Abstract
To analyze the characteristics of nurses' work process in different countries. We have used the integrative review method and selected 84 publications (articles, theses and dissertations) in national and foreign thesis banks and databases. We analyzed the evidence based on dialectical materialism. The rejection of managerial tasks hides the singularity of nurses' work, due to the failure to understand the inseparable nature of managerial and healthcare tasks, given that it is what provides the expertise to coordinate the nursing work process and guide the healthcare work processes. The social and technical division is present in the work process in all countries studied, albeit in different ways. The nurse's position in the healthcare work process is subordinated to that of the physician. The characteristics are similar. The rejection of the dual nature of the work by nurses themselves due to alienation results in the non-recognition of their own work.
Highlights
The work process is an intentional and conscious process in which workers, with their actions, promote, regulate and control their exchange with nature to obtain a planned result
After reading the scientific literature on nursing and considering the different contexts, workplaces and countries, it becomes clear that, due to the inseparable nature of managerial and healthcare tasks in nurses’ work, the purpose of their work process always follows that nature. While performing their duties in healthcare services – i.e. coordinating the work process of other nursing workers, guiding the work process of other healthcare workers to ensure healthcare services are provided, organizing the environment and performing technical care procedures – nurses constantly take into consideration both the needs of the health organization and of the users of healthcare services
Nurses are considered as intermediary managers due to the position they occupy in the organization, between the employing organization and other categories of healthcare workers
Summary
The work process is an intentional and conscious process in which workers, with their actions, promote, regulate and control their exchange with nature to obtain a planned result. It comprises three elements: the activity that is suitable to an end (work); the matter to which the work is applied (object of the work); the means and instruments that make the work easier[1]. We state that the work in the health sector is organized based on an increasing technical division, carried out by different workers and articulated through hierarchy. Healthcare is not exclusive to nurses, their work bears singularities in relation to that of other health professionals
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