Contraintes vécues, idéal normatif et actions déployées en vue de transformer l’exercice de la profession infirmière en centre hospitalier : une étude exploratoire auprès d’infirmières québécoises politiquement engagées

Les changements socioéconomiques des dernières décennies ont profondément transformé le rapport qu’entretient le Québec avec ses professionnels de la santé. En ouvrant le champ à l’accumulation privée du capital dans les années 1990, se met en place au sein de la fonction publique une philosophie politique issue du monde des affaires. Dès lors, le paradigme de la gouvernance investit les hôpitaux, où exerce 65 % de l’effectif infirmier québécois. Des chercheurs ont investigué les contraintes et torts subis par les infirmières consécutivement à la restructuration du système de santé, cependant, peu d’entre eux ont tenu compte des rapports de force et des structures de pouvoir dans lesquels s’enracine le vécu des infirmières. La présente étude a pour but d’explorer les expériences vécues d’infirmières soignantes politiquement engagées qui exercent en centre hospitalier (CH), de rendre compte de l’ordre social existant au sein de cette institution, de décrire la façon dont elles aimeraient idéalement exercer et de répertorier les idées qu’elles ont et les actions qu’elles mettent en place individuellement ou collectivement de façon à favoriser la transformation de l’ordre social et de l’exercice infirmier en CH. Épistémologiquement, notre étude qualitative s’inscrit dans cette idée que la réalité est complexe, mouvante et dépendante de la perception des personnes, proposant une orientation compréhensive et contextualisée de l’action humaine et du politique; c’est ainsi que le point de vue politique des infirmières participantes est pris en compte. L’articulation des expériences vécues, de l’idéal normatif et de l’action politique des participantes est explorée suivant une perspective postmoderniste, praxéologique et dialectique issue de la théorie critique qui réfléchit non seulement sur ce qui est, mais également sur ce qui est souhaitable; une réflexion qui sous certaines conditions s’ouvre sur l’action transformatrice. Les notions de pouvoir, de rapport de force, de résistance et d’émancipation influencent notre analyse. Au terme de cette étude, les résultats indiquent la présence d’une déprofessionnalisation graduelle en faveur d’une technicisation du soin infirmier et d’une dérive autoritaire grandissante au sein des CH s’arrimant au registre sémantique de l’économie de marché à partir des notions d’efficacité, de performance et d’optimisation. Les infirmières soignantes perçues comme des « automates performants » se voient exclues des processus décisionnels, ce qui les prive de leurs libertés de s’exprimer et de se faire critiques devant ce qui a été convenu par ceux qui occupent les hautes hiérarchies du pouvoir hospitalier et qui déterminent à leur place la façon dont s’articule l’exercice infirmier. Le pouvoir disciplinaire hospitalier, par l’entremise de technologies politiques comme la surveillance continue, les représailles et la peur, la technicisation du soin et le temps supplémentaire obligatoire, concourt à la subjectivation des infirmières soignantes, en minimisant l’importance de leur jugement clinique, en affaiblissant la solidarité collective et en mettant au pas l’organisation syndicale, ce qui détournent ces infirmières de la revendication de leurs droits et idéaux d’émancipation les ramenant à une position subalterne. Nos résultats indiquent que les actions politiques que les participantes souhaitent déployer au sein des CH visent l’humanisation des soins et l’autodétermination professionnelle. Toutefois, nombre des actions répertoriées avaient pour finalité fonctionnelle la protection et la survie des infirmières au sein d’un dispositif hospitalier déshumanisant. Certaines infirmières soignantes s’objectent en conscience, déploient des actions de non-coopération individuelles et collectives, font preuve d’actes de désobéissance civile ou souhaitent agir en ce sens pour établir un rapport de force nécessaire à la prise en compte de leurs revendications par une gouvernance hospitalière qui autrement ferait la sourde oreille. Le pouvoir exercé de façon hostile par la gouvernance hospitalière doit à notre avis être contrecarré par une force infirmière collective égale ou supérieure, sans quoi les politiques qui lui sont associées continueront de leur être imposées. Le renouvellement radical de la démocratie hospitalière apparaît comme la finalité centrale vers laquelle doivent s’articuler les actions infirmières collectives qui permettront l’établissement d’un nouveau rapport de force puisque c’est à partir de celle-ci que les infirmières soignantes pourront débattre de l’orientation que doit prendre l’exercice infirmier.

