Precarization of nurses’ work: an analysis in the Brazilian Primary Health Care

Detalhes bibliográficos
Autor(a) principal: Pereira, Átila Augusto Cordeiro
Data de Publicação: 2023
Outros Autores: Cunha, Carlos Leonardo Figueiredo, Alvarenga, Eric Campos, Lemos, Messias, Bastos, Maria do Socorro Castelo Branco de Oliveira, da Silva, Kênia Lara, Sá, Naíza Nayla Bandeira de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2311
Resumo: This article aimed to analyze the types of work bond of nurses from Primary Health Care in Brazil. This was a cross-sectional study of a quantitative and descriptive approach. Secondary microdata related to the breakdown of the external evaluation research of the Access Improvement Program and the Quality of Basic Care were used. As for the type of bond, except for the Northern Region (33.70%), all other regions presented as the main respondent for statutory public servants: South (66.20%), CentralWest (56.50%), Northeast (40.33%), Southeast (36.69%). Nurses with temporary contracts for public administration and temporary service contracts had important participation in the Northeast (29.51% and 19.33%) and Central-West (16.03% and 17.86%). Contract and employee through Consolidation of Labor Laws had more expression in the Southeast (23.54% and 8.27%) and in the South (5.93% and 19.31%). In the Southeast, the participation of workers employed by social health organizations was expressive. The growing presence of precarious labor links was noted, to the detriment of stable bonds. The new forms of flexible organization of work relationships bring significant impact to the work process, overload nurses in inadequate working conditions, and compromise the quality of care, reducing the resolubility of Primary Care. 
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spelling Precarization of nurses’ work: an analysis in the Brazilian Primary Health Care Precarización del trabajo de las enfermeras: un análisis en la Atención Primaria de Salud BrasileñaPrecarização do trabalho de enfermeiras: uma análise na Atenção Primária à Saúde brasileiraAtenção Primária à SaúdeEnfermagem TrabalhoJornada de trabalhoprimary health carenursingworkworking periodatención primaria de saludenfermeríatrabajojornada laboralThis article aimed to analyze the types of work bond of nurses from Primary Health Care in Brazil. This was a cross-sectional study of a quantitative and descriptive approach. Secondary microdata related to the breakdown of the external evaluation research of the Access Improvement Program and the Quality of Basic Care were used. As for the type of bond, except for the Northern Region (33.70%), all other regions presented as the main respondent for statutory public servants: South (66.20%), CentralWest (56.50%), Northeast (40.33%), Southeast (36.69%). Nurses with temporary contracts for public administration and temporary service contracts had important participation in the Northeast (29.51% and 19.33%) and Central-West (16.03% and 17.86%). Contract and employee through Consolidation of Labor Laws had more expression in the Southeast (23.54% and 8.27%) and in the South (5.93% and 19.31%). In the Southeast, the participation of workers employed by social health organizations was expressive. The growing presence of precarious labor links was noted, to the detriment of stable bonds. The new forms of flexible organization of work relationships bring significant impact to the work process, overload nurses in inadequate working conditions, and compromise the quality of care, reducing the resolubility of Primary Care. El presente artículo tuvo como objetivo analizar los tipos de vínculos laborales de las enfermeras de Atención Primaria de Salud en Brasil. Se trata de un estudio transversal de enfoque cuantitativo y descriptivo. Se utilizaron microdatos secundarios relacionados con la división de la investigación de evaluación externa del Programa de Mejora del Acceso y la Calidad de la Atención Básica. En cuanto al tipo de vínculo, a excepción de la Región Norte (33,70%), todas las demás regiones se presentaron como principal demandado para los funcionarios públicos estatutarios: Sur (66,20%), Centro Oeste (56,50%), Noreste (40,33%), Sureste (36,69%). Las enfermeras con contratos temporales de administración pública y contratos temporales de servicios tuvieron una participación importante en el Nordeste (29,51% y 19,33%) y Centro Oeste (16,03% y 17,86%). Contrato y empleado a través de la Consolidación de Las Leyes Laborales tuvieron más expresión en el Sudeste (23,54% y 8,27%) y en el Sur (5,93% y 19,31%). En el Sudeste, la participación de los trabajadores empleados por las organizaciones de salud social fue expresiva. Se observó la creciente presencia de vínculos laborales precarios, en detrimento de vínculos estables. Las nuevas formas de organización flexible de las relaciones laborales tienen un impacto significativo en el proceso de trabajo, sobrecargan a las enfermeras en condiciones laborales inadecuadas y comprometen la calidad de la asistencia, reduciendo la solubilidad de la Atención Primaria.Este artigo teve como objetivo analisar os tipos de vínculos de trabalho das enfermeiras da Atenção Primária à Saúde no Brasil. Tratou-se de um estudo transversal de abordagem quantitativa e descritiva. Utilizaram-se os microdados secundários referentes ao desdobramento da pesquisa de avaliação externa do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica. Quanto ao tipo de vínculo, com exceção da Região Norte (33,70%), todas as outras regiões apresentaram como principal respondente servidoras públicas estatutárias: Sul (66,20%), Centro-Oeste (56,50%), Nordeste (40,33%), Sudeste (36,69%). Enfermeiras com contrato temporário pela administração pública e contrato temporário por prestação de serviço tiveram participação importante no Nordeste (29,51% e 19,33%) e