Nurses job-health relation in the Family Health Program in Vila Prudente - Sapopemba sub prefecture: a case study / A relação trabalho-saúde dos enfermeiros do PSF da região de Vila Prudente - Sapopemba: um estudo de caso

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

The object of this study is nurses’ job/health relation in the Family Health Program (Programa Saúde da Família - PSF), represented within a theoretical framework of Worker’s Health. The general objective was comprehending the characteristics of PSF nursesjob in Vila Prudente - Sapopemba sub prefecture and the relation between the process of strengthening and debility expressed in them. Data collecting was done through single interviews with 16 nurses who work in Basic Health Units which take part of PSF in this sub prefecture. The interviewed nursesways of working were analyzed according to five categories: working process, subjectivity, polyvalence, debility and strengthening, having, in each of them the debility and strengthening potential fulfilled.. The results are: nurses recognize the area where adscript population live and highlight the precarious living conditions, turning the object of study to be a destitute population; the care pattern is guided by planning focused on results and the rationalization of team work; the doctor is the main worker, job is planned according social division precepts and taylorist working techniques; nurses are intensely involved in the job, handling, on one hand, with the strong expectation of their ability to solve problems and, on the other hand, with the impossibility of finding an answer for people’s problems; workers believe you need to have a special profile for working in order to work at PSF, nurses’ activities planning is canceled because of unforeseen happenings on day-by-day; the interviewees recognize most of it and diagnosed the need of getting themselves prepared for multifunctionality; they believe they must be able to solve all day-by-day problems. Strengthening results from the pleasant and rewarding relation between object/purpose of work and the work itself, highlighting contentment with compensating results gotten, as getting closer to families, which is, most of the time done individually. About debility, we can conclude that: adscript places by PSF are potentially debilitating for workers who are impotent in the face of complexity of working in poor areas; handling problems of great complexity arisen by patients, also, dealing directly to suffering and population’s destitution, patients who don’t undergo treatment or complain about this or that worker contribute to psychological pressure; workers must deal with precarious situations in which lack of material for daily activities is a trouble at work; production demand, pressing necessity, constant discontinuity of tasks in progress, developing activities they are not designated to, different sense of commitment and, at times, lack of interaction among nurses cause stress, agony and exacerbation; nurses get desperate to do what is in demand and it draws attention to the need of imposing limits. Approving reception is debilitating, once demand is great and users want their problems to be quickly solved; debility causes physical and mental weakness, then nurses just want to rest and they end up having several health problems such as hypertension, allergies, stomachaches, besides other injuries such as sleeping while driving, causing car accidents

ASSUNTO(S)

saúde coletiva population health nurses worker’s health enfermeiros family health program programa saúde da família saúde do trabalhador

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