While the limits of rational-calculative approaches for healthcare decision-making, alongside institutional forms of ritual, routines and hope employed to deal with these limits, were already described in the 1950s, healthcare professionals’ syncretism of rational and non-rational approaches in their everyday work remains a neglected topic in Northern Europe. Using COVID-19 as an urgent problem for healthcare policy and practice, and a natural ‘breaching experiment’ which disrupts everyday work in ways which help professionals to critically reflect, this article explores how a small, purposive sample of young healthcare professionals in the Netherlands dealt with the uncertainties and risks posed by continued healthcare work amid the pandemic. Analysing qualitative data, collected via longitudinal online interviews among healthcare professionals, the analysis pays particular attention to: concerns, anxieties and risks faced by professionals; understandings and ways of working with(out) protocols; different logics for handling uncertainty in different situations; how different logics (rational, non-rational and ‘in between’ rationalities) are combined in different aspects of their work. A key feature of the analysis is the tensions which emerged within these combined strategies and how these relate to broader tensions in terms of the limits of rationality, economic scarcity, work-life experiences, and evidence versus emotions.

尽管在1950年代已经描述了用于医疗决策的理性计算方法的局限性，以及用于解决这些局限的礼节，惯例和希望的制度形式，但医疗保健专业人员在其理性和非理性方法的融合中在北欧，日常工作仍然是一个被忽略的话题。本文使用COVID-19作为医疗保健政策和实践的紧迫问题，并通过自然的“突破性实验”以有助于专业人士批判性反映的方式破坏日常工作，本文探讨了荷兰的一小部分有针对性的年轻医疗保健专业人员样本解决了大流行期间持续的医疗保健工作带来的不确定性和风险。分析定性数据，这些数据是通过医疗保健专业人员之间的纵向在线访谈收集的，分析特别注意：专业人士面临的担忧，焦虑和风险；理解和使用（外）协议的方式; 处理不同情况下不确定性的不同逻辑；在工作的不同方面如何组合不同的逻辑（理性，非理性和“介于”理性之间）。分析的一个关键特征是这些组合策略中出现的紧张关系，以及它们在理性，经济稀缺，工作生活经历以及证据与情感之间的限制方面如何与更广泛的紧张关系相关。非理性和“介于两者之间”的理性）在其工作的不同方面进行了结合。分析的一个关键特征是这些组合策略中出现的紧张关系，以及它们在理性，经济稀缺，工作生活经历以及证据与情感之间的限制方面如何与更广泛的紧张关系相关。非理性和“介于两者之间”的理性）在其工作的不同方面进行了结合。分析的一个关键特征是这些组合策略中出现的紧张关系，以及它们在理性，经济稀缺，工作生活经历以及证据与情感之间的限制方面如何与更广泛的紧张关系相关。