Trabalho Submetido para Avaliação - 15/05/2012 10:49:09 REFLECTIONS ABOUT THE WORK, THE KNOWLEDGE AND THE NURSING PROFESSION LETÍCIA MARTINS MACHADO ([email protected]) / Técnico em Enfermagem/Centro Universitário Franciscano, Santa Maria-RS ORIENTADOR: DAIANY SALDANHA DA SILVEIRA DONADUZZI ([email protected]) / Mestrado em Enfermagem/Universidade Federal de Santa Maria, Santa Maria-RS JUNIARA DIAS DOS SANTOS ([email protected]) / Graduação em Enfermagem/Universidade Federal de Santa Maria, Santa Maria-RS JULIANA SILVEIRA BORDIGNON ([email protected]) / Graduação em Enfermagem/Universidade Federal de Santa Maria, Santa Maria-RS Palavras-Chave: Work; Knowing in Nursing, Nursing The work is a process that involves the man and the nature, in which the human being with their own action, promotes, regulates and controls their material intercourse with the nature, appropriating its resources and giving them useful forms to human life. Thus, human labor is not instinctive, since the man consciously idealizes his product prior to its construction, acting not only transforming the object upon which he operates, but also printing the project that was idealized1. In Brazil, the first theories about the work process in health emerged in the 1970s, from the Marxist theory of work that influenced and determined the work process in health and Nursing practices. Historically, the Nursing follows the biomedical model of health care, with an appreciation of the techniques and procedures performed according to medical therapy, division of tasks, routines established or protocoled, fragmentation of care and of the hierarchization. Regarding to the performance of Nurse, it is increasingly noticed the needing of a break with the model above mentioned, since the conception of the reality, based only on medical standards of rationality does not support the multiple issues that surrounding the human being, intensifying thus, the needing of to modify the mode of action of the professionals, such as the Nursing. This movement is essential to promote new knowledge and lead to new continuous actions, in the word nurse. Accordingly, the work of Nurse as a process was discussed, with the existence of more than one work process, which may or may not be executed simultaneously, namely: watch, manage, teach, research and to participate politically2. Whatever the process of work performed, Nurses' actions, when based on scientific knowledge, is valued and recognized when it provides the respect among health professionals, team reliability, meeting needs and solving the problems for the customers and of the institutional organization, and even when there are social and financial return from the rational and effective action of the profissional3. From this perspective, is that currently, the Nurse profession has the foundation of care based on scientific knowledge, in the constant seek for knowing/doing with epistemological basis, providing in this way, a greater visibility to the profession and of the professional Nursing. The nursing knowledge, an instrument used to perform its work, should be effectively consolidated and occupy an sociopolitical space that allows to show its potential, promoting open discussion, raising critical awareness of each professional in relation to the daily construction of being, knowing and doing. This reflects on the recognition and appreciation among the own professionals, clients and institutions, resulting in visibility to the profession and its insertion into the sociopolitical context, once the policy is part of human life, and it permeates all human activities in integral time4. Thus, it must be considered insufficient the professionals only seek and apply their knowledge for the purpose of equivalence in labor market, but strive to build a creative formative of identity and representation visible in various social spheres, achieving the full recognition of the profession, participating in health policies and building the process of being Nursing4. Approaching these considerations of work in health, it is seen that the formation has a crucial role in building this new knowledge. Through education is possible to form encouraged professionals in have social commitment and also to participate actively in the social transformations that the society current needs, seeking for the space that the Nursing must occupy, exercised through critical, reflective and active citizens in defense of life. In this sense, it is worth to emphasize that Nurses have knowledge and skills to unite the functions of care, education and management in primary, secondary and tertiary levels, and in the context of collective health, taking responsibility for the conduction of the staff, management of the health unit, programs and processing of the interdisciplinary work5. From these considerations, it is understood that the Nurses, in the same way that requires recognition of their technical knowledge, also need appreciation for their care management, being able to act in different ways to achieve and think health actions5. Therefore, the Nurses should become an agent of change, innovative, creative and subsidized by the knowledge of how the health issues are determined, to rethink the reality in which they are inserted, politically inferring in these issues and mobilize people with whom coexists and interacts, since a depoliticized man misunderstands the world where he lives and is easily manipulated by those who hold the power5. Therefore, the Nurses have the necessary tools for identity, appreciation, knowledge/recognition and visibility of their profession. It is up to these professionals to understand that is necessary to spread the knowledge of their actions and their significance for human beings care, for the institutions and, consequently, for the society. REFERÊNCIAS: Marx K; O capital, crítica da economia política.; Rio de Janeiro; Bertrand Brasil; 1989. Sanna MC; Os processos de trabalho em enfermagem.; Rev. Bras. Enferm.; 60; 221-4; 2007. Baggio MA, Eermann AL; (In)visibilidade do cuidado e da profissão de enfermagem no espaço de relações.; Acta Paul Enferm.; 23; 745-50; 2010. Dal Pai D, Schrank G, Pedro ENR.; O enfermeiro como ser sociopolítico: refletindo a visibilidade da profissão do cuidado.; Acta Paul. Enferm.; 19; 82-7; 2006. Persegona KR, Lenardt MH, Rocha DL, Zagoneli IPS; O conhecimento político na atuação do enfermeiro.; Esc. Anna Nery Rev. Enferm; 13; 645-50; 2009.