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La paradoxalité de la reconnaissance de l’expérience de coercition reproductive : une analyse qualitative 承认生殖胁迫经验的悖论:定性分析
Aporia Pub Date : 2022-11-22 DOI: 10.18192/aporia.v14i2.6459
Audrey Bujold, Sylvie Levesque
{"title":"La paradoxalité de la reconnaissance de l’expérience de coercition reproductive : une analyse qualitative","authors":"Audrey Bujold, Sylvie Levesque","doi":"10.18192/aporia.v14i2.6459","DOIUrl":"https://doi.org/10.18192/aporia.v14i2.6459","url":null,"abstract":"La coercition reproductive fait référence aux comportements de contrôle et de force infligés afin d'orienter la trajectoire reproductive des femmes. Les conséquences inhérentes sont multiples : grossesses inopportunes, recours accentué aux contraceptifs d’urgence et avortements, dépression.... Malgré ces effets importants, les femmes qui en sont victimes éprouvent souvent de la difficulté à reconnaitre leur expérience comme telle, ce qui contribue à limiter leur recherche de soutien. À travers la théorie du parcours de vie, cette analyse qualitative réalisée auprès de 13 femmes ayant vécu de la coercition reproductive présente comment la reconnaissance d'une telle expérience se déploie à l'intersection de diverses trajectoires de vie. Nos résultats suggèrent que le processus de reconnaissance est intrinsèquement paradoxal, et revêt un caractère à la fois subjectif, intersubjectif, sociohistorique et évolutif. Contrastant nos résultats avec la reconnaissance honnéthienne, des pistes critiques sont formulées en ce qui concerne notamment le déficit de ressources herméneutiques.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48944864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nurses and the Discursive Construction of Procedural Justice in Review Board Hearings 护士与复审委员会听证程序公正的话语建构
Aporia Pub Date : 2022-11-22 DOI: 10.18192/aporia.v14i2.6424
Jean-Laurent Domingue, J. Jacob, A. Perron, Pierre Pariseau-Legault, Thomas Foth
{"title":"Nurses and the Discursive Construction of Procedural Justice in Review Board Hearings","authors":"Jean-Laurent Domingue, J. Jacob, A. Perron, Pierre Pariseau-Legault, Thomas Foth","doi":"10.18192/aporia.v14i2.6424","DOIUrl":"https://doi.org/10.18192/aporia.v14i2.6424","url":null,"abstract":"There has been growing interest about procedural justice in mental health tribunals. A process considered procedurally just increases adherence to treatment, increases compliance with judicial decisions and allows efficient community reintegration. Yet, little is known about how procedural justice is carried out and the role of professionals in its implementation. Stemming from the results of a critical ethnography of the Ontario Review Board, in this article we examine how procedural justice materializes during Review Board hearings and the role of nurses in this materialization. We do so by leveraging Goffman’s work on total institutions and institutional ceremonies. Our findings suggest that nurses participate in activities that provide a perception of procedural justice, rather than serve their patients’ right to true procedural justice. We conclude by recommending that nurses engage in reflections about the distal effects of their clinical practice to broaden the possibilities for resistance within the forensic psychiatric system.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43565496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Why more doctors won’t solve the health care system’s problems 为什么更多的医生不能解决医疗系统的问题
Aporia Pub Date : 2022-11-22 DOI: 10.18192/aporia.v14i2.6521
R. Bell
{"title":"Why more doctors won’t solve the health care system’s problems","authors":"R. Bell","doi":"10.18192/aporia.v14i2.6521","DOIUrl":"https://doi.org/10.18192/aporia.v14i2.6521","url":null,"abstract":"Commentary [English]","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48523473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Elusive Silver Lining: Caring for Patients in the HIV/AIDS “War Zone”. How Did Nurses Sustain It? Benefit-Finding Analysis 难以捉摸的一线希望：在艾滋病毒/艾滋病“战区”照顾病人。护士是如何维持的？效益发现分析
Aporia Pub Date : 2022-11-22 DOI: 10.18192/aporia.v14i2.6462
Carl G.A. Jacob, Daniel Lagacé-Roy, Patricia Lussier-Duynstee
{"title":"Elusive Silver Lining: Caring for Patients in the HIV/AIDS “War Zone”. How Did Nurses Sustain It? Benefit-Finding Analysis","authors":"Carl G.A. Jacob, Daniel Lagacé-Roy, Patricia Lussier-Duynstee","doi":"10.18192/aporia.v14i2.6462","DOIUrl":"https://doi.org/10.18192/aporia.v14i2.6462","url":null,"abstract":"Using a review of literature consisting of peer-reviewed articles and grey literature, this paper presents a narrative and graphic representation of the key concepts underpinning the benefits nurses perceived deriving from caring for patients during the HIV/AIDS pandemic.  Our review indicates that benefits were seldom the focus of the literature and were mostly integrated within documents pertaining to the negative aspects of caring for these patients.  In such a context, this research identified self-enhancement benefits in three domains (work benefits, work attributes, and work ethos), and self-actualization benefits in three domains (relationships, transformation, and humanity).  During the COVID-19 pandemic, researchers are once again enticed to write scientific literature about the impact of caring in a “war zone”.  Using the underpinning concepts identified through the benefit-finding research in the context of the HIV/AIDS pandemic, researchers could identify the many perceived benefits nurses derive from caring for infected patients during this pandemic.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42811572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pourquoi d’avantage de médecins ne résoudra pas les problèmes du système de santé 为什么更多的医生不能解决医疗保健系统的问题
