Abstract
The article aims to reveal the invisibility of nursing work and the individual and collective strategies established to face the labor risks of attending psychiatric patients in situations of crisis. The theoretical-methodological approach combined ergonomic analysis with ergology contributions, examining in 2012 a team from an emergency unit of a Brazilian public psychiatric hospital composed of 17 nurses and two physicians (the director and medical coordinator of the unit). The results revealed that user care is strongly characterized by teamwork, especially in the confrontation of the knowledge of doctors and nurses, and is often mediated by other professionals such as social workers, administrative staff, and entrance guards. In this way, the health team extends beyond the care staff to include support services as well. It was also evidenced that this construction is effective in day-to-day work and requires skills for cooperation as well as the development of collective abilities.
Highlights
Este artículo se basa en una investigación mayor titulada O agir competente como estratégia de gestão do risco de violencia no trabalho: o ponto de vista da atividade humana de trabalho dos técnicos de enfermagem de uma instituição pública psiquiátrica[1], realizada en un hospital público de emergencia psiquiátrica, y centrada en el riesgo y los agravios de la asistencia al paciente psiquiátrico en crisis
The results revealed that user care is strongly characterized by teamwork, especially in the confrontation of the knowledge of doctors and nurses, and is often mediated by other professionals such as social workers, administrative staff, and entrance guards
FORMA DE CITAR Mendes DP, Cunha DM
Summary
El abordaje metodológico utilizado en este estudio se basó en el análisis ergonómico[36] y ergológico[37] del trabajo. Se trata de un método cualitativo-descriptivo, con metodología y herramientas de análisis pertinentes para identificar los principales factores técnicos y organizacionales que intervienen en la gestión de la salud en el trabajo contextualizado y gestionar, en conjunto con los demandantes, proposiciones para la adecuación preventiva de los actuales sistemas sociotécnicos y organizacionales que aplicamos en el análisis del trabajo hospitalario. Los procedimientos metodológicos de este estudio se realizaron conforme la Resolución 466/2012 del Consejo Nacional de Salud y fueron aprobados por los Comités de Ética en Investigación de la Universidade Federal de Minas Gerais (CAAE: 0492.0.203.287-11) y de la Fundação Hospitalar de Minas Gerais (096-B/2011). El objetivo del artículo es revelar la invisibilidad del trabajo de enfermería y las estrategias individuales y colectivas instauradas como posibilidades de regulación de los técnicos de enfermería, frente al riesgo laboral de la asistencia al paciente psiquiátrico y discutir el papel normativo en el contexto analizado
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