Vivências de trabalhadores em contexto de precarização: um estudo de caso em serviço de emergência de hospital universitário

Abstract

RESUMOEste artigo apresenta o cotidiano de trabalhadores do Setor de Emergências do Hospital Universitário Antonio Pedro, em Niterói, RJ, destacando suas vivências subjetivas num contexto precarizado. A análise das experiências laborativas foi construída pelo dispositivo da Comunidade Ampliada de Pesquisa, incluindo profissionais de enfermagem e serviço social como sujeitos da produção de conhecimento. A pesquisa focalizou as relações coletivas estabelecidas na equipe e a relação dos trabalhadores com seu trabalho. Observou-se grande dificuldade na construção de ambiente favorável às vivências de prazer e realização profissional decorrentes da política vigente de desmonte do setor, das contratações temporárias de grande parte dos funcionários e do ambiente precarizado, limitando a organização coletiva e o desenvolvimento do ofício. Embora tenham sido detectadas estratégias de construção coletiva do ofício e enfrentamento das condições desfavoráveis do trabalho, inclusive para lidar com o sofrimento, essas dificuldades encaminhavam o sofrimento psíquico no trabalho para uma dimensão patogênica. Palavras-chave: Trabalho hospitalar; Precarização do trabalho; Saúde e trabalho. ABSTRACTThis paper presents the daily life of workers at the emergency room of University Hospital Antonio Pedro, Niterói/RJ, highlighting their subjective experiences in a precarious context. The analysis of experiences working device was built by the Community Extended Search including nurses and social service as subjects of knowledge production. The research focused on the relationships established in the collective team and the relationship of workers with their work. We observed a major difficulty in building an environment conducive to experiences of pleasure and professional achievement in the light of existing policy to dismantle the industry, the temporary hires much of the staff and the environment of precarious work, limiting the collective organization and development of the craft. Although strategies of job collective construction and of coping with unfavorable

Neoliberalist influences on nursing hospital work process and organization

“…It is also highlighted that the insufficient quantity of professionals creates an inadequate professional scaling and workplaces, resulting in work overload, assistance failures and workers wearing out. It is also emphasized that the human resources reduction happens due to not opening new public tenders, what makes impossible to hire state bond workers (7,15) . This issue agrees with the neoliberal principles, which aim to reduce the State's spending on permanent workers, using other ways of meeting the demand for human resources, such as outsourcing and cooperatives, that help the State to reduce public spending, decreasing personnel spending (16) .…”

Current Analysis Of High-Complex Services In Northeastern Brazil: Education Experience Report

“…Situation-like faces in the Emergency Room industry sector where it was found a countless number of patients, disproportionate to the amount of professionals, resulting in precarious work, which can be a potential creator of psychological distress [16].…”

The situation of nursing work and occupational risks from an ergological perspective

“…In every activity, there is a dynamic into which disruptions and discontinuities are introduced that require the worker to make constant restandardizations regarding the creation of new norms for the performance of his/her task (7) . Each day, the worker weaves his/her activity in an intersection between the 'weft', or technical and organizational knowledge tools and users, and the 'warp', the person's own history, with a body that learns and grows older along with his/her values, knowledge and desires (1) .…”

“…It should be noted that micromanagement exists in all work because "in the space between the work prescribed and actually performed, there is a requirement for micromanagement of the situation and the constant trading of collective exchanges" (7) .…”