Processo de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahia
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UEFS |
Texto Completo: | http://localhost:8080/tede/handle/tede/586 |
Resumo: | In the health work process there is a meeting between the agent and the object in a well defined space, in which the health worker, with his tools, seeks the realization of a product, which is health care itself. Considering that health is essential for both the user and the health workers, this study aimed to analyze the work process in public hospitals under direct management of the state of Bahia, as well as to identify the repercussions of work in life And health of the workers, besides knowing the strategies developed to avoid suffering and illness. Qualitative approach study. The population investigated included 15 health workers from two public hospitals under direct management in Bahia. The semi-structured interview and the systematic observation were used to collect the data, which were analyzed through content analysis. The results revealed a work process composed of subjects, most of them women, ranging in age from 31 to 58 years old, predominantly workers with a longer hospital and bankruptcy. The lines evidenced that the purpose of health work in the hospital is ambiguous, permeating the guarantee of financial stability of the worker and providing a quality assistance to the user. The object was identified as individual, collective, grievance, illness and even instrument or cause of the grievance. The most commonly used media and instruments were light-hard and hard technologies. Some materials were small or not of good quality, presenting technical failures. The factors that hindered the positive outcome of the work were related to the great demand of patients, together with an inadequate physical structure. The interviewees drew attention to the need for more participatory management in public hospitals, involving health professionals in decisions, to facilitate the work process. Satisfaction with work was conditioned by recognition, praise from colleagues and professional appreciation, while dissatisfaction was linked to the exposure and insecurity present in the workplace and to devaluation. On the other hand, being remembered for the care offered and being a public servant were highlighted as generators of pleasure. The suffering experienced at work was associated, in general, with the difficulty of referring the user to other sectors of the hospital and to other services of the health care network. As for the forms of illness, the workers mentioned: hypertension, influenza, urinary infection, pains in the spine, in the legs, among others. To address these issues, workers relied on physical activity, religion, music, and even flight from work. In view of the above, the need for a restructuring of hospital services is evident, through the improvement of socio-professional relations, a policy of valorisation of workers and, above all, of interventions aimed at improving and facilitating the work process. |
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Coelho, Thereza Christina Bahia1676451056304577830523http://lattes.cnpq.br/3443459687540217Ferreira, Milla Pauline da Silva2018-01-30T22:22:19Z2017-03-15FERREIRA, Milla Pauline da Silva. Processo de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahia. 2017. 