Las opciones de los ciudadanos en la filosofía política liberal

El propósito de este artículo es explorar las principales características de tres opciones que poseen los ciudadanos en el marco de la filosofía política liberal, así como sus fuentes teóricas. Las opciones analizadas son la obligación de obedecer la ley (obediencia civil como una obligación), el deber moral de obedecer la ley (obediencia civil como un “deber ser”) y la desobediencia civil. El autor utiliza el término liberal en un sentido ontológico, dado que el ciudadano se entiende como una entidad individual.Debido a que la desobediencia civil es el concepto más complejo que se analiza en este artículo, se propone un ejercicio interesante para definirlo. Este concepto se define en función de una contradicción lógica. Así, la idea de la “no desobediencia civil” se utiliza para explorar las fronteras conceptuales de la desobediencia civil.-----The purpose of this article is to explore three options of citizens within liberal political philosophy, as well as their main characteristics and theoretical sources. Those options are: the obligation to obey the law (the civil obedience as an obligation), the moral duty to obey the law (the civil obedience as a “must be”), and the civil disobedience. The author points out that the “liberal” concept can be defined in an ontological sense because the citizen is defined as an individual entity.Given that the civil disobedience is the most complex concept analyzed in this article, it is suggested an interesting exercise in order to define it. This concept is constructed according to logical contradiction. Thus, the idea of “non-civil disobedience” is used to explore the civil disobedience conceptual bounderies.

Movimientos sociales su construcción narrativa desde los nuevos medios: los Indignados bogotanos en Twitter

Se analiza la relación entre movimientos sociales y nuevos medios en Colombia, preguntando en particular por las posibilidades narrativas que tienen los movimientos sociales en el nuevo espacio comunicativo abierto por internet. Para ello, se lleva a cabo un estudio descriptivo del relato elaborado en la red social Twitter por activistas virtuales del movimiento de indignación surgido en Bogotá tras la destitución del alcalde mayor, Gustavo Petro, a finales de 2013. Se encontró que Twitter fue un espacio esencialmente de disputa. El relato del movimiento fue construido en permanente contrapunteo no solo con las informaciones de los medios de comunicación tradicionales y las intervenciones de los líderes políticos, sino también con expresiones ciudadanas rivales, que se movilizaron paralelamente en la misma red social en un ejercicio de contestación. Esta investigación emplea como marco analítico la “autocomunicación de masas” propuesta por Manuel Castells.

Framing the local and the global in the anti-nuclear movement: Law and the politics of place

This article examines the politics of place in relation to legal mobilization by the anti-nuclear movement. It examines two case examples - citizens' weapons inspections and civil disobedience strategies - which have involved the movement drawing upon the law in particular spatial contexts. The article begins by examining a number of factors which have been employed in recent social movement literature to explain strategy choice, including ideology, resources, political and legal opportunity, and framing. It then proceeds to argue that the issues of scale, space, and place play an important role in relation to framing by the movement in the two case examples. Both can be seen to involve scalar reframing, with the movement attempting to resist localizing tendencies and to replace them with a global frame. Both also involve an attempt to reframe the issue of nuclear weapons away from the contested frame of the past (unilateral disarmament) towards the more universal and widely accepted frame of international law.

Internet e direito autoral: o ciberespaço e as mudanças na distribuição da cultura

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

CRIAÇÃO E RECRIAÇÕES COSMOGÔNICAS EM ISAÍAS 51, 9-11: Um estudo do uso do mito cosmogônico pelo Dêutero-Isaías para o entendimento da comunidade dos cativos judaítas em Babilônia

