0516/2011 - O PROCESSO DE TRABALHO NA ESTRATÉGIA SAÚDE DA FAMÍLIA SUAS REPERCUSSÕES NO PROCESSO SAÚDE-DOENÇA work processes in Family Health Strategy and their repercussions in health-sickness processes
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. Para a coleta de dados, 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. Em termos de condições de trabalho, 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, pela fragilidade da comunicação formal entre os diferentes níveis hierárquicos. Não obstante, esses fatores têm dificultado imensamente 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 gestão do processo de trabalho.
Palavras-chave:
Saúde Ocupacional
Saúde da Família
Primary Health Care
Ergologia
Abstract:
This study analyses the perceptions that health workers engaged in the Federal District (FD) government’s Family Heath Strategy (FHS) have of their own work processes and their repercussions in health-sickness processes It is a cross-cutting, descriptive survey carried out with a sample of 243 FHS/FD workers: 139 community health agents, 47 nursing assistants, 41 nurses, and 11 doctors. Data gathering considered three previously validated categories addressed by the ‘Inventory of Work-associated Risks’: workers’ evaluation of the work context, satisfaction and suffering, and the human costs of their efforts. As for the working conditions, the results revealed a highly Taylorised type of work process management typified by a sharp distinction between work formulators and work performers, highly repetitive work tasks, performance supervision and very weak formal communication between the various hierarchical levels. Those factors have seriously impeded 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 to 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.
Keywords:
Occupational Health
Family Health
Primary Health Care
Ergology
work processes in Family Health Strategy and their repercussions in health-sickness processes
Resumo (abstract):
This study analyses the perceptions that health workers engaged in the Federal District (FD) government’s Family Heath Strategy (FHS) have of their own work processes and their repercussions in health-sickness processes It is a cross-cutting, descriptive survey carried out with a sample of 243 FHS/FD workers: 139 community health agents, 47 nursing assistants, 41 nurses, and 11 doctors. Data gathering considered three previously validated categories addressed by the ‘Inventory of Work-associated Risks’: workers’ evaluation of the work context, satisfaction and suffering, and the human costs of their efforts. As for the working conditions, the results revealed a highly Taylorised type of work process management typified by a sharp distinction between work formulators and work performers, highly repetitive work tasks, performance supervision and very weak formal communication between the various hierarchical levels. Those factors have seriously impeded 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 to 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.
Palavras-chave (keywords):
Occupational Health
Family Health
Primary Health Care
Ergology
Shimizu, H.E.. O PROCESSO DE TRABALHO NA ESTRATÉGIA SAÚDE DA FAMÍLIA SUAS REPERCUSSÕES NO PROCESSO SAÚDE-DOENÇA. Cien Saude Colet [periódico na internet] (2011/mai). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/o-processo-de-trabalho-na-estrategia-saude-da-familia-suas-repercussoes-no-processo-saudedoenca/7336?id=7336
