Navegando por Palavras-chave "work management"
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- ItemAcesso aberto (Open Access)As estratégias de resistência ao sofrimento psíquico e físico relacionadas à gestão do trabalho em saúde: um estudo de revisão sistemática da literatura(Universidade Federal de São Paulo (UNIFESP), 2014-08-25) Neumann, Alessandra Paula Ferreira Moreira [UNIFESP]; Lacaz, Francisco Antonio de Castro Lacaz [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This study examined the evidence scientific about the forms of coping and self-preservation used by workers in health management to protect and preserve themselves from psychological and physical suffering. The work has the following specific objectives: a) to examine the literature about complaints and coping to physical and psychological distress; b) identify and describe the various types of coping to physical and mental suffering; c) analyze the strategies and patterns of coping to physical and psychological distress; d) to propose guidelines in support of changes to forms of labor management in health from the perspective of building a democratic personal health policy. A systematic literature review was conducted through consultation of scientific articles published in journals indexed in the databases from Lilacs, Scielo and Medline over, of april/2009-april/2014 in Portuguese, English and Spanish. A total of 1010 articles, and 330 abstracts were identified after criteria by inclusion / exclusion. Twenty five national and international articles were analyzed in full, selected and sorted units of meaning, categories and subcategories, built from the Content Analysis approach publications. The nuclei that emerged from the search and analysis of selected articles show the following distribution of issues: 1) the dimension of suffering were located within the categories: professional "susceptibility", organization of work and working conditions. The main subcategories were: workload (40%); suffering related to pain or death of patients (36%); lack of material and human resources (28%); 2) coping strategies within the categories: coping and passivity, with subcategories: interpersonal relationships (28%), silence (20%) and seeking support/aid (16%); 3) possible dimensions of propositions for improvement of management, political categories and human resource management, collective mobilizations and working conditions, with subcategories: permanent education (36%), installation, maintenance 12% purchase of equipment and training of managers (8 %). The voice of workers opened important discussions on how to deal with the mental and physical suffering and formed a consolidated promising to contribute to the pursuit of quality improvement in health work.