Abstract
To know the aspects involved in the production of subjectivity and autonomy of nursing professionals working in Pediatric Units. An exploratory and descriptive study, with a qualitative approach, performed with users, professionals and nursing managers, totaling 44 participants. Data collection took place in the pediatric hospitalization units of two University Hospitals through semi-structured interviews, organized and treated by Nvivo 10 software and then submitted to content analysis. The production of subjectivity and autonomy in nursing workers involves both the conditions of the work environment as the relation of the nursing team, the relation of hierarchy and the profile of the professional that works in the Pediatric Unit. The valorization path of the nursing profession emerges, whose knowledge and competence in the area of work contribute to the construction of autonomous subjectivities.
Highlights
The nurse in the Pediatric Unit, as a member of the health team and as a child care provider, often faces dilemmas related to inadequate space for care, lack of protocols, conflict over autonomy, among other factors that may hamper comprehensive and humanized care[1]
To know the aspects involved in the production of subjectivity and autonomy of nursing professionals working in Pediatric Units
The interviewees revealed that the production of subjectivity and autonomy is related to the working conditions offered by the Pediatric Unit
Summary
The nurse in the Pediatric Unit, as a member of the health team and as a child care provider, often faces dilemmas related to inadequate space for care, lack of protocols, conflict over autonomy, among other factors that may hamper comprehensive and humanized care[1] To change this situation, care needs to be taken as a process of participative construction whose relationship between managers and workers, between workers and those with patients is based on human values and principles. The prevalence of relations of domination and subordination entails a process of subjection, which interferes with the decision of the nurse to allow or not to think, question, occupy the different spaces and exercise their autonomy as a subject It can be expressed by the patient and his/her family when the nurse, in the exercise of his/her autonomy, assumes an arbitrary position, placing them in a situation of submission, without considering the possibility of sharing decisions in the practice of care; (re)producing subjectivities that meet the“good patient”(2). The singularities of nursing know-how are historically constructed in a network of power relations, in which the biomedical model decomposes care into diversified and isolated activities, reflected in discontinuous and fragmented care[3]
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