Political dimension of care: dynamics of power in the health fieldand its influence on the nurse’s work process

Authors

DOI:

https://doi.org/10.1590/S0104-12902025230053pt

Keywords:

Nursing, Nursing Care, Health Services, Work, Politics

Abstract

The study aimed to analyze how the political dimension of care interfere in the work process of nurses and other professionals, in this path, identifying constitutive elements (capitals) of power relations in the field of health. The research used a qualitative approach, with data collection taking place in a city in the interior of Ceará, Brazil, in a Reference Hospital and in Basic Health Units, between February and December 2020, through a semi-structured interview and non-participant observation. Thirtythree professionals were interviewed (nurses, doctors, dentists and physiotherapists), were totalized 43 hours of observation. The findings were analyzed based on Pierre Bourdieu’s “Habitus Theory”. It was observed that power relations interfered in the practice of nurses and other professionals, such interferences were expressed in the form of silences, hesitations and constraints. Some capitals in the field were identified: knowledge, ways of communicating, posture, gender, experience, professional category, friendship relationships, configuring constituent elements of power relations in the health field, therefore, being able to contribute for asymmetries in the distribution of power between agents.

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Author Biographies

  • José Jeová Mourão Netto, Faculdade Luciano Feijão, Departamento de Enfermagem

    Faculdade Luciano Feijão, Departamento de Enfermagem. Sobral,
    CE, Brasil.

  • Lucilane Maria Sales da Silva, Universidade Estadual do Ceará

    Universidade Estadual do Ceará, Departamento de Enfermagem,
    Programa de Pós-Graduação em Cuidados Clínicos em Enfermagem
    e Saúde. Fortaleza, CE, Brasil.

  • Leonardo Damasceno de Sá, Universidade Federal do Ceará

    Universidade Federal do Ceará, Departamento de Sociologia,
    Programa de Pós-Graduação em Sociologia. Fortaleza, CE, Brasil.

Published

2025-07-04

Issue

Section

Original research articles

How to Cite

Mourão Netto, J. J., Silva, L. M. S. da, & Sá, L. D. de . (2025). Political dimension of care: dynamics of power in the health fieldand its influence on the nurse’s work process. Saúde E Sociedade, 34(2), e230053pt. https://doi.org/10.1590/S0104-12902025230053pt