Que brumas impedem a visibilização do Centro de Material e Esterilização?

Abstract

RESUMO:Este artigo busca refletir sobre o processo e a organização do trabalho no Centro de Material e Esterilização na perspectiva do materialismo histórico e dialético e em contribuições teóricas sobre o trabalho no setor de serviços, considerando-se que mesmo com toda a necessidade deste serviço nas instituições de saúde, ainda é um trabalho invisível. Tal invisibilidade se deve, entre outros, a pouca ênfase dada pela academia à área; não ser um cuidado direto ao cliente; ter certa semelhança com o trabalho doméstico, sendo desvalorizado por estes fatores; geralmente está localizado em espaços escondidos na instituição; local onde se lida com dejetos, sujeiras, resíduos, secreções, odores; ausência do médico, profissional valorizado nas instituições de saúde. Alguns destes fatores são abordados ao longo desta reflexão, permitindo um novo olhar para o processo de trabalho em Centro de Material e Esterilização, buscando a sua visibilidade no contexto das instituições de saúde. DESCRITORES:Enfermagem. Esterilização. Serviços de saúde. WHAT IS IT THAT IMPEDES THE VISIBILITY OF THE MATERIAL AND STERILIZATION CENTER?ABSTRACT: This article seeks to reflect upon the process and organization of work in a Materials and Sterilization Center, based upon the perspective of historical and dialectic materialism, as well as theoretical contributions about work in the services sector, considering that even with all the necessities behind this service in health care institutions, it remains an invisible job. Such invisibility is due to the limited degree of importance given by academia; who do not consider it to be direct client care; it is valued less and comparable to domestic service. In so doing, it is devalued and generally placed in hidden locations within the health care institution, at times sharing space with waste, dirt, residues, secretions, odors, and the lack of physicians, who are the valued professionals within health care institutions. Some of these factors are outlined throughout this reflection, thus permitting a new perspective towards the Materials and Sterilization Center, seeking its visibility within the context of health care institutions. DESCRIPTORS:Nursing. Sterilization. Health services. ¿QUÉ BRUMAS IMPIDEN LA VISIBILIDAD DEL CENTRO DE MATERIAL Y ESTERILIZACIÓN?RESUMEN: En el presente artículo se reflexiona sobre el proceso y la organización del trabajo en el Centro de Material y Esterilización desde la perspectiva del materialismo histórico y dialéctico, así como en contribuciones teóricas sobre el trabajo en el sector de servicios, considerando que a pesar de la necesidad de ese servicio en las instituciones de salud, aún es un trabajo invisible. Tal invisibilidad se debe, entre otros aspectos, a la poca importancia dada por la academia al área; no es un servicio de atención directo con el cliente, y por lo mismo, es menos valorizado. Existe cierta semejanza con el trabajo domestico, el cual también es desvalorizado por ese mismo factor, ya que generalmente se encuentra localizado en lugares escon...

Forças impulsoras e restritivas para trabalho em equipe em um Centro de Material e Esterilização de hospital escola

“…The fact that 57.1% of the professionals have more than one job refl ects a reality revealed in another study (18) and the situati on of nursing workers in general. In relati on to a lack of specifi c educati onal background, the study highlights the same reality (4) , which reinforces the contrast of this result with what is recommended in the literature that recommends specifi c qualifi cati ons for professionals working in the sector (4)(5)(6) . The fact that most professionals work on the day shift refl ects the context and work demand of the SMPD; most surgeries and material demanded from the remaining units occur in this period (8) .…”

“…The results indicate a relati vely young group, mainly composed of women, which caught our att enti on given the physical eff ort required by the tasks in the unit. Studies report that the excessive expenditure of energy has caused posture problems, general fati gue and various other health problems among these workers (5)(6)8,18) . It is worth noti ng that most part of these workers have more than one job and two (6.0%) of them have not graduated with a nursing degree.…”

“…To ensure the safety of processes and effi ciency in the sector, not only is state-of-art equipment required, but also committ ed professionals and effi cient teamwork (1) . Recent studies (2)(3)(4)(5) show that among the aspects that compromise the work within the SMPD are: inadequate infrastructure, poor dynamics of human relati onships, poor qualifi cati on of professionals, and stress that results from the repeti ti ve nature of the reprocessing work processes, in additi on to the producti vity demanded.…”

“…Managing the SMPD's teams has been a challenge due to professionals' lack of qualifi cati on required in the sector (4)(5)(6) . Research in the fi eld to improve the performance of these teams, considering the existi ng interdependence of work, is needed (9) .…”

Analysis of quality indicators of central sterile supply departments at accredited public hospitals

“…17 It is known, however, that a profession's visibility occurs in the daily construction of a practice which is based on tacit and scientific knowledge, leading to the emergence of social recognition. 17 The management of the quality indicators allows the CSSD nurse to find responses to various managerial, assistential, economic and legal issues, which is not made totally possible by the ONA criteria, which have been shown to be little specific and little sensitive in the analysis of the CSSD's quality.…”