Conflitos entre enfermeiros com diferentes regimes de trabalhos de um hospital universitário federal

Abstract

This study was intended to analyze the conflicts experienced by nurses hired under different working arrangements, starting from the hiring process of the public company of private law called Empresa Brasileira de Serviços Hospitalares – EBSERH in health care units of the Teaching Hospital in which these conflicts were realized. We performed a qualitative, descriptive and exploratory research with 20 nurses from a teaching hospital, after approval of the Research Ethics Committee of the Lauro Wanderley University Hospital (HULW, as per its Portuguese acronym) and acceptance of the participants, who signed ICF. The data collection instrument was composed of two parts. In the first phase, we used a questionnaire for the sociodemographic data; and in the second, we performed interviews with nurses from the different working arrangements (RJU and CLT, as per its Portuguese acronyms). The obtained data were descriptively analyzed and exposed in figures and tables, and then analyzed through the Bardin’s Content Analysis (2011) and discussed in line with the relevant literature. When analyzing the data, we found that the conflicts among the nurses of the RJU and CLT arrangements of HULW revolve around labor rights, where the major points are: wage range, lack of stability of nurses, differences in working hours, difficulties in working with a new team and in being authorized for external scientific activities, as well as in exchanging shifts between the nurses of RJU and the nurses of CLT, even in the same sector and with the same assignments. The nurses highlight differences in the treatment given by the managerial body between the nurses of the RJU and CLT arrangements and that the managerial body does not undertake any action aimed at mitigating the existing conflicts. In view of the identified conflicts, there is a need to create a permanent space for analysis and reflection of professional relations and practices, with a view to producing reciprocal relations among nurses, aiming at a more harmonious team climate and, consequently, the provision of health care in a safe way, i.e., without risks.