Martines Wânia Regina Veiga, Chaves Eliane Corrêa
Programa de Saúde da Família, Fundação Zerbini, Secretaria Municipal da Saúde de São Paulo, São Paulo, SP, Brasil.
Rev Esc Enferm USP. 2007 Sep;41(3):426-33. doi: 10.1590/s0080-62342007000300012.
This qualitative research was aimed at investigating the representations and significations that a group of community health agents (CHAs) has concerning the vulnerabilities for suffering in their work to which they are exposed to, as well as the manifestations of this suffering as they perform their actions in the Family Health Program (PSF, in the Portuguese language acronym). The semistructured interview with the group of agents explored the meaning of being a CHA and their perception of their work organization; the analysis was based on the hermeneutics theoretical-methodology referential and on the theories related to labor psychodynamics. The findings show the existence of considerable suffering vulnerability, generated by an idealized ideation of the practice and by the scarce perspective for rearranging the constitutive ingredients of work organization, since these professionals depend on factors that are beyond their grasp, which include the limitations of the assistential model proposed by the PSF.
这项定性研究旨在调查一群社区健康工作者(CHAs)对其工作中所面临的遭受痛苦的脆弱性的认知和理解,以及他们在家庭健康计划(PSF,葡萄牙语首字母缩写)中开展行动时这种痛苦的表现。对这群工作者进行的半结构化访谈探讨了成为社区健康工作者的意义以及他们对工作组织的看法;分析基于诠释学理论方法框架以及与劳动心理动力学相关的理论。研究结果表明,由于对实践的理想化构想以及重新安排工作组织构成要素的视角匮乏,存在相当大的痛苦脆弱性,因为这些专业人员依赖于他们无法掌控的因素,其中包括家庭健康计划所提出的援助模式的局限性。