A dimensão social do trabalho do enfermeiro na estratégia de saúde da família
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2014-09-12
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Universidade Federal de Goiás
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The nurses’ work at primary health care requires larger view of the health-disease process considering the social health determinants. Nursing has historically recognized two dimensions of its work, the theoretical (scientific) and the practical (technical). The objectives of this research were to identify and analyze the social dimension of actions performed by nurses in the Family Health Strategy; to analyze the nurses’ understandings about the Family Health Program on the social dimension of their work; and to analyze the interdisciplinary contributions under the Family Health Strategy in the actions of the social dimension of the work of nurses. Descriptive study on qualitative approach developed in a capital of central-western Brazilian region. Data were collected with 12 nurses of the Family Health Strategy through semi-structured interviews and participant observation. Once transcribed, the interviews were subjected to thematic content analysis and discussed based on the framework of Health Promotion and Social Action Theory of Max Weber and on the observation field notes. The results were organized and discussed into five categories, as known, "rational social actions related to purpose", "social actions in the traditional way", "rational actions regarding values and affective way," "overhead and hands tied" and "demands for work in the social dimension”. Generally it shows that nurses carry out actions aimed at social field, but does not identify or systematize the social dimension of their own work. The Max Weber’s Theory of Social Action becomes possible to understand the actions performed by nurses, its impacts, limitations, misconceptions and principles that guide their practice. These allow us to conclude that there is need for development of the social dimension of nurses' work, through the insertion of this discussion from initial training to the postgraduate level in order to meet the demands of such a size in the Family Health Strategy.
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REIS, M. L. A dimensão social do trabalho do enfermeiro na estratégia de saúde da família. 2014. 119 f. Tese (Doutorado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2014.