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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Occupational risk prevention in hospitals based on the Cultural-Historical Activity Theory

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Author(s):
Beatriz Eliseu Ferreira [1] ; Rodolfo Andrade de Gouveia Vilela [2] ; Adelaide Nascimento [3] ; Ildeberto Muniz de Almeida [4] ; Manoela Gomes Reis Lopes [5] ; Daniel Braatz [6] ; Vivian Aline Mininel [7]
Total Authors: 7
Affiliation:
[1] Universidade Federal de São Carlos. Programa de Pós-Graduação em Enfermagem - Brasil
[2] Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Saúde Ambiental - Brasil
[3] Conservatoire National des Arts et Métiers - França
[4] Universidade Estadual Paulista. Faculdade de Medicina de Botucatu. Departamento de Saúde Pública - Brasil
[5] Universidade Federal do Piauí. Departamento de Medicina Comunitária - Brasil
[6] Universidade Federal de São Carlos. Departamento de Engenharia de Produção - Brasil
[7] Universidade Federal de São Carlos. Departamento de Enfermagem - Brasil
Total Affiliations: 7
Document type: Journal article
Source: Ciênc. saúde coletiva; v. 29, n. 5 2024-05-13.
Abstract

Abstract Hospital managers should target occupational risks and harm prevention since this can contribute to the quality of life at work and patient safety. This article aims to elucidate the activity of prevention of occupational risks and injuries in the hospital setting based on analysis of historical and empirical contradictions of the activity system. An exploratory qualitative study grounded in the Cultural-Historical Activity Theory was conducted at a university hospital in the state of São Paulo. Data were collected between September 2021 and January 2022 via individual semi-structured interviews of 9 professionals from the Occupational Health and Safety services and of five hospital managers, involving 20 hours of field observation and document analysis. Despite the expansion of the object of prevention activity, the other elements of the activity system did not adapt to the new demands, causing incompatibilities and contradictions that compromised the attainment of the expected outcomes. The main response actions observed were centered on complying with regulatory items, such as team composition, medical examinations and others, that contribute little toward promoting occupational health and safety. (AU)

FAPESP's process: 19/13525-0 - Innovation and transformation for prevention activity of professional risks - ITAPAR
Grantee:Vivian Aline Mininel
Support Opportunities: Research Projects - Thematic Grants