Nurse workforce in state services with direct management: Revealing precarization

Melo, Cristina Maria Meira de; Carvalho, Clarissa Assis de; Silva, Livia Angeli; Leal, Juliana Helena Gomes; Santos, Tatiane Araújo dos; Santos, Handerson Silva

doi:10.5935/1414-8145.20160067

Cited by 13 publications

(21 citation statements)

References 5 publications

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“…5,11 The feeling of professional instability is a manifestation and/or consequence of the breakdown of the social protection in the workplace, which reflects the deregulation and insecurity of the work in this field. 26,27 The work process at the CASAI studied in this research reflects greater flexibility of employment, maximized by the recruitment method under these care/work production conditions.…”

Section: Discussionmentioning

confidence: 99%

“…26,28 With the transfer of responsibility for healthcare from the federal to the municipal level in 1993, municipalities and cities became responsible for contracting personnel in Brazil. 27 However, the Brazilian Fiscal Responsibility Law, enacted in 2000, based on neoliberal ideology, appears to restrict municipal autonomy in personnel recruitment.…”

Section: Discussionmentioning

confidence: 99%

“…[26][27][28][29] According to this system of scientific management principles, elaborated by Fred Taylor, the workers became more productive when they follow a machinelike routine and eliminate avoidable motion. 30 Merhy 9,13 used Taylorism ideas 30 as a way to explain how intense domination of work in manufacturing can also be reproduced in the provision of care at a health center.…”

Section: Discussionmentioning

confidence: 99%

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The work process and care production in a Brazilian indigenous health service

et al. 2017

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Processo de trabalho e produção do cuidado em um serviço de saúde indígena no BrasilProceso de trabajo y producción de la atención en una institución brasileña de salud indígena AbstrActObjective: To understand the constitutive elements of the work process and care production in an Indigenous Health Support Service. Methods: Case study. Systematic observation and semi-structured interviews were conducted in January and February of 2012. The participants were 10 nursing professionals of an Indigenous Health Support Center, located in Mato Grosso do Sul state, Brazil. The work process was used as a conceptual and analytical category. Results: Through interpretative analysis, the data were organized into three categories. The results showed that care production was focused on procedures and guided by rigid institutional rules and bureaucracy. The prioritization of institutional rules and procedures was detrimental to the provision of person-centered care. Conclusion: The temporary employment contracts and rigid bureaucratic organization generated a tense work environment. These aspects do not maximize the efforts of the nursing staff to provide person-centered care. resumen Objetivo: Comprender los elementos constitutivos del proceso de trabajo y la producción de la atención en una institución de apoyo a la salud indígena. Métodos: Estudio de caso realizado en una casa de apoyo de salud indígena, en Mato Grosso do Sul, Brasil. Fueron realizadas entrevistas semiestructuradas y la observación sistemática con 10 profesionales de enfermería. Se realizó el análisis temático, utilizando el proceso de trabajo como referencial teórico. Resultados: Emergieron tres categorías: la atención se centra en procedimientos técnicos y es guiada por burocracia y normas institucionales; hay una priorización de las normas; y procedimientos institucionales a expensas de la atención centrada en el sujeto. Conclusiones: El contrato de trabajo temporal y la organización burocrática producen un ambiente tenso en el trabajo, lo que no potencializa los esfuerzos del personal de enfermería en prestar una atención centrada al indígena.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The work process and care production in a Brazilian indigenous health service

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“…Thus, the author identifies two forms of exploitation of nurses: work overload and intensification (23) . In another study, the job insecurity associated with the work developed by nurses is reiterated (24) .…”

Section: Discussionmentioning

confidence: 99%

Expansion of the interprofessional clinical practice of Primary Care nurses

et al. 2019

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Objective: To analyze the clinical practice of nurses in the interprofessional context of the Family Health Strategy. Method: Case study in a basic health unit of the city of São Paulo with a professional team of the Family Health Strategy and of the Family Health Support Center. Direct observation and interviews with thematic analysis and triangulation were conducted. Results: Four empirical categories were identified: interprofessional actions guided by the logic of the user's health needs; interprofessional actions guided by the logic of expediting service; interprofessional actions with a biomedical approach and interprofessional actions with an integral/holistic approach. Six interprofessional actions that indicated the expansion of the clinical practice of the Family Health Strategy's nurses were also identified. Conclusion: The results express the world trend of interprofessional practice and expansion of the scope of practice of different professions, particularly that of nurses, which requires consolidation based on the population's health needs.

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“…(2) The work of the nurse is inserted in the field of health as a producer of service with an exchange value, in a historical process of development of care practices. Nursing was mainly performed by women, and their work was linked to domestic activities, so that, even after integration of this professional into the labor market, the low social and financial value attributed to this profession is related to the depreciation of female work (3) With the professional development and qualification of teaching, other characteristics were associated with nursing, such as being friendly, having the ability to make good decisions, and performing multitasking. (4) Thus, the construction of the professional image is continuous, and depends on the historical context in which it is integrated.…”

mentioning

confidence: 99%

Precarização do trabalho da enfermeira: militância profissional sob a ótica da imprensa

et al. 2019

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Resumo Objetivo Analisar a militância profissional de enfermeiras frente à precarização do trabalho apresentada pela mídia impressa baiana nas décadas de 1970 e 1980. Métodos Pesquisa histórico-documental, com abordagem qualitativa, cuja fonte foi o jornal baiano A Tarde. O recorte temporal abarca marcos históricos como a criação do Conselho Federal de Enfermagem e suas seções regionais (1973); a criação do Sindicato dos Enfermeiros do Estado da Bahia (1981); e a aprovação da Lei do Exercício Profissional (1986). O contexto nacional era o período da ditadura militar, que adotava um modelo de proteção social e caminhava para a abertura política Utilizou-se os termos de busca “Enfermeira” e “Enfermeiro”, resultando em 24 reportagens. A análise de conteúdo na modalidade temática embasou a organização dos dados. Resultados A militância profissional de enfermeiras frente à precarização do trabalho se fez presente na mídia por meio das entidades representativas, evidenciada pelos seguintes aspectos: Desvalorização da força de trabalho, marcada pela baixa remuneração e substituição de enfermeiras por pessoal sem qualificação adequada; Sobrecarga de trabalho, evidenciada pelo subdimensionamento e qualificação deficiente; e busca por determinação legal da jornada de trabalho e do piso salarial. Conclusão As enfermeiras utilizaram-se da mídia para denunciar e conscientizar a sociedade sobre os determinantes da precarização do trabalho, porém, as ações efetivas de combate foram pouco abordadas. A atuação militante esteve concentrada no âmbito das entidades representativas, não sendo evidenciado um movimento coletivo das enfermeiras.

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Nurse workforce in state services with direct management: Revealing precarization

Cited by 13 publications

References 5 publications

The work process and care production in a Brazilian indigenous health service

The work process and care production in a Brazilian indigenous health service

Expansion of the interprofessional clinical practice of Primary Care nurses

Precarização do trabalho da enfermeira: militância profissional sob a ótica da imprensa

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