The (in)visible in the daily work routine of nurses in triage with risk classification

Authors

  • Hosana Ferreira Rates Federal University of São João Del Rey, Central-West Campus Dona Lindu
  • Ricardo Bezerra Cavalcante Federal University of Juiz de Fora, Avançado Campus Governador Valadares http://orcid.org/0000-0001-5381-4815
  • Marília Alves Federal University of Minas Gerais, Nursing School
  • Regina Consolação Santos Foundation University of Itaúna
  • Richardson Miranda Machado University of São João Del Rey, Central-West Campus Dona Lindu
  • Antônio Sávio Macêdo University of São João Del Rey, Central-West Campus Dona Lindu

DOI:

https://doi.org/10.5216/ree.v20.48608

Keywords:

Emergency Nursing, Triage, User Embracement, Classification, Work.

Abstract

This is a qualitative approach case study seeking to comprehend the daily work routine of nurses working in triage with risk classification at an emergency care unit. Michel de Certeau's theory on everyday life was used as a reference. The data were collected using open interviews with 20 nurses and observation at the place of work, and were subjected to thematic content analysis. It was found that the daily working life being studied has strategic elements; the Manchester Protocol, impositions and obligations. Such elements endeavor to isolate the subjects into a normative site, a visible structure, where they can be controlled, monitored and demanded of. However, the daily work routine has (in)visible tactics, specific to each subject practicing in the site. These are care practices that bypass the strategic elements. It was concluded that the daily work routine under study goes beyond the routine, despite regulation, with visible and invisible daily tactics emerging. These are resourceful practices, the nurses own form of care/way of doing things that deals with micro resistance.

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Author Biographies

Hosana Ferreira Rates, Federal University of São João Del Rey, Central-West Campus Dona Lindu

Nurse, Doctor of Nursing. Associate Professor of the Federal University of São João Del Rey, Central-West Campus Dona Lindu. Divinópolis, MG, Brazil. E-mail: hosanabh@yahoo.com.br.

Ricardo Bezerra Cavalcante, Federal University of Juiz de Fora, Avançado Campus Governador Valadares

Nurse, Doctor of Information Science. Associate Professor of the Federal University of Juiz de Fora, Avançado Campus Governador Valadares. Juiz de Fora, MG, Brazil. E-mail: ricardocavalcante@ufsj.edu.br.

Marília Alves, Federal University of Minas Gerais, Nursing School

Nurse, Doctor of Nursing. Full Professor of the Nursing School of the Federal University of Minas Gerais. Belo Horizonte, MG, Brazil. E-mail: marilix.alves@gmail.com.

Regina Consolação Santos, Foundation University of Itaúna

Nursing, Master of Nursing. Assistant Professor of the Foundation University of Itaúna. Itaúna, MG, Brazil. E-mail: reginasantos72@outlook.com.

Richardson Miranda Machado, University of São João Del Rey, Central-West Campus Dona Lindu

Nurse, Doctor of Psychiatry. Associate Professor of the Federal University of São João Del Rey, Central-West Campus Dona Lindu. Divinópolis, MG, Brazil. E-mail: richardson@ufsj.edu.br.

Antônio Sávio Macêdo, University of São João Del Rey, Central-West Campus Dona Lindu

Nurse. Student of the Postgraduate Program in Nursing of the Federal University of São João Del Rey, Master’s level. Divinópolis, MG, Brazil. E-mail: macedo.savio11@hotmail.com.

Published

2018-12-05

Issue

Section

Original Article