145 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2017.http://localhost:8080/tede/handle/tede/586In the health work process there is a meeting between the agent and the object in a well defined space, in which the health worker, with his tools, seeks the realization of a product, which is health care itself. Considering that health is essential for both the user and the health workers, this study aimed to analyze the work process in public hospitals under direct management of the state of Bahia, as well as to identify the repercussions of work in life And health of the workers, besides knowing the strategies developed to avoid suffering and illness. Qualitative approach study. The population investigated included 15 health workers from two public hospitals under direct management in Bahia. The semi-structured interview and the systematic observation were used to collect the data, which were analyzed through content analysis. The results revealed a work process composed of subjects, most of them women, ranging in age from 31 to 58 years old, predominantly workers with a longer hospital and bankruptcy. The lines evidenced that the purpose of health work in the hospital is ambiguous, permeating the guarantee of financial stability of the worker and providing a quality assistance to the user. The object was identified as individual, collective, grievance, illness and even instrument or cause of the grievance. The most commonly used media and instruments were light-hard and hard technologies. Some materials were small or not of good quality, presenting technical failures. The factors that hindered the positive outcome of the work were related to the great demand of patients, together with an inadequate physical structure. The interviewees drew attention to the need for more participatory management in public hospitals, involving health professionals in decisions, to facilitate the work process. Satisfaction with work was conditioned by recognition, praise from colleagues and professional appreciation, while dissatisfaction was linked to the exposure and insecurity present in the workplace and to devaluation. On the other hand, being remembered for the care offered and being a public servant were highlighted as generators of pleasure. The suffering experienced at work was associated, in general, with the difficulty of referring the user to other sectors of the hospital and to other services of the health care network. As for the forms of illness, the workers mentioned: hypertension, influenza, urinary infection, pains in the spine, in the legs, among others. To address these issues, workers relied on physical activity, religion, music, and even flight from work. In view of the above, the need for a restructuring of hospital services is evident, through the improvement of socio-professional relations, a policy of valorisation of workers and, above all, of interventions aimed at improving and facilitating the work process.No processo de trabalho em saúde há um encontro entre o agente e o objeto em um espaço bem definido, no qual o trabalhador de saúde, com suas ferramentas, busca a realização de um produto, que é o próprio cuidado à saúde. Tendo em vista que a saúde é imprescindível tanto para o usuário como também para os trabalhadores de saúde, este estudo teve como objetivo analisar o processo de trabalho em hospitais públicos sob gestão direta do estado da Bahia, bem como identificar as repercussões do trabalho na vida e saúde dos trabalhadores, além de conhecer as estratégias desenvolvidas para evitar o sofrimento e o adoecimento. Estudo de abordagem qualitativa. A população investigada incluiu 15 trabalhadores de saúde de dois hospitais públicos sob gestão direta da Bahia. Utilizou-se a entrevista semiestruturada e a observação sistemática para a coleta dos dados, que foram analisados através da análise de conteúdo. Os resultados revelaram um processo de trabalho composto por sujeitos, em sua maioria, mulheres, a idade variou de 31 a 58 anos, predominando trabalhadores com maior tempo de atuação hospitalar e concursado. Os depoimentos evidenciaram que a finalidade do trabalho em saúde no hospital é ambígua, perpassando pela garantia de estabilidade financeira do trabalhador e prestar uma assistência de qualidade ao usuário. O objeto foi identificado como indivíduo, coletivo, agravo, doença e até instrumento ou causa do agravo. Os meios e instrumentos mais utilizados foram as tecnologias