Relações de poderes (inter)profissionais e (inter)institucionais no hospital

Oliveira, Beatriz Rosana Gonçalves de; Collet, Neusa

doi:10.1590/s0034-71672000000200015

Cited by 6 publications

(4 citation statements)

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“…Thus, an Intensive Care Unit (ICU) is a privileged place for the analysis of power relations. In this environment, there is interaction of various types of professional knowledge, and medical practice is recognized and valued for triggering the entire process of reestablishing health to the critically ill biological body (7) .…”

Section: Introductionmentioning

confidence: 99%

Configuration of power relations in physicians and nurses’ professional practices

et al. 2020

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Objective: to analyze the configuration of power relations constituted in and by the knowledge and daily practices of physicians and nurses in an Intensive Care Unit (ICU). Method: qualitative study in which data were collected through interviews with physicians and nurses from an ICU of a hospital in Belo Horizonte, Minas Gerais. A semi-structured script was used. Data were analyzed through discourse analysis in a Foucaultian perspective. Results: three categories were developed - Professional Identity: self-recognition in the profession; Discipline: individualizing attitudes or collective need?; and Circularity of knowledge and power in the constitution of daily practices. Final considerations: the identity, discipline and circulation of power are connected in a continuous movement of subjectivation of the subject, which, in turn, uses discourse as a persuasion strategy to modify the position taken over in different situations thereby causing the circulation of power.

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Section: Introductionmentioning

confidence: 99%

Configuration of power relations in physicians and nurses’ professional practices

et al. 2020

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“…Estudos realizados pela enfermagem (6,(9)(10)(11)(12) e o próprio Ministério da Saúde (13) , reconhecem a necessidade de espaços no local de trabalho para a materialização das potencialidades do ser trabalhador. Estes são resultados de olhares voltados às classes dominadas, uma vez que as relações de poder sempre marcaram o trabalho em saúde.…”

Section: A Atuação Da Enfermagem E O Espaço Social Da Profissãounclassified

O enfermeiro como ser sócio-político: refletindo a visibilidade da profissão do cuidado

2006

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Pretende-se, com este trabalho, instigar o profissional de enfermagem a repensar seu fazer, saber e ser. Trata-se de uma reflexão crítica quanto ao cuidado dispensado à profissão do cuidado. Acredita-se que este deva iniciar com a busca, ocupação ou conhecimento, de um espaço sócio-político que possibilite a conquista de prestígio às competências adquiridas numa prática social de envolvimento íntimo com o indivíduo, sociedade e ambiente. Com base na construção dos saberes de enfermagem, historicamente determinados pelas necessidades compreendidas pela inserção social no campo da saúde, consideram-se os padrões de conhecimento fundamentais em enfermagem, bem como, o campo de atuação e o espaço social da profissão, para apontar considerações relevantes sobre a formação do ser sócio-político. Contudo, há, de fato, espaço para o profissional neste campo de atuação? Defende-se aqui, a necessidade de ocupar espaços que dêem margem ao reconhecimento da enfermagem como protagonista da práxis em saúde e na sociedade.

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“…Desse modo, os supervisores possuem uma falsa percepção do poder concedida pela autoridade do cargo. Atuam de forma neutra, alienada e acrítica, assegurando que o processo de trabalho clínico ocorra por qualificados aspectos técnicos e burocráticos, atendendo o que é determinado pelas normas e protocolos (53,(57)(58) .…”

Section: Supervisão De Enfermagem -O Construído E O Desconstruídounclassified

“…O outro, o materialista, é apreendido enquanto inserido nas práticas historicamente estruturadas e socialmente articuladas, em que a gerência é instrumento para a efetivação das políticas vigentes, originando o chamado modelo histórico-social (8,59) . Nesse modelo, a gerência, além da organização do trabalho institucional, volta-se ao atendimento das necessidades de saúde da população, o que requer a democratização da gestão, redefinição de políticas de atendimento, ampliação da autonomia dos profissionais e a participação do usuário (57) .…”

Section: Processo De Trabalho Em Saúde E Na Enfermagemunclassified

Supervisão de enfermagem

Vergílio¹

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The organization of hospital care is a complex task of overcoming difficulties to fully meet the health needs of the population. In this context, the work of nursing supervision has the potential to plan, organize a welcoming, qualified and safe care, due to its interlocution between institutional planners and executors of care work. For this, a systematized work process is required for the management of care. The objective of this research was to systematize the practice of hospital nursing supervision to manage care. We conducted a qualitative research with a researchaction method, in four stages, developed jointly with nursing directors and supervisors of the hospital (university and public). For the data collection were carried out Interviews in the first phase, the exploratory phase, and observation in the second phase, the deepening. The collected empirical material was interpreted by content analysis, according to the reference of the marxist work process. As a phase three action strategy, we have done workshops, with all nursing supervisors, whose task was to build proposals for changes in the work of supervision aiming at a systematized process directed to the management of care. The evaluations and validations of the results, phase four, were carried out in the course of all research by meetings, individual instruments and online questionnaire. The results of the first and second phases provided us with an understanding of the work process fragmented between the daytime and nightime periods, routine visits to the wards, control of the nursing staff frequency, management of material resources, resolution of unexpected demands and less often education in service. The purpose of the work is centered on controlling the organization of the units and the frequency of the team by routine managerial instruments. These results were used to plan the workshops, where it was developed the supervisors'critical awareness about crystallized pre-estabelished practice actions.The workshops favored experience exchanges, considerations and agreements for the collective construction of an action proposal to overcome difficulties in the work process that deviate the supervision from the care management. The knowledge produced in the action-research phases the researches allowed to construct a "Method to systematize the practice of nursing supervision", with three planning moments structure: exploratory work (explanatory and investigative); intervention-action and referrals and agreements. This method may contribute to qualify the supervision practice in nursing, through the permanent education of supervisors of any nursing service in the health system.

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Relações de poderes (inter)profissionais e (inter)institucionais no hospital

Cited by 6 publications

References 0 publications

Configuration of power relations in physicians and nurses’ professional practices

Configuration of power relations in physicians and nurses’ professional practices

O enfermeiro como ser sócio-político: refletindo a visibilidade da profissão do cuidado

Supervisão de enfermagem

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