Precarização do trabalho da enfermeira obstétrica

Abstract

Objetivo: refletir sobre as condições objetivas do trabalho, identificadas no perfil sóciodemográfico das enfermeiras obstétricas, que atuam no Sistema Único de Saúde. Metodologia: estudo descritivo, quantitativo, realizado com 15 enfermeiras obstétricas, em 2016, no Rio de Janeiro. Os dados foram coletados por entrevistas e submetidos à análise estatística simples. Estudo apreciado e aprovado pelo Comitê de Ética em Pesquisa. Resultados: as relações laborais, os salários, o quantitativo de vínculos e a jornada de trabalho das enfermeiras obstétricas, ao serem analisadas de forma associada, apontaram para a precarização do trabalho no serviço público. Conclusão: frente ao avanço da lógica capitalista no Sistema Único de Saúde, é necessário que as enfermeiras obstétricas fortaleçam sua unidade de classe a fim de elaborar estratégias para o enfrentamento dessas condições que deterioram seu processo de trabalho, com grande potencial para comprometer sua saúde e o cuidado às mulheres.

Regulación de la enfermería en México: actores, procesos y resultados

“…One-third of these nurses are located in first level care units. However, employment conditions between nurses in the private sector and those in the public sector have deteriorated significantly in the last decade through the phenomenon of insecurity 29 . The regulation of these phenomena in their most essential aspects is incumbent on the health institutions and their union structures.…”

The precarization of the Mexican nursing labor market: a repeated cross-sectional analysis for the period 2005–2018

“…The nursing labor market in Mexico is in an acute phase of transformation, and precarization has become an indicative element of its current conditions. Analysts of nursing labor markets in other countries [29] have warned that the outsourcing of hiring has introduced risks that did not exist when hiring was carried out directly between the worker and the employing institution. According to this approach, outsourcing hiring as a mechanism for seeking flexible employment relations that permit institutions to reduce or increase their workforce is an important determinant of employment precariousness [30, 31].…”

Strategies of nurse-midwives in relation to working conditions in maternity hospitals

“…In recent decades, neoliberalism has transformed the Unified Health System (SUS -Sistema Único de Saúde) by reducing the role State' role and restrictions in financing that have led to the scrapping of public institutions and emergence of flexible models for management of services and human resources. In this context, there is the care network expansion mainly through social organizations (SO), and the coexistence of different forms of labor relationship (1)(2)(3)(4)(5) .…”

“…This conformation is associated with work precariousness at SUS, expressed in inadequate working conditions, in the multiplicity of employees' relationships with public administration and in the instability of some labor relations, which removes workers' autonomy and places them in situations of vulnerability concerning insecurity, intensification and discouragement (1)(2)(3)(4)(5) .…”