Trabalho coletivo: um desafio para a gestão em saúde

Abstract

Based on ergology and work process theorization, the study aims to contribute to reflections on health collective work, emphasizing its specificity and difficulties in building and managing groups of workers. It deals with work as a human activity that dialectically comprises the application of a prescribed protocol and a unique and historical perspective. Health work involves a relationship among individuals who act in the drama of using themselves and manage their own work; it is influenced by the history of health professions and macro-political determinations. In conclusion, this health work complexity needs to be considered in the process of management of professional teams/groups of workers, in a way that actions can interact and enable the implementation of a new health care project in the perspective of comprehensiveness.

Desafios e avanços do processo de gestão de um centro de atenção psicossocial de um município do interior do nordeste brasileiro Challenges and advances in the management process of a psychosocial care center of a countryside municipality of northeast brazil

“…The real work means the activity carried out and also what is evaluated in uncertainty, discarded with sorrow or suffering through the debate of rules always present. 15 In this analysis, it can be seen that the relationship between professionals and coordination unit is mild. However, in relation to the municipal health management, there is no approach and co-participation on actions to be developed, creating an interdisciplinary split between manager and healthcare professionals.…”

“…15 The following reports demonstrate at its core the aspects of the adequacy of the professional service, compliance with the working hours, human resources deficit, confrontation with the biomedical model and demand exceeding the capacity to be supplied. …”

“…15 The taken approach shows the dissatisfaction of members of the multidisciplinary team on the prioritization of personal relationships that diminishes compliance with standards established in a group as a whole. The working process should be disentangled from the informal practice of favors exchange and must be crafted in a full and unanimous way by all who compound the team, so that we can avoid friction.…”

“…The doctor and other health professionals' work should be conceived as part of a complex and multifactorial whole, since to centralize the work on the doctor is a paradox that contributes to the maintenance of a care model uncompromised with the user and centered in the procedure as a way which would constitute a new act in health. 15 It is necessary to stress that the psychosocial model considers the political and biopsychossociocultural factors specifically in the genesis and treatment of the suffering. The means considered for therapeutic work include psychotherapies, socioterapies, laborterapies and medication when necessary.…”

Análise Das Competências Profissionais No Núcleo De Apoio À Saúde Da Família

“…Um dos pontos levantados pelos participantes é a dificuldade em atuar com outras categorias profissionais que constituem um resultado da própria história das profissões, que impõe a divisão do trabalho e a fronteiras entre os grupos, na maneira de conceber as relações interprofissionais (123).…”