FROM PRESCRIBED WORK TO THE REAL WORK OF NURSING IN IN-PATIENT CARE UNITS OF FEDERAL UNIVERSITY HOSPITALS.

Oro, Julieta; Lima Gelbcke, Francine; de Faria Sousa, Virgínia Aparecida; Duarte dos Anjos Scherer, Magda

Objective: to identify similarities and differences found between the prescribed and real nursing work, from the perspective of nursing professionals of in-patient care units of federal university hospitals. Method: qualitative research with a descriptive and transversal exploratory design. Data collection was based on floating observation of the service; interview with two managers and twenty-three nursing professionals; and shadowing a nurse and nursing technician during their work shift. The data were organized using the Atlas. ti software, using the Thematic Content Analysis, supported by the Health Work Process and the Ergological Approach theoretical framework. Results: the results showed that there are similarities between the prescribed and the real nursing work which is determined by the division of work, which remains linked to the professional categories, and in relation to the team there is a multiprofessional work perspective. The differences are related to the management between the institutions and to the work pace. Both the similarities and the differences are connected to the one prescribed to the profession, being that there are movements of renormalizations, redefining the work organization, mainly with a view to integrative care, from the perspective of subjectivity. Conclusion: it is necessary to reconsider work, as the practices can be modified by the nursing professionals when they acquire new knowledge that substantiates work reorganization.

BRAZIL; CONTENT analysis; HOSPITAL wards; WORKING hours; INTERVIEWING; JOB descriptions; RESEARCH methodology; NURSES' attitudes; PUBLIC hospitals; RESEARCH; SHIFT systems; QUALITATIVE research; THEMATIC analysis; DATA analysis software

Texto & Contexto Enfermagem, 2019, Vol 28, p1

0104-0707

Academic Journal

10.1590/1980-265X-TCE-2017-0508