As adaptações e improvisações no trabalho hospitalar e suas implicações na saúde do trabalhador de enfermagem

• Autor(a) principal: Cunha, Luana dos Santos
• Data de Publicação: 2010
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11234
• topic: Nursing work; Health and work; Work conditions; Enfermagem do trabalho; Saúde e trabalho; Condições de trabalho; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

The current setting of public health institutions is characterized by the peculiarities of the model of productive restructuring in the downsizing of public administration results in a context of precarious working conditions. Among the scarcity and inadequacy of material resources and lack of human resources, nursing workers are faced with the need to develop adaptation and improvisation of materials, equipment and even personnel. In front of this problematic situation, was selected as the object of study: the perception of nursing workers on the adaptations and improvisations in hospital work and its implications in the health of the worker. This study shows as objectives: to identify the perception of nursing on the adaptations and improvisations, to describe the situations that lead to nursing workers to carry out this practice and to examine the implications of the adaptations and improvisations in workers' health care. A qualitative and descriptive research, the scene was a public university hospital, located in Rio de Janeiro. The subjects were twenty employees of nursing teams, working in the fields of intensive care and surgical wards. Data were collected through semi-structured interview, in July of 2009. The sample was thematic content analysis, which enabled the creation of four empiric categories: Category 1: Contexts and determinants of adaptations / improvisations; Category 2: Prerequisites for the implementation of adaptations / improvisations; Category 3: Subjective aspects linked the practice of adapt / improvise and Category 4: The positive face and negative face of adapt / improvise - the impact on workers' health. It was concluded that the perceptions of nursing practice of adapt / improvise characterized contradictory or dialectical, with responses that involve the suffering and pleasure, satisfaction and dissatisfaction, motivation and demotivation, among other contradictions. It was found that the adaptations and improvisations are designed predominantly, to ensure that care is provided, because in front of a precarious context, the lack of resources almost render impossible to provide care, and this practice is characterized as a ruse or an adjustment in the work process which ensures that the task is fulfilled. It was found that this practice has negative impacts on health, despoiling the nursing workers physically and mentally.