Abstract
Study guided by Norberto Elias's theoretical, methodological background, which objectified to analyze the changes in nurses' work process at a Teaching Hospital since the implementation of the Unified Health System. Data were gathered by means of an interview applied to 12 nurses working in the studied setting since 1990, with further discourse analysis. Eight themes emerged as results (integrality, decentralization, hierarchization, regionalization, work process, health funding and social control), and 35 thematic statements, categorized from concepts of figuration, interdependence and tension balance, which enabled discussions on relational dynamics between society and individuals in order to apply Unified Health System principles, and tension production to carry out the work process. We concluded that Unified Health System implementation-ridden changes reflected on such professionals' work process even indirectly.
Highlights
The establishment of societies does not involve only a sum of individuals, since individual and collective identities are subjected to context and structural changes taking place in a given society
The sociologist Norbert Elias refers to this kind of change as a civilizing process and brings elements to understand the changes caused on human behavior in society which, in this paper, is represented by the implementation of the Unified Health System in a public teaching hospital in the state of Paraná.[1]
The environment modifies the subjectivity of individuals and, as such, discovering the network of interdependencies between them is crucial, which could interfere on the nurses’ habitus – the way individuals behave in their interdependence net, generated from two phenomena: social control and self-control.[2]
Summary
The establishment of societies does not involve only a sum of individuals, since individual and collective identities are subjected to context and structural changes taking place in a given society. Individuals in society develop interdependent functions with structures and standards that provide specificity to some social groups. In Brazil, the implementation of the Unified Health System (SUS - Sistema Único de Saúde) in 1990 can be understood as one of the model cases for social changes, with direct and remarkable impacts on the training and work of nurses. The sociologist Norbert Elias refers to this kind of change as a civilizing process and brings elements to understand the changes caused on human behavior in society which, in this paper, is represented by the implementation of the Unified Health System in a public teaching hospital in the state of Paraná.[1]. It is widely known that subjects are responsible for social transformations in the space they live, through their working process. The environment modifies the subjectivity of individuals and, as such, discovering the network of interdependencies between them is crucial, which could interfere on the nurses’ habitus – the way individuals behave in their interdependence net, generated from two phenomena: social control and self-control.[2]
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