La fabrique des soins en réanimation : entre héritage clinique, injonctions managériales et incertitude médicale

Abstract : This thesis on The Manufacturing of Care in Intensive Care Units aims to show how provision of care for patients requiring highly technical treatment is part of a categorization which is both sociological and anthropological. From a socio-historical approach which aims to retrace how a medical practice of emergency and uncertainty was built up, this involves identifying the professional substructures and the conditions under which the care segment of intensive care has emerged. This approach leads us to question more specifically the evolution of this segment within the framework of the modernization of public hospitals. The standardization undertaken by public authorities invites us to reconsider singular care practices which are grappling with the medical uncertainty resulting from the provision of care to patients whose lives are in danger.These practices are singular in relation to 'emergency routines' which are applied in work supervision, as well as in relation to the patients admitted for treatment. This singularity applies also to the moral behaviour which leads the handling of 'human materials'. The manufacturing of care in intensive care units thus invites us to grasp the socio-anthropological issues which the gradual opening of services to the public reveals a little more each day.
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Thomas Denise. La fabrique des soins en réanimation : entre héritage clinique, injonctions managériales et incertitude médicale. Sociologie. Normandie Université, 2018. Français. ⟨NNT : 2018NORMC009⟩. ⟨tel-01977703⟩

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