Centro-Oeste (16,03% e 17,86%). Contrato e empregado via Consolidação das Leis do Trabalho tiveram mais expressão no Sudeste (23,54% e 8,27%) e no Sul (5,93% e 19,31%). No Sudeste, foi expressiva a participação de trabalhadoras contratadas por organizações sociais de saúde. Notou-se a presença crescente de vínculos precários de trabalho em detrimento dos vínculos estáveis. As novas formas de organização flexível das relações de trabalho trazem impacto significativo ao processo de trabalho, sobrecarregam as enfermeiras, em condições de trabalho inadequadas, e comprometem a qualidade da assistência, reduzindo a resolutividade da Atenção Primária. Foto: Ministério da Saúde/ flickrEscola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2023-08-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/231110.1590/1981-7746-ojs2311Trabalho, Educação e Saúde; v. 21 (2023); 151981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2311/1062Copyright (c) 2023 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPereira, Átila Augusto Cordeiro Cunha, Carlos Leonardo FigueiredoAlvarenga, Eric CamposLemos, MessiasBastos, Maria do Socorro Castelo Branco de Oliveira da Silva, Kênia LaraSá, Naíza Nayla Bandeira de 2023-10-05T17:56:03Zoai:ojs.pkp.sfu.ca:article/2311Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:01:57.395049Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Precarization of nurses’ work: an analysis in the Brazilian Primary Health Care
Precarización del trabajo de las enfermeras: un análisis en la Atención Primaria de Salud Brasileña
Precarização do trabalho de enfermeiras: uma análise na Atenção Primária à Saúde brasileira
title Precarization of nurses’ work: an analysis in the Brazilian Primary Health Care
spellingShingle Precarization of nurses’ work: an analysis in the Brazilian Primary Health Care
Pereira, Átila Augusto Cordeiro
Atenção Primária à Saúde
Enfermagem
Trabalho
Jornada de trabalho
primary health care
nursing
work
working period
atención primaria de salud
enfermería
trabajo
jornada laboral
title_short Precarization of nurses’ work: an analysis in the Brazilian Primary Health Care
title_full Precarization of nurses’ work: an analysis in the Brazilian Primary Health Care
title_fullStr Precarization of nurses’ work: an analysis in the Brazilian Primary Health Care
title_full_unstemmed Precarization of nurses’ work: an analysis in the Brazilian Primary Health Care
title_sort Precarization of nurses’ work: an analysis in the Brazilian Primary Health Care
author Pereira, Átila Augusto Cordeiro
author_facet Pereira, Átila Augusto Cordeiro
Cunha, Carlos Leonardo Figueiredo
Alvarenga, Eric Campos
Lemos, Messias
Bastos, Maria do Socorro Castelo Branco de Oliveira
da Silva, Kênia Lara
Sá, Naíza Nayla Bandeira de
author_role author
author2 Cunha, Carlos Leonardo Figueiredo
Alvarenga, Eric Campos
Lemos, Messias
Bastos, Maria do Socorro Castelo Branco de Oliveira
da Silva, Kênia Lara
Sá, Naíza Nayla Bandeira de
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Pereira, Átila Augusto Cordeiro
Cunha, Carlos Leonardo Figueiredo
Alvarenga, Eric Campos
Lemos, Messias
Bastos, Maria do Socorro Castelo Branco de Oliveira
da Silva, Kênia Lara
Sá, Naíza Nayla Bandeira de
dc.subject.por.fl_str_mv Atenção Primária à Saúde
Enfermagem
Trabalho
Jornada de trabalho
primary health care
nursing
work
working period
atención primaria de salud
enfermería
trabajo
jornada laboral
topic Atenção Primária à Saúde
Enfermagem
Trabalho
Jornada de trabalho
primary health care
nursing
work
working period
atención primaria de salud
enfermería
trabajo
jornada laboral
description This article aimed to analyze the types of work bond of nurses from Primary Health Care in Brazil. This was a cross-sectional study of a quantitative and descriptive approach. Secondary microdata related to the breakdown of the external evaluation research of the Access Improvement Program and the Quality of Basic Care were used. As for the type of bond, except for the Northern Region (33.70%), all other regions presented as the main respondent for statutory public servants: South (66.20%), CentralWest (56.50%), Northeast (40.33%), Southeast (36.69%). Nurses with temporary contracts for public administration and temporary service contracts had important participation in the Northeast (29.51% and 19.33%) and Central-West (16.03% and 17.86%). Contract and employee through Consolidation of Labor Laws had more expression in the Southeast (23.54% and 8.27%) and in the South (5.93% and 19.31%). In the Southeast, the participation of workers employed by social health organizations was expressive. The growing presence of precarious labor links was noted, to the detriment of stable bonds. The new forms of flexible organization of work relationships bring significant impact to the work process, overload nurses in inadequate working conditions, and compromise the quality of care, reducing the resolubility of Primary Care. 
publishDate 2023
dc.date.none.fl_str_mv 2023-08-10
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo Avaliado pelos pares
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dc.identifier.uri.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2311
10.1590/1981-7746-ojs2311
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2311
identifier_str_mv 10.1590/1981-7746-ojs2311
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/2311/1062
dc.rights.driver.fl_str_mv Copyright (c) 2023 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Trabalho, Educação e Saúde; v. 21 (2023); 15
1981-7746
reponame:Trabalho, Educação e Saúde (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Trabalho, Educação e Saúde (Online)
collection Trabalho, Educação e Saúde (Online)
repository.name.fl_str_mv Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv revtes@fiocruz.br
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