Condições de saúde, trabalho e hábitos de vida de trabalhadores de um campus universitário

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Compreender o trabalho na Atenção Primária à Saúde para desenvolver ações em Saúde do Trabalhador: o caso de um município de médio porte

INTRODUCTION: Attention in Worker's Health (WH) integrality incites expansion of Primary Health Care (PHC) actions. So, it is necessary to understand the work carried out at PHC units and its possibilities to subside WH plans and procedures aiming at workers' health integral attention. OBJECTIVE: To present PHC workers' perception concerning WH actions performed in health care units of a mediumsized municipality in the state of São Paulo. METHODOLOGY: data collected through a 20 question-self-assessment questionnaire prepared by the researcher, using descriptive analysis of closed questions and content analysis of open questions. RESULTS: 45% of all workers answered the questionnaire. All health units in the municipality and all the professional categories part of the PHC teams were enclosed. The answers indicated that the PHC personnel, when providing assistance to users, take their jobs into consideration, and that some actions concerning worker's health are carried out at health care units. The respondents also pointed out that their difficulties to perform these actions are much more related to aspects of the system organization and management, than to the particularities of the worker's health area. CONCLUSION: The study indicates that health care worker's working condition is an important issue for the implementation of PHC worker's health actions

A influência da demanda espontânia na (des)caracterização do processo de trabalho na estratégia saúde da família

Pós-graduação em Enfermagem (mestrado profissional) - FMB

O trabalho do enfermeiro na vigilância à saúde da criança sob o olhar da gestão da Atenção Básica à Saúde

This study aimed at apprehending and analyzing the perspective of Primary Health Care managers concerning nurses’ work in Children’s Health Surveillance in a city in São Paulo state. The study population consisted of eight professionals from different professional categories with direct activity in the city’s management of the population’s Health Surveillance. It is a descriptive, qualitative study. Data were collected by means of recorded semi-structured interviews. The framework used for data analysis was the thematic Content Analysis Method. The results were systematized into three themes: 1- Managers’ conceptualizations concerning Children’s Health Surveillance and its application in practice; 2- Managers’ perspectives concerning nurses’ work in Children’s Health Surveillance; 3- Qualification of Children’s Health Surveillance under the view of the municipal management. The conceptualizations concerning Children’s Health Surveillance that were apprehended showed to be convergent as they indicated this model’s appropriateness to identify and prioritize children’s care in vulnerability conditions in the territory where they live. However, some managers did not include, in their statements, health promotion aspects as one of the cornerstones of their managerial action. Nurses were considered to be fundamental in the Children’s Health Surveillance process due to their competencies and responsibilities undertaken in this health provision level. The main difficulties for adequate implementation of Children’s Health Surveillance in Primary Health Care and the proposal to overcome them were pointed out. It was concluded that, under the managers’ perspectives, nurses can greatly contribute to Children’s Health Surveillance in Primary Health Care as members of the health care team; however, to that end, they need professional qualification, structural conditions and institutional support with that regard

Risco, saúde e obesidade na prática de trabalho dos policiais militares do Estado de São Paulo

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

De direito social a dispositivo de saúde: o trabalho na legislação de saúde vigente

Starting from the theoretical contributions of Michel Foucault and from a critical appraisal of the Declaration of Universal Human Rights and the 1988 Brazilian Constitution, this article maps the constitution of labor as a dimension that goes from social right to health device. In our analysis we find that labor as a social right and health device has a subjective protagonism and has social and economic aspects contemplated by documents. However in defining and orienting ways of being of individuals that work delivered speeches that fall in and control, hindering the openness of workers for movements of creation expansion of life and work in its positivity of experimentations. We conclude that is not enough to recognize labor as a social right, indicate its role as a health strategy or direct political efforts without problematizing not “what kind of work” can be supportive in a more creative construction of its own work and health.

Uma leitura sociodramática sobre o processo saúde - doença no trabalho na contemporaneidade

The goal of this article is to speculate on the influences of new working methods in the health-disease workers process, from the sociodramatic theoretical referential described by Jacob Levy Moreno. Based on it, we analyzed some topics that can produce adverse effects to the health at the working environment and we concluded pointing out the importance of the sociodramatic method in the organizational context as a way of promoting the workers’ health.

O trabalho como dispositivo de atenção em saúde mental: trajetória histórica e reflexões sobre sua atual utilização

The partnership between Mental Health (MH) and work is present throughout the history of psychiatry. Capitalist society has used and uses the fitness or unfitness for work not only as one of the elements to the definition of "normality", but also as a treatment strategy. In this perspective, one can find a position healing and, more recently, a different proposal put forward by the psychiatric reform that considers also make / produce, the construction of meaning in the work as crucial for subjectivity. This sense is present in therapeutic workshops that seek to value the uniqueness, not to override the differences. The objective of this paper is to reflect on the relationship between Attention in SM / Work. Initially presents three theses, from which this relationship is built historically: 1 - Work as a means of avoiding idleness returning productively to society; 2 - Work as a healing practice, from the prescription, and 3 - Work as a strategy for care and social inclusion. Below, we discuss some questions about therapeutic workshops and income generation in the mental health care as a device for attention and social inclusion.