Como estudar uma cultura ou uma comunidade perdida nos tempos bíblicos? Esta é um questão motriz para o autor. Foi dessa maneira que surgiu o seu interesse em discutir a possibilidade do uso do mito cosmogônico para o entendimento da comunidade dos cativos judaítas em Babilônia. É uma iniciativa, que precisava ser trilhada pelos pesquisadores que se dispusessem ao estudo das culturas do mundo bíblico. Assim se elegeu o tema Mito Cosmogônico no Primeiro Testamento como instrumento de aprofundamento da pesquisa bíblica. O mito é uma escolha mais ou menos óbvia, pela sua capacidade de funcionar como paradigma, pragmática e traditiva contra-hegemônica dentro de um contexto social interétnico. Estas eram ponderações vindas de matrizes como a do fenomenólogo Mircea Eliade, do Antropólogo Roger Bastide e do teólogo e fenomenólogo José Severino Croatto. É por isto que um paralelo é traçado entre o mito de Marduk e o texto de Isaías 51, 9-11, que fala de Javé como sendo criador do mundo e que luta contra as forças do caos. Isto é feito, com vistas à percepção da profecia do Isaías do exílio, como parentesco e sua justaposição com a mitologia babilônica, e ambos se aproximam bastante de forma sintagmática e histórico-social. Coube ainda saber se a profecia do Dêutero-Isaías atuava da mesma maneira que o poema Enuma elish funcionava para os babilônicos. Ou seja, fazia-se surgir modelos sociais às comunidades de escravos dentro do Império Neobabilônico; se com base nestes cânticos, os cativos conseguiam construir um ordenamento para as suas comunidades, que gozavam de uma relativa autonomia, tais como colônias e guetos ; se de posse dessa ousada profecia, os judeus da golah eram capazes de elaborar uma desobediência cívil nos termos de um nutrir nos corações, uma utopia que rompesse com o status quo do passado, comprometendo-os com a esperança no Javé criador.(AU)

CRIAÇÃO E RECRIAÇÕES COSMOGÔNICAS EM ISAÍAS 51, 9-11: Um estudo do uso do mito cosmogônico pelo Dêutero-Isaías para o entendimento da comunidade dos cativos judaítas em Babilônia

Como estudar uma cultura ou uma comunidade perdida nos tempos bíblicos? Esta é um questão motriz para o autor. Foi dessa maneira que surgiu o seu interesse em discutir a possibilidade do uso do mito cosmogônico para o entendimento da comunidade dos cativos judaítas em Babilônia. É uma iniciativa, que precisava ser trilhada pelos pesquisadores que se dispusessem ao estudo das culturas do mundo bíblico. Assim se elegeu o tema Mito Cosmogônico no Primeiro Testamento como instrumento de aprofundamento da pesquisa bíblica. O mito é uma escolha mais ou menos óbvia, pela sua capacidade de funcionar como paradigma, pragmática e traditiva contra-hegemônica dentro de um contexto social interétnico. Estas eram ponderações vindas de matrizes como a do fenomenólogo Mircea Eliade, do Antropólogo Roger Bastide e do teólogo e fenomenólogo José Severino Croatto. É por isto que um paralelo é traçado entre o mito de Marduk e o texto de Isaías 51, 9-11, que fala de Javé como sendo criador do mundo e que luta contra as forças do caos. Isto é feito, com vistas à percepção da profecia do Isaías do exílio, como parentesco e sua justaposição com a mitologia babilônica, e ambos se aproximam bastante de forma sintagmática e histórico-social. Coube ainda saber se a profecia do Dêutero-Isaías atuava da mesma maneira que o poema Enuma elish funcionava para os babilônicos. Ou seja, fazia-se surgir modelos sociais às comunidades de escravos dentro do Império Neobabilônico; se com base nestes cânticos, os cativos conseguiam construir um ordenamento para as suas comunidades, que gozavam de uma relativa autonomia, tais como colônias e guetos ; se de posse dessa ousada profecia, os judeus da golah eram capazes de elaborar uma desobediência cívil nos termos de um nutrir nos corações, uma utopia que rompesse com o status quo do passado, comprometendo-os com a esperança no Javé criador.(AU)

CRIAÇÃO E RECRIAÇÕES COSMOGÔNICAS EM ISAÍAS 51, 9-11: Um estudo do uso do mito cosmogônico pelo Dêutero-Isaías para o entendimento da comunidade dos cativos judaítas em Babilônia

