O cotidiano de trabalho do enfermeiro no acolhimento com classificação de risco na Unidade de Pronto Atendimento

Abstract

This is a single case study of qualitative approach, with the objective of analyzing the daily work of nurses in hosting with risk classification in the Emergency Care Unit (ECU). The theoretical reference of Michel de Certeau regarding daily life was used, especially the concepts of place, space, tactic and strategy. The study scenario was an ECU of a mediumsized municipality, of the widened health region of western Minas Gerais, Brazil. The participants of the research were 20 nurses of the ECU that performed hosting with risk classification (HRC) in the day and night shifts. Data collection was performed by means of semi-structured interview and observations of the daily work of the nurses, being organized and analyzed by means of Content Analysis, thematic-categorical mode. We verified that the HRC constitutes as a place impregnated by symbols that remount to its history and finality, inaddition to presenting a cultural system defined a priori by means of policies, norms, protocols and rules. In this place, there are strategic elements that circumscribe it, and of circumstantial situations, that pressure the subjects present. There is also a modus operandi ofthe work processed at the HRC, its constitutive elements are moved and interpreted by the professionals and users that produce the work, but consume it immediately. The subjectivities inherent to the subjects that quicken the work process and demand its acknowledgement. Thedaily work at the HRC is permeated by tactics of the subjects that practice it, its movements operate escapes the norms, protocols and rules, re-signifying the cultural system defined a priori. There is a unique way for the professionals to perform, which (re)invents caretaking using their intentions and the pressures they undergo. The users also move, create their own itinerary and, as the professionals, operate their tactics with the aim of achieving their intentions in the therapeutic process. Finally, the daily work at the HRC is (re)invented in each of the acts performed by the professionals, as well as those conducted by the users who practice it, overcoming the rules and regulations. These are uncontrollable tactics performed by subjects that re-signify the social system, operate the escape in an astute manner and produce their own order.