leve-duras e duras. Alguns materiais possuíam em pouca quantidade ou não eram de boa qualidade, apresentando falhas técnicas. Os fatores que dificultavam o resultado positivo do trabalho estiveram relacionados à grande demanda de pacientes, aliada a uma estrutura física inadequada. Os entrevistados chamaram atenção para a necessidade de uma gestão mais participativa nos hospitais públicos, que envolva os profissionais de saúde nas decisões, para facilitar o processo de trabalho. A satisfação com o trabalho esteve condicionada pelo reconhecimento, pelos elogios por parte dos colegas e pela valorização profissional, enquanto a insatisfação esteve atrelada à exposição e insegurança presentes no local de trabalho e à desvalorização. Por outro lado, ser lembrado pelo cuidado oferecido e ser servidor público foram destacados como geradores de prazer. Os sofrimentos vivenciados no trabalho estavam associados, de modo geral, à dificuldade de encaminhar o usuário para outros setores do hospital e para outros serviços da rede de atenção à saúde. Quanto às formas de adoecimento, os trabalhadores mencionaram: hipertensão arterial, gripe, infecção urinária, dores na coluna, nas pernas, dentre outros. Para enfrentar estas questões, os trabalhadores lançaram mão da atividade física, religião, música e até mesmo da fuga do trabalho. Diante do exposto, é notória a necessidade de uma reestruturação dos serviços hospitalares, através da melhoria das relações socioprofissionais, de uma política de valorização dos trabalhadores e, principalmente, de intervenções com vistas a melhorar e facilitar o processo de trabalho.Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2018-01-30T22:22:19Z No. of bitstreams: 1 Dissertação Milla Pauline S Ferreira Mestrado Saúde Coletiva.pdf: 2515843 bytes, checksum: 8d4d6fbde562783fd48fe23ee8628ed2 (MD5)Made available in DSpace on 2018-01-30T22:22:19Z (GMT). No. of bitstreams: 1 Dissertação Milla Pauline S Ferreira Mestrado Saúde Coletiva.pdf: 2515843 bytes, checksum: 8d4d6fbde562783fd48fe23ee8628ed2 (MD5) Previous issue date: 2017-03-15Fundação de Amparo à Pesquisa do Estado da Bahia - FAPEBapplication/pdfporUniversidade Estadual de Feira de SantanaMestrado Acadêmico em Saúde ColetivaUEFSBrasilDEPARTAMENTO DE SAÚDEProcesso de trabalhoTrabalhadores de saúdeHospitaisWork processHealth workersHospitalsCIENCIAS DA SAUDE::SAUDE COLETIVAProcesso de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-21222253766072083266006006006001006395569471477890-6173167103754495199-8233071094704392586info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UEFSinstname:Universidade Estadual de Feira de Santana (UEFS)instacron:UEFSORIGINALDissertação Milla Pauline S Ferreira Mestrado Saúde Coletiva.pdfDissertação Milla Pauline S Ferreira Mestrado Saúde Coletiva.pdfapplication/pdf2515843http://tede2.uefs.br:8080/bitstream/tede/586/2/Disserta%C3%A7%C3%A3o+Milla+Pauline+S+Ferreira+Mestrado+Sa%C3%BAde+Coletiva.pdf8d4d6fbde562783fd48fe23ee8628ed2MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82089http://tede2.uefs.br:8080/bitstream/tede/586/1/license.txt7b5ba3d2445355f386edab96125d42b7MD51tede/5862018-01-30 19:22:19.713oai:tede2.uefs.br:8080:tede/586Tk9UQTogQ09MT1FVRSBBUVVJIEEgU1VBIFBSP1BSSUEgTElDRU4/QQpFc3RhIGxpY2VuP2EgZGUgZXhlbXBsbyA/IGZvcm5lY2lkYSBhcGVuYXMgcGFyYSBmaW5zIGluZm9ybWF0aXZvcy4KCkxJQ0VOP0EgREUgRElTVFJJQlVJPz9PIE4/Ty1FWENMVVNJVkEKCkNvbSBhIGFwcmVzZW50YT8/byBkZXN0YSBsaWNlbj9hLCB2b2M/IChvIGF1dG9yIChlcykgb3UgbyB0aXR1bGFyIGRvcyBkaXJlaXRvcyBkZSBhdXRvcikgY29uY2VkZSA/IFVuaXZlcnNpZGFkZSAKWFhYIChTaWdsYSBkYSBVbml2ZXJzaWRhZGUpIG8gZGlyZWl0byBuP28tZXhjbHVzaXZvIGRlIHJlcHJvZHV6aXIsICB0cmFkdXppciAoY29uZm9ybWUgZGVmaW5pZG8gYWJhaXhvKSwgZS9vdSAKZGlzdHJpYnVpciBhIHN1YSB0ZXNlIG91IGRpc3NlcnRhPz9vIChpbmNsdWluZG8gbyByZXN1bW8pIHBvciB0b2RvIG8gbXVuZG8gbm8gZm9ybWF0byBpbXByZXNzbyBlIGVsZXRyP25pY28gZSAKZW0gcXVhbHF1ZXIgbWVpbywgaW5jbHVpbmRvIG9zIGZvcm1hdG9zID91ZGlvIG91IHY/ZGVvLgoKVm9jPyBjb25jb3JkYSBxdWUgYSBTaWdsYSBkZSBVbml2ZXJzaWRhZGUgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250ZT9kbywgdHJhbnNwb3IgYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YT8/byAKcGFyYSBxdWFscXVlciBtZWlvIG91IGZvcm1hdG8gcGFyYSBmaW5zIGRlIHByZXNlcnZhPz9vLgoKVm9jPyB0YW1iP20gY29uY29yZGEgcXVlIGEgU2lnbGEgZGUgVW5pdmVyc2lkYWRlIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGM/cGlhIGEgc3VhIHRlc2Ugb3UgCmRpc3NlcnRhPz9vIHBhcmEgZmlucyBkZSBzZWd1cmFuP2EsIGJhY2stdXAgZSBwcmVzZXJ2YT8/by4KClZvYz8gZGVjbGFyYSBxdWUgYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YT8/byA/IG9yaWdpbmFsIGUgcXVlIHZvYz8gdGVtIG8gcG9kZXIgZGUgY29uY2VkZXIgb3MgZGlyZWl0b3MgY29udGlkb3MgCm5lc3RhIGxpY2VuP2EuIFZvYz8gdGFtYj9tIGRlY2xhcmEgcXVlIG8gZGVwP3NpdG8gZGEgc3VhIHRlc2Ugb3UgZGlzc2VydGE/P28gbj9vLCBxdWUgc2VqYSBkZSBzZXUgCmNvbmhlY2ltZW50bywgaW5mcmluZ2UgZGlyZWl0b3MgYXV0b3JhaXMgZGUgbmluZ3U/bS4KCkNhc28gYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YT8/byBjb250ZW5oYSBtYXRlcmlhbCBxdWUgdm9jPyBuP28gcG9zc3VpIGEgdGl0dWxhcmlkYWRlIGRvcyBkaXJlaXRvcyBhdXRvcmFpcywgdm9jPyAKZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzcz9vIGlycmVzdHJpdGEgZG8gZGV0ZW50b3IgZG9zIGRpcmVpdG9zIGF1dG9yYWlzIHBhcmEgY29uY2VkZXIgPyBTaWdsYSBkZSBVbml2ZXJzaWRhZGUgCm9zIGRpcmVpdG9zIGFwcmVzZW50YWRvcyBuZXN0YSBsaWNlbj9hLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3Q/IGNsYXJhbWVudGUgCmlkZW50aWZpY2FkbyBlIHJlY29uaGVjaWRvIG5vIHRleHRvIG91IG5vIGNvbnRlP2RvIGRhIHRlc2Ugb3UgZGlzc2VydGE/P28gb3JhIGRlcG9zaXRhZGEuCgpDQVNPIEEgVEVTRSBPVSBESVNTRVJUQT8/TyBPUkEgREVQT1NJVEFEQSBURU5IQSBTSURPIFJFU1VMVEFETyBERSBVTSBQQVRST0M/TklPIE9VIApBUE9JTyBERSBVTUEgQUc/TkNJQSBERSBGT01FTlRPIE9VIE9VVFJPIE9SR0FOSVNNTyBRVUUgTj9PIFNFSkEgQSBTSUdMQSBERSAKVU5JVkVSU0lEQURFLCBWT0M/IERFQ0xBUkEgUVVFIFJFU1BFSVRPVSBUT0RPUyBFIFFVQUlTUVVFUiBESVJFSVRPUyBERSBSRVZJUz9PIENPTU8gClRBTUI/TSBBUyBERU1BSVMgT0JSSUdBPz9FUyBFWElHSURBUyBQT1IgQ09OVFJBVE8gT1UgQUNPUkRPLgoKQSBTaWdsYSBkZSBVbml2ZXJzaWRhZGUgc2UgY29tcHJvbWV0ZSBhIGlkZW50aWZpY2FyIGNsYXJhbWVudGUgbyBzZXUgbm9tZSAocykgb3UgbyhzKSBub21lKHMpIGRvKHMpIApkZXRlbnRvcihlcykgZG9zIGRpcmVpdG9zIGF1dG9yYWlzIGRhIHRlc2Ugb3UgZGlzc2VydGE/P28sIGUgbj9vIGZhcj8gcXVhbHF1ZXIgYWx0ZXJhPz9vLCBhbD9tIGRhcXVlbGFzIApjb25jZWRpZGFzIHBvciBlc3RhIGxpY2VuP2EuCg==Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.uefs.br:8080/PUBhttp://tede2.uefs.br:8080/oai/requestbcuefs@uefs.br|| bcref@uefs.br||bcuefs@uefs.bropendoar:2018-01-30T22:22:19Biblioteca Digital de Teses e Dissertações da UEFS - Universidade Estadual de Feira de Santana (UEFS)false |
dc.title.por.fl_str_mv |
Processo de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahia |
title |
Processo de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahia |
spellingShingle |
Processo de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahia Ferreira, Milla Pauline da Silva Processo de trabalho Trabalhadores de saúde Hospitais Work process Health workers Hospitals CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Processo de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahia |
title_full |
Processo de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahia |
title_fullStr |
Processo de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahia |
title_full_unstemmed |
Processo de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahia |
title_sort |
Processo de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahia |
author |
Ferreira, Milla Pauline da Silva |
author_facet |
Ferreira, Milla Pauline da Silva |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Coelho, Thereza Christina Bahia |
dc.contributor.advisor1ID.fl_str_mv |
16764510563 |
dc.contributor.authorID.fl_str_mv |
04577830523 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3443459687540217 |
dc.contributor.author.fl_str_mv |
Ferreira, Milla Pauline da Silva |
contributor_str_mv |
Coelho, Thereza Christina Bahia |
dc.subject.por.fl_str_mv |
Processo de trabalho Trabalhadores de saúde Hospitais |
topic |