Aporia Pub Date : 2022-11-22 DOI: 10.18192/aporia.v14i2.6522
R. Bell
{"title":"Pourquoi d’avantage de médecins ne résoudra pas les problèmes du système de santé","authors":"R. Bell","doi":"10.18192/aporia.v14i2.6522","DOIUrl":"https://doi.org/10.18192/aporia.v14i2.6522","url":null,"abstract":"Commentaire [Français]","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47548528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Voix infirmières pendant la COVID-19 : Une analyse de la couverture médiatique au Canada COVID-19期间的护士之声:加拿大媒体报道分析
Aporia Pub Date : 2022-11-22 DOI: 10.18192/aporia.v14i2.6415
Marilou Gagnon, A. Perron
{"title":"Voix infirmières pendant la COVID-19 : Une analyse de la couverture médiatique au Canada","authors":"Marilou Gagnon, A. Perron","doi":"10.18192/aporia.v14i2.6415","DOIUrl":"https://doi.org/10.18192/aporia.v14i2.6415","url":null,"abstract":"Même si l’on reconnaît généralement que le personnel infirmier et les enjeux liés aux soins infirmiers sont sous-représentés dans les médias, l’inverse est également vrai pendant des crises sanitaires d’envergure comme l’Ébola et le SRAS (syndrome respiratoire aigu sévère). Nous constatons la manifestation de ce même phénomène pendant la pandémie de COVID-19, pendant laquelle le personnel infirmier et les enjeux liés aux soins infirmiers sont le sujet d’une forte couverture médiatique au Canada et à l’international. Pour mieux comprendre cette couverture médiatique, nous avons analysé le contenu d’articles de presse canadiens publiés en anglais et en français au cours des cinq premiers mois de la pandémie de COVID-19. Le présent article présente les résultats de notre analyse et identifie les grandes leçons tirées de celle-ci. Ces résultats représentent selon nous un important point de départ pour mieux comprendre l’agentivité du personnel infirmier et le savoir-faire démontré par ce dernier pendant les premiers mois de la pandémie.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43717786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nurses whistleblowing during the COVID-19 pandemic: Content analysis of the “Je dénonce” platform COVID-19大流行期间护士举报:“Je dsamnonce”平台内容分析
Aporia Pub Date : 2022-11-22 DOI: 10.18192/aporia.v14i2.6416
A. Perron, C. Dufour, Emily Marcogliese, M. Gagnon
{"title":"Nurses whistleblowing during the COVID-19 pandemic: Content analysis of the “Je dénonce” platform","authors":"A. Perron, C. Dufour, Emily Marcogliese, M. Gagnon","doi":"10.18192/aporia.v14i2.6416","DOIUrl":"https://doi.org/10.18192/aporia.v14i2.6416","url":null,"abstract":"Whistleblowing about critical issues by care staff is an essential component of any well-functioning health care system. During a pandemic, rapid communication of critical information is essential to identify and solve problems. In times of crisis, however, this kind of communication is difficult. In the province of Quebec, Canada, testimonies from nurses, licensed practical nurses (LPNs), and other health professionals during the COVID-19 pandemic indicate that the province’s health care settings have met whistleblowers’ concerns with insufficient corrective measures and, in some cases, retaliation against whistleblowers themselves. This crisis led a union to create an online platform to collect testimonials from the public and quickly make them available to the public and the media. By presenting a content analysis of testimonials submitted by nurses and LPNs, this article aims, on one hand, to identify the issues raised and, on the other, to examine the role and usefulness of this kind of platform for nurses who engage in acts of whistleblowing.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45063908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolution de la notion de santé (santé physique et santé mentale) : d’une notion statique à une définition dynamique 健康概念（身体和心理健康）的演变：从静态概念到动态定义
Aporia Pub Date : 2022-06-08 DOI: 10.18192/aporia.v14i1.5834
Thomas Mattig, P. Chastonay
