As representações dos técnicos e auxiliares de enfermagem acerca do trabalho em equipe na Unidade de Terapia Intensiva

Abstract

This study aims to explain and analyze the representations of nursing auxiliaries and technicians about team work at an intensive-care unit. The qualitative approach was used and the Theory of Social Representations was adopted as a theoretical-methodological reference framework. The empirical material was obtained from interviews with four technicians and twelve nursing auxiliaries working at the intensive care units of Medical, Surgical and Pediatric Clinics. The information obtained was analyzed by means of the content analysis technique, following the thematic analysis mode. Results indicated conflicting interaction among nursing workers, highlighting the need to implement more efficient staff management models that focus on conflict management actions among different nursing teams.

Pleasure and suffering in intensive care unit nursing staff

“…Several studies have indicated the need to identify, in critical areas such as the ICU, the causative factors of the suffering, as well as the defensive strategies to avoid this, in order to maintain the psycho-emotional balance of the worker (1)(2)(3)(4)(5) . Care for critically ill patients requires from the nurses and nursing technicians, hereafter referred to as the nursing team, speed in decision making, a heightened sense of responsibility in the prioritization of actions, the resolution of complex problems, the continuous reorganization of the activities due to frequent interruptions, and the management of a large and variable amount of information due to the diverse interventions required (1)(2)(3)(4)(5) .…”

“…These situations invariably provoke feelings of intense anxiety, which contribute to the development of mediation strategies that function to try to avoid tensions which cumulatively threaten the integrity of their health with the risk of evolving into a framework of pathogenesis (1)(2)(3) .…”

“…Care for critically ill patients requires from the nurses and nursing technicians, hereafter referred to as the nursing team, speed in decision making, a heightened sense of responsibility in the prioritization of actions, the resolution of complex problems, the continuous reorganization of the activities due to frequent interruptions, and the management of a large and variable amount of information due to the diverse interventions required (1)(2)(3)(4)(5) . Furthermore, the nursing team are almost constantly confronted with suffering and death of their fellows, and are exposed to the ambiguous feelings that are transferred to them by both the patient and their family members (1-2) .These situations invariably provoke feelings of intense anxiety, which contribute to the development of mediation strategies that function to try to avoid tensions which cumulatively threaten the integrity of their health with the risk of evolving into a framework of pathogenesis (1)(2)(3) . …”

Absenteísmo - doença na equipe de enfermagem: relação com a taxa de ocupação

“…Research in this respect reveals the range and gravity of health problems in this professional group, evidencing biopsychic exhaustion processes workers are submitted to, either due to the nature of work itself or the conditions it is performed in. In recent decades, experts have characterized nursing work as unhealthy and laborious (1)(2)(3)(4) .…”

O trabalho de enfermagem em unidade de terapia intensiva: significados para técnicos de enfermagem

“…Trabalhar em equipe é fundamental na dinâmica das inter-relações e no vínculo entre os componentes. Trabalhar em grupo potencializa a realização do trabalho e, como conseqüência, há atendimento com maior qualidade aos pacientes (14) .…”