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Published on: July 29, 2020
[Work as subsistence in Brazilian public hospitals]
Helena Heidtmann Vaghetti1, Maria Itayra Padilha, Rosimeri Carvalho da Silva
1Universidade Federal de Santa Catarina, Florianópolis, SC.
Revista Brasileira De Enfermagem
|January 26, 2010
Summary
Low wages and job instability in Brazilian public hospitals lead to health worker alienation and disengagement. This review of dissertations and theses reveals how economic dissatisfaction fuels the need for multiple jobs and norm transgression.
Area of Science:
- Sociology of Health
- Organizational Psychology
- Anthropology
Context:
- Focuses on the organizational culture within Brazilian public hospitals.
- Examines the period from 2002 to 2006 through a review of academic literature.
- Utilizes interpretive anthropology, specifically Clifford Geertz's framework.
Purpose:
- To analyze authors' interpretations of health worker meanings regarding subsistence and employment.
- To understand the relationship between economic factors and job satisfaction in public healthcare settings.
- To explore how organizational culture influences health worker perceptions and behaviors.
Summary:
- Subsistence relations, particularly inadequate payment, result in economic dissatisfaction and alienation from work among health professionals.
- Job stability, paradoxically, contributes to disengagement and a tendency to transgress established standards.
- Findings suggest these factors impact self-governance within Brazilian public hospitals.
Impact:
- Highlights the detrimental effects of economic precarity on healthcare workforce morale and performance.
- Provides insights into the complex interplay between financial incentives, job security, and employee behavior in public health.
- Informs potential strategies for improving organizational culture and worker well-being in public hospitals.
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