Resumo

REIF, Luciana Cecilia. The construction of occupational autonomy in the nursing staff. A case study with nursing workers of a public hospital in Lomas de Zamora, 2021. Estud. trab. [online]. 2022, n.63, pp.26-48. ISSN 0327-5744.

Health workers are the product of the system of relationships in which they are immersed, being at the same time producers of it. It is important to understand the pattern of subjectivation that predominates in health practice, since it has an impact on the intersubjective relationships between the different occupational groups, and therefore on the production of care. These modes of subjectivation print certain values ​​and ways of acting in the production of care. The professionalization of nursing and the search for the legitimacy and autonomy of its own field of knowledge and exercise, was built in a conflictive way with the medical profession, understanding the unequal power relations in the relationship between both professions. Both professional groups, mediated by their own subjectivations, dispute in daily life through their diverse interests the established norms and rules and are always under tension due to the polarity between control and autonomy. The objective of this article is to characterize and analyze the construction of the occupational autonomy of a team of nurses who work in neonatal therapy at a public hospital in Lomas de Zamora. For this article we will use a qualitative study, through semi-structured interviews with nurses on the morning shift and afternoon shift who work in neonatal therapy. The field work was carried out between July and August 2021. Among the results, we found that most of the interviewed nurses express in their reports the perception of occupational autonomy, which not only dispenses with the indications of the doctors to carry out their work, but also positively values their own and specific nursing skills, such as be manual skill and observation, skills from which they can build and sustain their own criteria for patient care that guides and organizes their task and leads them to make decisions. This occupational autonomy is built through the experience of nurses working in neonatal therapy, independently of the formal knowledge housed in educational institutions.

Palavras-chave : Autonomy; Nursing staff; Health workers; Argentina.

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