Como estudar uma cultura ou uma comunidade perdida nos tempos bíblicos? Esta é um questão motriz para o autor. Foi dessa maneira que surgiu o seu interesse em discutir a possibilidade do uso do mito cosmogônico para o entendimento da comunidade dos cativos judaítas em Babilônia. É uma iniciativa, que precisava ser trilhada pelos pesquisadores que se dispusessem ao estudo das culturas do mundo bíblico. Assim se elegeu o tema Mito Cosmogônico no Primeiro Testamento como instrumento de aprofundamento da pesquisa bíblica. O mito é uma escolha mais ou menos óbvia, pela sua capacidade de funcionar como paradigma, pragmática e traditiva contra-hegemônica dentro de um contexto social interétnico. Estas eram ponderações vindas de matrizes como a do fenomenólogo Mircea Eliade, do Antropólogo Roger Bastide e do teólogo e fenomenólogo José Severino Croatto. É por isto que um paralelo é traçado entre o mito de Marduk e o texto de Isaías 51, 9-11, que fala de Javé como sendo criador do mundo e que luta contra as forças do caos. Isto é feito, com vistas à percepção da profecia do Isaías do exílio, como parentesco e sua justaposição com a mitologia babilônica, e ambos se aproximam bastante de forma sintagmática e histórico-social. Coube ainda saber se a profecia do Dêutero-Isaías atuava da mesma maneira que o poema Enuma elish funcionava para os babilônicos. Ou seja, fazia-se surgir modelos sociais às comunidades de escravos dentro do Império Neobabilônico; se com base nestes cânticos, os cativos conseguiam construir um ordenamento para as suas comunidades, que gozavam de uma relativa autonomia, tais como colônias e guetos ; se de posse dessa ousada profecia, os judeus da golah eram capazes de elaborar uma desobediência cívil nos termos de um nutrir nos corações, uma utopia que rompesse com o status quo do passado, comprometendo-os com a esperança no Javé criador.(AU)

Model Based Estimating System for Civil Concrete Structures

An earlier CRC-CI project on ‘automatic estimating’ (AE) has shown the key benefit of model-based design methodologies in building design and construction to be the provision of timely quantitative cost evaluations. Furthermore, using AE during design improves design options, and results in improved design turn-around times, better design quality and/or lower costs. However, AEs for civil engineering structures do not exist; and research partners in the CRC-CI expressed interest in exploring the development of such a process. This document reports on these investigations. The central objective of the study was to evaluate the benefits and costs of developing an AE for concrete civil engineering works. By studying existing documents and through interviews with design engineers, contractors and estimators, we have established that current civil engineering practices (mainly roads/bridges) do not use model-based planning/design. Drawings are executed in 2D and only completed at the end of lengthy planning/design project management lifecycle stages. We have also determined that estimating plays two important, but different roles. The first is part of project management (which we have called macro level estimating). Estimating in this domain sets project budgets, controls quality delivery and contains costs. The second role is estimating during planning/design (micro level estimating). The difference between the two roles is that the former is performed at the end of various lifecycle stages, whereas the latter is performed at any suitable time during planning/design.

Concurrent multi-scale modeling of civil infrastructures for analyses on structural deterioration—Part I : Modeling methodology and strategy

This paper aims to develop the methodology and strategy for concurrent finite element modeling of civil infrastructures at the different scale levels for the purposes of analyses of structural deteriorating. The modeling strategy and method were investigated to develop the concurrent multi-scale model of structural behavior (CMSM-of-SB) in which the global structural behavior and nonlinear damage features of local details in a large complicated structure could be concurrently analyzed in order to meet the needs of structural-state evaluation as well as structural deteriorating. In the proposed method, the “large-scale” modeling is adopted for the global structure with linear responses between stress and strain and the “small-scale” modeling is available for nonlinear damage analyses of the local welded details. A longitudinal truss in steel bridge decks was selected as a case to study how a CMSM-of-SB was developed. The reduced-scale specimen of the longitudinal truss was studied in the laboratory to measure its dynamic and static behavior in global truss and local welded details, while the multi-scale models using constraint equations and substructuring were developed for numerical simulation. The comparison of dynamic and static response between the calculated results by different models indicated that the proposed multi-scale model was found to be the most efficient and accurate. The verification of the model with results from the tested truss under the specific loading showed that, responses at the material scale in the vicinity of local details as well as structural global behaviors could be obtained and fit well with the measured results. The proposed concurrent multi-scale modeling strategy and implementation procedures were applied to Runyang cable-stayed bridge (RYCB) and the CMSM-of-SB of the bridge deck system was accordingly constructed as a practical application.

