sumario:Introduction: This article is part of a study on emotional distress among nursing workers in the post-COVID stage in Rosario. The objective was to explore differential aspects of institutional dynamics in public and private healthcare settings that influenced the construction of bonds among workers. The effects of these dynamics on the organization of nursing work in different institutional scenarios were analyzed. The ethical purpose of the study was to recover the voices of characters who, having been key during the pandemic, often go unheard in discursive exchanges. Methodology: Qualitative approach. Intentional sample of nurses who worked in public and private healthcare institutions during the pandemic, aiming to reflect the heterogeneity of the study universe. Attributes such as gender, the sector where they worked (public or private), multiple employment, type of service, and job role (care or management function) were considered. In-depth interviews were conducted with thirteen nurses between June and November 2023. Tools from Critical Discourse Analysis (CDA) were used. Results and Conclusions: The analyzed speech revealed the existence of differential dynamics depending on the type of institution, which conditioned the organization of work and bond configurations during the pandemic. In private institutions, hierarchical dynamics based on command/obedience and the dominance of biomedical power prevailed, leading to more asymmetric relationships between nurses and physicians, as well as between managers and care staff. In the public sector, institutional dynamics were more centered on consensus building and the formation of transversal links among different disciplines, which fostered cooperation among workers and strengthened nursing autonomy.