Processo de trabalho e atividades educativas de trabalhadores de enfermagem em hospitais públicos

Abstract

The study is focused on nursing workers' education and the relationship with the daily work. It was developed with the purpose of analyzing the nurses's views on the relationship between educational activities for workers and work processes of nurses, and the possibilities for change in this relationship in perspective for integration of health, of continuing health education and teamwork concepts which constitute the theoretical framework. In the field research were carried out as follows: 22 semi-structured interviews with nurses from two hospitals, 14 in educational hospital and 8 in the public hospital. The subjects were selected using the snowball technic, starting with the nurse area manager at each hospital. The results showed that both hospitals nurses work processes is composed by two complementary dimensions: management and care. The first activities are mostly of human resource management and, second, the nursing care systematization. However, in educational hospital the nurse's work in nursing care systematization refers to the care implementation and care management and in public hospital, just care management. In both services, we found a close relationship between work processes and educational activities nursing workers, however of instrumental character, technical; though nurses have the expectation that the educational activities be done by the educational area. We identified opportunities for change in relations between the work processes and educational activities, in experiments aimed at participatory management and teamwork, but a weak presence of thematizing completeness and continuing health education. It is needed to change the assistencial model and educational activities for workers in hospitals, in view of the comprehensive health care in addition to addressing the biological, also the dimensions of social, cultural and emotional.

Nursing work in care practice at Emergency Care Units

“…6 Some authors have in common the interpretation that the nursing work process is characterized by being constituted by two inseparable dimensions: the carrying-out of nursing care actions, which represents the care dimension, and the actions directed at the agents of the work, the environment and the institution, which constitute the managerial dimension. 7,8 The nurses are therefore involved in the management of the care, this referring to the managerial actions focused on the services' users or patients, that is, managerial actions linked to the care activities. 7 Using this theoretical perspective, this article aims to characterize the nurses' work process in the production of care in Emergency Care Units.…”

Gestão assistencial e a educação permanente: perspectivas no contexto hospitalar

“…Esta interação permite que seja trabalhada a problematização dos processos e da qualidade do trabalho, garantindo a aplicabilidade e relevância do conteúdo à equipe (28). Desta forma, a partir da reflexão dos profissionais sobre os seus processos de trabalho, eles se tornam corresponsáveis por eles, e mais comprometidos com a execução e os resultados obtidos (58).…”

“…Sem este apoio, os profissionais de saúde não inserem a cultura de "aprender a conhecer" no seu dia a dia. Essa aprendizagem, onde há passagem de saberes codificados para o domínio do conhecimento com compreensão do mesmo em seu meio (15), reforça os princípios da EPS que nem sempre estão presentes na rotina assistencial, como mostrou uma pesquisa a qual entrevistou enfermeiros atuantes em hospitais a fim de observar as relações existentes entre atividades educativas dos trabalhadores e os seus processos de trabalho (58).…”