Processo de trabalho Trabalhadores de saúde Hospitais Work process Health workers Hospitals CIENCIAS DA SAUDE::SAUDE COLETIVA |
dc.subject.eng.fl_str_mv |
Work process Health workers Hospitals |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
In the health work process there is a meeting between the agent and the object in a well defined space, in which the health worker, with his tools, seeks the realization of a product, which is health care itself. Considering that health is essential for both the user and the health workers, this study aimed to analyze the work process in public hospitals under direct management of the state of Bahia, as well as to identify the repercussions of work in life And health of the workers, besides knowing the strategies developed to avoid suffering and illness. Qualitative approach study. The population investigated included 15 health workers from two public hospitals under direct management in Bahia. The semi-structured interview and the systematic observation were used to collect the data, which were analyzed through content analysis. The results revealed a work process composed of subjects, most of them women, ranging in age from 31 to 58 years old, predominantly workers with a longer hospital and bankruptcy. The lines evidenced that the purpose of health work in the hospital is ambiguous, permeating the guarantee of financial stability of the worker and providing a quality assistance to the user. The object was identified as individual, collective, grievance, illness and even instrument or cause of the grievance. The most commonly used media and instruments were light-hard and hard technologies. Some materials were small or not of good quality, presenting technical failures. The factors that hindered the positive outcome of the work were related to the great demand of patients, together with an inadequate physical structure. The interviewees drew attention to the need for more participatory management in public hospitals, involving health professionals in decisions, to facilitate the work process. Satisfaction with work was conditioned by recognition, praise from colleagues and professional appreciation, while dissatisfaction was linked to the exposure and insecurity present in the workplace and to devaluation. On the other hand, being remembered for the care offered and being a public servant were highlighted as generators of pleasure. The suffering experienced at work was associated, in general, with the difficulty of referring the user to other sectors of the hospital and to other services of the health care network. As for the forms of illness, the workers mentioned: hypertension, influenza, urinary infection, pains in the spine, in the legs, among others. To address these issues, workers relied on physical activity, religion, music, and even flight from work. In view of the above, the need for a restructuring of hospital services is evident, through the improvement of socio-professional relations, a policy of valorisation of workers and, above all, of interventions aimed at improving and facilitating the work process. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017-03-15 |
dc.date.accessioned.fl_str_mv |
2018-01-30T22:22:19Z |
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FERREIRA, Milla Pauline da Silva. Processo de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahia. 2017. 145 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2017. |
dc.identifier.uri.fl_str_mv |
http://localhost:8080/tede/handle/tede/586 |
identifier_str_mv |
FERREIRA, Milla Pauline da Silva. Processo de trabalho e suas repercussões na vida e saúde de trabalhadores de hospitais públicos sob gestão direta do estado da Bahia. 2017. 145 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2017. |
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Universidade Estadual de Feira de Santana |
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