Práticas de poder no serviço de atendimento móvel de urgência de Belo Horizonte

Abstract

The work of Mobile Emergency Medical Service (SAMU) involves the participation of several professionals that meet the demands of different levels of complexity in a huge geographic territory, with planning different of services with exclusively fixed structures. The aim of this study was to analyze the configuration of practices of power in the daily work of professionals of the SAMU. It was a qualitative case study which had been set in the SAMU of Belo Horizonte, Minas Gerais, Brazil. The sample was composed by 31 workers and data were collected using semi-structured interview and than submitted to discourse analysis. In the context of struggles and power relations in SAMU, stands out 'the power of zero vacancy' and the 'uniform bodies and images of power in the SAMU'. It was possible to observe that power in SAMU is present as social practice, with its centrality moving according to lived situations and to interests in question.

Everyday Practices of Professional in the Mobile Emergency Service

“…24,25 No caso do SAMU, esse padrão torna-se ainda mais acentuado, pois todos os tripulantes das ambulâncias, independentemente de sua função, formação ou atuação, usam o mesmo uniforme. 22 A equipe uniformizada é fator que os impede, muitas vezes, de passarem despercebidos em atividades cotidianas, tais como ir a algum lugar para fazer uma refeição, tomar água ou usar o banheiro. A visibilidade à qual estão sujeitos favorece com que sejam, constantemente, vigiados pela população e por seus próprios pares.…”

“…Ao entenderem essa situação como natural, os profissionais do SAMU assumem a postura de estarem diante de uma ausência de resistência, diante da não recusa do atendimento. 22 Entretanto, há de se considerar, nesse caso, que o atendimento irá ocorrer por força da normalização. Isso não implica dizer que não haja resistência, pois esta pode se manifestar a partir de outras expressões, 23 tais como demora na recepção do paciente, retenção de materiais como macas e colares cervicais, entre outras táticas dos serviços que recebem o usuário.…”

Assertion and Assessment Sensitivity

“…Whereas the first principle would presuppose a non-relative notion of accuracy, the second one would deploy a dyadic one that -as we saw in the previous section -the relativist has reason to reject. 22 Accordingly, the relativist should accept a norm that simply states that in asserting one ought to aim at accuracy and take accuracy as an assessment-sensitive property or notion. Non-monadic truth and accuracy notions from the relativist theory would, in turn, account for this assessment-sensitivity.…”

Kant’s Constitution of a Moral Image of the World*

“…FM, AA 20: 307. [19][20][21][22][23]. Therefore, this historical antinomy is overcome using the foundation of the doctrine of transcendental idealism.…”

“…In this sense, Kant utters a strong criticism against the "supposedly sagacious statesmen" (SF, AA 07: 80. [14][15][16][17][18][19][20][21][22][23]. Well, it is not accidentally that in The Conflict of faculties the dispute between Philosophy and Law returns as "an old question raised again: Is the human race constantly progressing?"…”