Imagem e identidade profissional na construção do conhecimento em enfermagem

“…At the organizational level, the complementariness among different groups (due to ideology, task or position) takes the place of intergroup competition, which, having originated in the search for a threatened personal recognition tends to maintain the hegemonic groups as such. At the societal or macro level, the explicitness and dissemination of an intentional, assertive and clarifi ed discourse that is capable of feeding new social representations of the profession become important (8) , together with new representations of health, disease, workplaces and professionals, structuring new dispositions and habitus, identifi cations and attributions.…”

Section: This Communication Perspective Is Translated Into Specifi C mentioning

confidence: 99%

Para uma identidade dialética e comunicacional em Enfermagem

Lopes

2013

Rev. esc. enferm. USP

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The construction of the identity of a professional group is the subjective dimension of its professionalization process, understood as a process of affi rmation, autonomy construction and social recognition (1)(2) . Because it is founded on relationships, of recognition or non-recognition, identity is a concept that is related to communication, but it is translated into objective dimensions of the professionalization process (objective statute, autonomy and social image). Thus, identity is internal and external, that is, it refers both to a professionalism that comes from the inside (which, being diverse, must be clarifi ed), and to a professionalism that comes from the outside -concerning the social recognition that is usually achieved through the strength of the professionalism that comes from the inside (3) . This conceptual framework has become the necessary basis for a propositional argumentation. If the postmodern lines and the experienced and discursive forms that they enable have defi nitively opened an original space for the affi rmation of Nursing and its professionals, it becomes necessary to take advantage of the framework's potentialities in order to translate it clearly into performance indicators, education curricula and into a strong professional discourse. Although the affi rmation of professional identity, as it is clear in the conceptual exposition presented above, always needs diversity (there is no identity breathing without diversity), it also needs a minimum of clearness and coherence in its principles, and a minimum of harmony among the diverse subsystems on which it depends (4) . Without this, what is gained at one level can always be neutralized by what is lost at another level. The persistent ambiguities and polarizations of the adventures of professionalization and professionalism in nursing indicate that a large part of the recognition criteria in nursing continue to be borrowed from medical power, which reveals the need to develop an attachment to forms of recognition that are centered on the specifi city of knowledge in nursing. Due to this, we propose nursing identities that are openly dialectical, concerning their symbolic content (combining scientifi c-technical and ethical-expressive knowledge), and related to communication, concerning their action schemes (informed by communication-related rationality). This communication perspective is translated into specifi c emphases on each one of the levels of the ecological system that is inhabited by the identities, which can inform professional references, education decisions and investigation foci. I present below only the central trends of such levels.At the individual level, appeals to the creativity of the self and to the refl ection from self to self become pertinent (5)(6) . At the interpersonal or team level, the place of the close other is emphasized (supervisor, tutor, coworkers), as a cognitive challenge and affective support, in the concrete and face-to-face interaction with the other (6)(7) . At the organizational level, ...

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“…Since then, the insuffi cient qualifi cation to perform such activities has been known. 21 With professional paths mostly developed in the hospital network, it was after the inclusion of ESF that the majority of interviewees began to be qualifi ed for the healthcare model. In view of the challenges, some nurses question the adequacy of the nursing curriculum for the qualifi ed exercise of the multiple aspects of the clinical dimension found in this practice.…”

Section: "I Think Child Care Is Really Hard Because Mothers Are Not mentioning

confidence: 99%

Superposição de atribuições e autonomia técnica entre enfermeiras da Estratégia Saúde da Família

2010

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OBJECTIVE:To understand how Estratégia Saúde da Família (Family Health Strategy) nurses experience the overlapping of duties and building of technical autonomy. METHODOLOGICAL PROCEDURES:This was a qualitative study performed with 22 nurses, in the city of Recife, Northeastern Brazil, between August 2005 and November 2006. Based on management evaluation (geographic access; confl icts in the team, between team and district and between team and community; and public violence in the area), four teams were selected in each of the six health districts. Semi-structured interviews were conducted. The main themes in the interview guide were about work expectations and relevance, its organization and process, and feelings towards these practices. The results were interpreted under the perspective of burnout. ANALYSIS OF RESULTS:The nurses' opinion on the excessive number of families, insuffi cient organizational support and pressures from user demands that had not been met was recurrent. Overlapping of health care and management caused work overload, creating anxiety, impotence, frustration and the feeling of being treated unfairly when tasks were divided among team members. The clinical dimension of practice led to a feeling of insecurity of a technical and ethical nature, in addition to the satisfaction for the power and prestige achieved by the professional category. Specialized medical training represented an obstacle to autonomy and responsibility becoming interdependent. Stress, dissatisfaction, becoming physically and mentally ill, recognition of the relevance of work and importance of one's performance, and low work involvement were reported. CONCLUSIONS:In view of the lack of expectation of changes in the short term, the overlapping of low professional satisfaction and work overload causes negative attitudes, indicating the importance of health promotion to increase the possibility of infl uencing and changing work conditions.

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Imagem e identidade profissional na construção do conhecimento em enfermagem

Cited by 30 publications

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Nurses' visibility according to the perceptions of the communication professionals

Nurses' visibility according to the perceptions of the communication professionals

Para uma identidade dialética e comunicacional em Enfermagem

Superposição de atribuições e autonomia técnica entre enfermeiras da Estratégia Saúde da Família

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