Nursing, environment and health conceptions: an ecosystemic approach of the collective health production in the primary care

Abstract

(1) in health production (2)(3) .This approach adopts the premise of decomposing the elements of work (purpose, need, object/subject, instrument and product) as components that structure, in a systemic way in action, health production in collective work organization, from a nursing focus. In this sense, the elements that possess ecosystemic characteristics before action in work, acquire a concrete meaning when they are assumed and transformed in the process. In its interior, work is made concrete through the ecosystemic approach of its elements, externalizing its systemic components, in the attempt to overcome the predominant "bioclinical" premise in health care.Thus, in this study, the notion of work as a social ecosystem is being applied as an analytic unit of the phenomenon and not as a biological entity (1) .In the content of the text, presupposing that knowledge about sociohistorical and environmental phenomena constitutes a technological instrument to achieve work in health production (2)(3)(4) , the objective is to In the analysis process, traffic exposes that different systemic, historical, social and environmental health production and reproduction processes, in the coordinated set of their actions at work (3)(4) , only appear and are possible in the physical environments (physical ecosystems) and in human relations based on individual and collective structure (social ecosystems). This means affirming that work is seen as a complex ecosystem (6) that produces and reproduces health (3) , which reveals itself, in its concrete abstract concept (3) , as a phenomenon whose materiality is apprehended in the biophysical and social environments, in the individual subject and in different social structures and groups.In the result presentation and discussion, the system of meanings is privileged in the understanding of the phenomena based on the nurses' work, that is, in the object/agent of work, approaching the conceptual nuclei of the syllogism that involves health and the environment, developed in the relation with the product of work, materialized as health production.In the final considerations, a reflection is presented on the relation between knowledge of the environment, in a socioenvironmental approach, as instrumental knowledge in the field of nursing science and its applicability at work. It is highlighted that the analysis of specific knowledge about acting in the environment as a broad object and about the work process is discussed in another publication, as the nature of the theme, the introductory characteristic of this text and the restricted number of pages limit this text. METHODOLOGICAL DESIGNWe carried out an exploratory, descriptive and analogical study, adopting a dialectic approach of the sociohistorical phenomenon. The dialectic approach (7) to the study object demands an understanding of the exteriority relation between the subject (researcher) and the object (the configuration of the relation of environment meanings in nurses' work in health production), whose terms are separated Rev La...

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