{"title":"Evolution de la notion de santé (santé physique et santé mentale) : d’une notion statique à une définition dynamique","authors":"Thomas Mattig, P. Chastonay","doi":"10.18192/aporia.v14i1.5834","DOIUrl":"https://doi.org/10.18192/aporia.v14i1.5834","url":null,"abstract":"De nombreuses civilisations ont défi ni la santé de manière holistique. L’OMS en 1948 franchit une étape importante en définissant la santé comme un état de complet bien-être. Toutefois sa dimension statique lui valut de multiples critiques. Une définition plus dynamique a été proposée, soit la santé comme capacité de s’adapter et s’autogérer. De manière analogue, en ce qui concerne la santé mentale une nouvelle définition est proposée, à savoir la santé mentale comme état dynamique d’équilibre interne qui permet aux individus d’utiliser leurs capacités en harmonie avec les valeurs universelles de la société. Cela n’est pas sans importance vu que la compréhension qu’une société peut avoir du concept de santé affecte les politiques de santé, l’organisation sanitaire, les actions de santé publique et la prise en charge des individus en termes de santé et de maladie.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47579137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
“We document everything”: Interpretations of HIPAA and their impact on ASO staff charting practices in the context of HIV criminalization in the state of Georgia “我们记录一切”：HIPAA的解释及其对ASO工作人员在佐治亚州HIV刑事定罪背景下制定做法的影响
Aporia Pub Date : 2022-06-08 DOI: 10.18192/aporia.v14i1.5777
J. Kilty, Patrick J Mott
{"title":"“We document everything”: Interpretations of HIPAA and their impact on ASO staff charting practices in the context of HIV criminalization in the state of Georgia","authors":"J. Kilty, Patrick J Mott","doi":"10.18192/aporia.v14i1.5777","DOIUrl":"https://doi.org/10.18192/aporia.v14i1.5777","url":null,"abstract":"Abstract \u0000Introduction: The growing professionalization of AIDS Service Organizations (ASO) and the criminalization of HIV nondisclosure have reshaped both ASO staff interactions with people living with HIV/AIDS (PLWHA) as well as ASO staff charting practices. \u0000  \u0000Methods: Building on a recent national research project in Canada, we conducted semi-structured interviews in February-April 2017 with N=12 ASO staff in Atlanta, Georgia to investigate their charting practices in the context of HIV criminalization. \u0000  \u0000Results: Our data showed no variation between professionalized and peer ASO staff in terms of charting practices, although the American participants reported being less protective about the content of their notes and less concerned about the risk their notes may pose in cases involving the criminal prosecution of an alleged HIV nondisclosure incident than was previously reported by their Canadian counterparts. In fact, we identified a false sense of security among American ASO staff stemming from their belief that the Health Insurance Portability and Accountability Act (HIPAA) would protect them from having to disclose their charting notes. \u0000Conclusions: We suggest that training and educational opportunities for both professionalized and peer ASO staff are needed to sensitize them to the implications of record-keeping on the prosecution of HIV nondisclosure.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42417799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Santé sexuelle, biopouvoir et hétéronormativité : les enjeux d’une médicalisation de l’expérience des infi rmières cliniciennes dans un rôle de prescripteur en santé publique au Québec 性健康、生物权力和异性恋正常化:魁北克临床医生作为公共卫生处方者的经验医疗化的挑战
Aporia Pub Date : 2022-06-08 DOI: 10.18192/aporia.v14i1.6406
Benoit Monique, Sylvie Charette, I. Savard, Gilbert Émond, J. Dragon
{"title":"Santé sexuelle, biopouvoir et hétéronormativité : les enjeux d’une médicalisation de l’expérience des infi rmières cliniciennes dans un rôle de prescripteur en santé publique au Québec","authors":"Benoit Monique, Sylvie Charette, I. Savard, Gilbert Émond, J. Dragon","doi":"10.18192/aporia.v14i1.6406","DOIUrl":"https://doi.org/10.18192/aporia.v14i1.6406","url":null,"abstract":"Les infirmières cliniciennes québécoises sont parmi les premières à avoir acquis le droit de prescrire au Canada. Celles qui œuvrent en santé sexuelle semblent avoir été cantonnées dans une pratique biomédicale hétéronormative. L’objectif de l’étude était de faire ressortir les limites de ce nouveau rôle relativement à la médicalisation et l’homogénéisation de leur pratique jugée hétéronormative. Le cadre théorique et conceptuel de la santé sexuelle repose sur le biopouvoir et l’hétéronormativité. Cette recherche qualitative utilisant une approche en phénoménologie herméneutique a été réalisée à l’aide d’entrevues semi-dirigées auprès de neuf (N=9) infirmières prescriptrices de la région des Laurentides au Québec. Les résultats montrent bien que la quête d’une approche biomédicale pour assurer la pratique s’avère liée à l’expression d’un biopouvoir et que le travail auprès de populations symptomatiques, plus complexe et laissé aux médecins, accentue l’homogénéisation de la patientèle (jeune, blanche, hétérosexuelle) révélant une certaine hétéronormativité de la pratique infirmière.","PeriodicalId":30068,"journal":{"name":"Aporia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46210403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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