Concurrent multi-scale modeling of civil infrastructures for analyses on structural deteriorating—Part II : Model updating and verification

This paper is a continuation of the paper titled “Concurrent multi-scale modeling of civil infrastructure for analyses on structural deteriorating—Part I: Modeling methodology and strategy” with the emphasis on model updating and verification for the developed concurrent multi-scale model. The sensitivity-based parameter updating method was applied and some important issues such as selection of reference data and model parameters, and model updating procedures on the multi-scale model were investigated based on the sensitivity analysis of the selected model parameters. The experimental modal data as well as static response in terms of component nominal stresses and hot-spot stresses at the concerned locations were used for dynamic response- and static response-oriented model updating, respectively. The updated multi-scale model was further verified to act as the baseline model which is assumed to be finite-element model closest to the real situation of the structure available for the subsequent arbitrary numerical simulation. The comparison of dynamic and static responses between the calculated results by the final model and measured data indicated the updating and verification methods applied in this paper are reliable and accurate for the multi-scale model of frame-like structure. The general procedures of multi-scale model updating and verification were finally proposed for nonlinear physical-based modeling of large civil infrastructure, and it was applied to the model verification of a long-span bridge as an actual engineering practice of the proposed procedures.

Can B.I.M be civil?

After many years of development BIM (Building Information Modelling) is starting to achieve significant penetration into the building sector of the construction industry. This paper describes the current status of BIM and the drivers that are motivating the change from 2D CAD to BIM within the building sector. The paper then discusses what the implications of the technology underlying BIM may be for the civil construction sector of the construction industry. A project carried out by the Cooperative Research Centre for Construction Innovation is used as an example of this technology as well as several international examples.

Multi-objective mission flight planning in civil unmanned aerial systems

Unmanned Aerial Vehicles (UAVs) are emerging as an ideal platform for a wide range of civil applications such as disaster monitoring, atmospheric observation and outback delivery. However, the operation of UAVs is currently restricted to specially segregated regions of airspace outside of the National Airspace System (NAS). Mission Flight Planning (MFP) is an integral part of UAV operation that addresses some of the requirements (such as safety and the rules of the air) of integrating UAVs in the NAS. Automated MFP is a key enabler for a number of UAV operating scenarios as it aids in increasing the level of onboard autonomy. For example, onboard MFP is required to ensure continued conformance with the NAS integration requirements when there is an outage in the communications link. MFP is a motion planning task concerned with finding a path between a designated start waypoint and goal waypoint. This path is described with a sequence of 4 Dimensional (4D) waypoints (three spatial and one time dimension) or equivalently with a sequence of trajectory segments (or tracks). It is necessary to consider the time dimension as the UAV operates in a dynamic environment. Existing methods for generic motion planning, UAV motion planning and general vehicle motion planning cannot adequately address the requirements of MFP. The flight plan needs to optimise for multiple decision objectives including mission safety objectives, the rules of the air and mission efficiency objectives. Online (in-flight) replanning capability is needed as the UAV operates in a large, dynamic and uncertain outdoor environment. This thesis derives a multi-objective 4D search algorithm entitled Multi- Step A* (MSA*) based on the seminal A* search algorithm. MSA* is proven to find the optimal (least cost) path given a variable successor operator (which enables arbitrary track angle and track velocity resolution). Furthermore, it is shown to be of comparable complexity to multi-objective, vector neighbourhood based A* (Vector A*, an extension of A*). A variable successor operator enables the imposition of a multi-resolution lattice structure on the search space (which results in fewer search nodes). Unlike cell decomposition based methods, soundness is guaranteed with multi-resolution MSA*. MSA* is demonstrated through Monte Carlo simulations to be computationally efficient. It is shown that multi-resolution, lattice based MSA* finds paths of equivalent cost (less than 0.5% difference) to Vector A* (the benchmark) in a third of the computation time (on average). This is the first contribution of the research. The second contribution is the discovery of the additive consistency property for planning with multiple decision objectives. Additive consistency ensures that the planner is not biased (which results in a suboptimal path) by ensuring that the cost of traversing a track using one step equals that of traversing the same track using multiple steps. MSA* mitigates uncertainty through online replanning, Multi-Criteria Decision Making (MCDM) and tolerance. Each trajectory segment is modeled with a cell sequence that completely encloses the trajectory segment. The tolerance, measured as the minimum distance between the track and cell boundaries, is the third major contribution. Even though MSA* is demonstrated for UAV MFP, it is extensible to other 4D vehicle motion planning applications. Finally, the research proposes a self-scheduling replanning architecture for MFP. This architecture replicates the decision strategies of human experts to meet the time constraints of online replanning. Based on a feedback loop, the proposed architecture switches between fast, near-optimal planning and optimal planning to minimise the need for hold manoeuvres. The derived MFP framework is original and shown, through extensive verification and validation, to satisfy the requirements of UAV MFP. As MFP is an enabling factor for operation of UAVs in the NAS, the presented work is both original and significant.