O processo de trabalho da enfermeira no cuidado à criança sadia em uma instituição da seguridade social do México
Bibliographic Data
| ID | 5798929 |
|---|---|
| Authors | Ysamur Flores-Pena (0000-0001-6200-6553, Universidad Autónoma de Nuevo León, corresponding author), Yolanda Flores Peña |
| Year | 2004 |
| Publication date | 2004-10-21 |
| Open Access | Yes |
| Type | THESIS |
| Publisher | Universidade de São Paulo. Agência de Bibliotecas e Coleções Digitais (PUBLISHER) |
| DOI | 10.11606/t.22.2004.tde-25112004-102348 |
| OpenAlex | W4235011504 |
| Language | PT |
| References cited | 2 |
The general aim of this study was to analyze the work process of maternal child nurses, directed to the care of healthy children in the Program of Nutrition Surveillance, Growth and Development for children under 5 years of age at a social security institution in Mexico.This research was based on the concepts of health work process by Mendes-Gonçalves (1994), the nursing work process proposed by Almeida (1991) and Almeida and Rocha (1997) and on the theoretical conceptions of micropolitics of health work involving human staff, enabling the author to focus the worker/user space (1991) (MERHY, 1997(MERHY, , 2004)).A qualitative approach was used through systematic direct observation and semi-structured interviews.The subjects were maternal child nurses, medical assistants who welcomed the patients when they arrived and mothers who went to the nursing consultation.87 nursing consultations were observed as well as the reception of patients.In addition, author interviewed the staff (6 interviews) and mothers (25 interviews).Data saturation and meaning comprehension were the criteria to establish the necessary number of observations and interviews.The consultations were identified as centered in procedures such as: weight and height measurement, review of the vaccination record according to the care protocols (hard technologies) with dialogues identified as monologues of nurses to the mothers.Findings showed that the meeting between mother and child with specific health needs and nurses with large scientific and practical knowledge involves an approximation of non-equivalent situations.The mothers expect, at least, that nurses will be able to welcome them.Thus, the maternal child nurse work is captured by a work with machines, the institutional configuration that is expressed during the consultation period, with the appointment determined previously, in following protocols and routines imposed by the service and that do not allow the establishment of a caring core.However, with nurses work, the health work happens in a nearly-structured process and nurses were able to produce a live work as a source of soft technologies (relationship and welcome technologies), based mainly in their self-governance and allowing the establishment of a nucleus of care centered in the mother/child.The conformation of the health team was identified as a grouping team characterized by the fragmentation and specificity of the work with only the communication of personal aspects.Mothers perceived that the care of a healthy child is based on procedures to verify height and weight, registration of the development of their children and the supply of a milk portion, that appeared as a factor that guided/disturbed the care as resulted in conflict among the social actors with different needs.The author recommends the flexibilization of the norms and routines, enabling the construction of a nucleus centered in the mother/child, based on soft technologies of welcome and trust, allowing mothers to ask their questions related to the care of their children as well as to develop a level of autonomy, recognizing the nurse as a care provider, educator, advisor and health promoter
Health care · Institution · Nursing care · Political science · Qualitative research · Sociology · Breastfeeding Practices and Influences · Health, Nursing, Elderly Care · Maternal and Neonatal Healthcare · Medicine · Nursing · Psychology
| Highly cited | No |
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