Ressignificação da teoria dos vínculos profissionais: tecnologia de gestão relacional no trabalho em enfermagem

Abstract

In the nursing work it is necessary to learn the multidimensionality of the subject worker, in the search for integration of his thinking, acting and feeling in order to rescue the respect and, consequently, of the recognizing of his subjectivity. The relational competencies and the interpersonal relationships are considered the pillar of nursing and they are recognized as the distinctive competency. In doing so, in Nursing, the know-how incorporates in itself the relational know-how, developed essentially by the interpersonal relationship that is established in health teams. The present study had as general aim to get to know the resignification of the Theory of Professional Links as a relational management technology set by nurses. This dissertation is a qualitative, descriptive and exploratory research based on Lev Vygotsky Cultural-Historical Theory and on the Theory of Professional Links of Maira Buss Thofehrn and Maria Tereza Leopardi Theory. It was approved by the local Research Ethics Committee under the consolidated opinion 110.4100 (CAAE 45134815.0.0000.5316) and it was developed with nurses of a general hospital in a city in the south of Rio Grande do Sul. 08 (eight) nurses participated of the study and the data collection was made through focus group technique, with assistance of recorder and field journal. There were 05 (five) meetings in the period from August to September of 2015. The data were analyzed through Minayo Operation Proposal and the following thematic categories emerged: technologies in the process of nursing work: perception of nurses; knowing the affective and professionals bonds in the work of nurses; fragilities and potentialities in labor relations: nurses’ view; Theory of Professional Links: resignifying concepts as a result of nursing praxis; relational management technology: realizing a management tool for teamwork. In the analysis of the results discussion, the data pointed that the hard and light-hard technology were understood by the participants, in order to not trivialize or overvalue them at the expense of interpersonal relations that is established within the nursing staffs. It was noticed that there are conflicts that permeate the doing in nursing, generated by institutional and internal issues of the own working groups that need to be collectively discussed through a participatory and democratic leadership, exercised by the nurse. Therefore, the professional links can only be constituted when the group presents openness to change and commitment to work and to the teammate, making, thus, the interpersonal relationships healthy. They understand that spirituality helps in the self-knowledge of the people, making them better understand others through empathy. A relevant aspect that emerged from the study was the necessity of psychological support for the nursing staff when the adversities in the group arise. The reflection on the worker's health was an interesting aspect, since, to care, the worker must be and feel good with and for others. When you know the affective and professionals bonds it became evident that there is complicity, attentiveness, cooperation and friendship involving the working group, promoting moments of celebration and joy. Therefore, it formed a path that led to the resignification of the Theory of Professional Links by nurses with their teams, which culminated in the collective construction of the concepts of: integration process, communication process and professional competence. Finally, after the resignification of the Theory of Professional Links, it was considered a Relational Management Technology, since it favored healthy bonds within nursing staffs resulting in the collective construction of its concept by nurses.