o processo de trabalho na estratégia saúde da família e suas repercussões no processo saúde-doença the working process in the family health strategy and its repercussions on the health-disease process

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ID: 195597
2012
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Abstract
Este estudo analisa a percepção dos trabalhadores da Estratégia Saúde da Família do Distrito Federal (ESF-DF) acerca de seu processo de trabalho e suas repercussões no processo saúde-doença. Pesquisa descritivo-transversal realizada com 243 trabalhadores da ESF-DF, sendo 139 agentes comunitários de saúde, 47 auxiliares de enfermagem, 41 enfermeiros e 11 médicos. Foram utilizadas quatro escalas (Avaliação do Contexto de Trabalho; Custo Humano no Trabalho; Sofrimento e Prazer, do Inventário de Trabalho e Riscos de Adoecimento), validadas previamente. Evidencia-se um modo de gestão do processo de trabalho taylorizado, caracterizado pela divisão de trabalho entre formuladores e executores, pela repetição das tarefas, pela fiscalização de desempenho e pela fragilidade da comunicação formal entre os diferentes níveis hierárquicos. Esses fatores têm dificultado o processo de renormatização do processo de trabalho, por meio da confrontação das normas preexistentes e a realidade objetiva e subjetiva. Conclui-se que o processo de trabalho taylorizado, as precárias condições de trabalho e as exigências específicas dos cuidados das famílias e das comunidades em seu território provocam desgastes intensos, que apontam a necessidade de aprimoramento da sua gestão.
This study analyzes the perceptions that health workers engaged in the Family Heath Strategy (FHS) of the Federal District (FD) have of their own work process and its repercussions on the health-illness process. It is a cross-sectional descriptive survey carried out with a sample of 243 FHS/FD workers: 139 community health agents, 47 nursing assistants, 41 nurses, and 11 doctors. Four previously validated scales were used (Evaluation of Work Context, Human Cost at Work, Pain and Pleasure, Work Inventory and Risk of illness). The results revealed a highly Taylorised type of work process management typified by a sharp work distinction between formulators and performers, highly repetitive work tasks, performance supervision and very weak formal communication between the various hierarchical levels. These factors have seriously impaired the re-regulation of the work process by confronting current objective and subjective realities with pre-existing norms. In conclusion, the Taylorised work processes, the precarious working conditions and the specific difficulties associated with providing care to families and communities in their own territories are highly stressful and debilitating and underscore the need for improved management of the respective work processes.
Reference Key
shimizu2012cinciao Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Helena Eri Shimizu;Daniel Alvão de Carvalho Junior
Journal journal of physical activity & health
Year 2012
DOI
10.1590/S1413-81232012000900021
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232012000900021
Keywords
occupational health family health saúde da família

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