Gestão da saúde no trabalho: uma experiência institucional

This article aims to disseminate the results of a university action which occurred through the Extension Course entitled Management and Health at Work, conducted from March to September 2011 and offered by “Coordenadoria de Saúde e Segurança do Trabalhador e Sustentabilidade Ambiental” (a kind of Workers' health and safety and environmental sustainability agency) - an agency managed by “Pró-Reitoria de Administração - PRAd/Unesp”. This action had the audience of the technical and administrative staff of the several Institutes (Units) of UNESP in positions of Leadership and Supervision. The course was proposed to equip managers to deal with issues related to health and safety at work in daily labor. Six hundred managers of all UNESP Institutes participated in the course. The meetings were logistically designed respecting the proximity of the participants’ Institutes. The methodology adopted was based on qualitative techniques such as group discussion, role-plays, analysis of film, reading and discussing texts, together with the preparation of a proposal for health promotion by the participants. As a result it was considered that the course offered a convenient and timely opportunity to reflect on and discuss the theme of health and safety at UNESP, as well as to make leaders and managers effective agents to implement programs of disease prevention and health promotion at work.

Interações metodológicas e interrelações humanas: alicerçando a transdisciplinaridade no campo da saúde no trabalho

This article provides reflections and discussions about the importance of human interactions and methodological interrelations to substantiate the integrity in the transdisciplinary process in teams that operate in health area. Should be taken as reference the Complexity Theory of Edgar Morin, the logic transdisciplinary of Basarab Nicolescu and the formation groups principles based on the Socionomic Theory of Jacob Levy Moreno. It was concluded that the complexity of the methodologies in the field of workplace health, are influenced by factors that intersect between the scientific interaction and human interrelationships, which allow the transdisciplinary construction. However, the constructions requires the development of professionals in their areas and in their relationship with others as a way of supporting the perspective of transdisciplinarity, ie, interaction, in which different individuals are interrelated with the methodologies and providing articulations and coconstructions from which actualize the transformations.

Exigências familiares e do trabalho: um equilíbrio necessário para a saúde de trabalhadores e organizações

This article aims, through a theoretical essay, to promote a reflection about the new roles played by people in families, at work and at the society in general. Based on papers and scientific bibliography, it broaches the changes at the contemporary society, linked to changes on world of work and family relationships, focused on the unbalance at family-work relation. Some current organizational initiatives were cited as plans of prevention and improvement of worker health, which affect their relations. It was considered the need of reconstruction of gender stereotypes and reducing the inequality of opportunity between people as focal points for changing a current scenario, which prevails in the lack of balance between requirements that can generate negative consequences both for health the individual and their families and for the organization.

Direito à desconexão do trabalho como instrumento de proteção à saúde do trabalhador

Pós-graduação em Direito - FCHS

Invisibilidade social e saúde do trabalhador: dinâmica territorial do trabalho na coleta de lixo domiciliar urbano em Presidente Prudente/SP

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Micropolítica do trabalho dos profissionais de saúde na UBS: visão sobre necessidades de saúde das famílias

Este estudo teve como objetivo compreender as potencialidades e limitações do processo de trabalho da enfermagem de uma Unidade Básica de Saúde para o reconhecimento das necessidades de saúde da população. A vertente metodológica utilizada foi a pesquisa social, na perspectiva qualitativa, tendo como base de análise dos discursos a hermêutica-dialética, e como alicerce a Teoria da Interpretação Práxica da Enfermagem em Saúde Coletiva. Os dados foram coletados por meio da entrevista semiestruturada e os processos de trabalho das equipes foram analisados através do Fluxograma Analisador do Modelo de Atenção de um Serviço de Saúde. Concluiu-se que há limitações no cotidiano do processo de trabalho da equipe de enfermagem à medida em que o reconhecimento e enfrentamento das necessidades de saúde perpassavam pela identificação de agravos instalados, deixando em segundo plano os determinantes sociais das más condições de vida associadas ao processo saúde-doença.

Notas cartográficas do trabalho na Estratégia Saúde da Família: relações entre trabalhadores e população

Essa pesquisa-intervenção teve como objetivo cartografar os movimentos instituídos e instituintes presentes no trabalho da Estratégia Saúde da Família, no que tange a composição de suas práticas cuidativas. O referencial teórico metodológico fundamentou-se na análise institucional, linha esquizoanalítica. Foram realizados encontros grupais com uma equipe para discutir o modo como realizavam os cuidados coletivos em ação de educação permanente em saúde. Os sujeitos da pesquisa foram trabalhadores da equipe e estudantes em atividade acadêmica no serviço. A média de participação foi de doze pessoas por encontro, sendo que se desenvolveram oito encontros no período de março a julho de 2010. Os dados foram agrupados em dois estratos imanentes: as relações da equipe e a relação com os usuários. Os estratos apontaram para o atravessamento das instituições de educação, justiça e da divisão técnica e social do trabalho. A reflexão coletiva em grupo mostrou-se potente, para desnaturalizar processos instituídos e interrogar lugares, saberes e práticas.