(in English): The work deals with issue of social worker's role in hospital from point of view of medical social workers working with senior citizens. In theoretical part is presented profession of medical social worker and its specifics in Czech Republic: history, legislation, education, competences and a role of medical social worker in multidisciplinary team. It is focused also on health care and social services provided to the target group of senior citizens in our country. Practical part is focused on presentation and interpretation of data gained from qualitative research which was realized by semi-structural interviews with medical social workers in chosen faculty hospitals in Prague. Keywords (in English): social work in health care, medical social worker, senior citizens, social services, health care services

I en granskning av kvinnorsoch mäns arbetsvillkor framgår att för höga krav och begränsade resurser bidrar till sämre psykisk och fysisk hälsa. Kunskapsläget rörande specifikt kvinnor och män, inom specifika branscher ärdockrelativt oklart. Detrelaterar till att enskilda studierinte studerar sambandet mellan krav och resurser och hälsan separat för kvinnor och män.Syftet med denna studie var attundersöka sociala strukturer och arbetsvillkor för kvinnliga respektive manliga mellanchefer.För att undersöka skillnader i kvinnors och mäns arbetsvillkor genomfördes sjukvalitativa intervjuermed mellanchefer inomkommunal sektor. Skillnaderna förståsgenom undersökning av de sociala strukturer som går att utläsa i arbetsdelningen mellan kvinnor och mänsamt vilka skillnader på krav och resurser som upplevs av kvinnor respektive män. Vidare undersöks hur skillnaderna påverkar arbetsplatshälsan.Det empiriska resultatet visar att sociala strukturer, såsom genusordningenoch socialt konstruerade könsroller påverkar uppfattningen om kvinnligt och manligt beteende.Framställningen av kvinnan ger uttryck för de mönster av dagliga aktivitetersom styr vårt sociala arrangemang.Därmed påverkas uppfattningarna av krav och resurser, de kvantitativa kraven är de mest framträdande och då framförallt hos de kvinnliga respondenterna. De har fler underställda och förväntas varamer känslomässigt involverade. Det i sin tur påverkar den arbetsplatsrelaterade hälsan, tre av fyra kvinnliga respondenter har varit sjukskrivna på grund av stress under sin tid som mellanchef. Genomgående uppmärksammas olikafokus hos de manliga och kvinnliga respondenterna,kvinnornas fokus ligger på mjuka värden i större utsträckning.I jämförelse mellan de kvinnliga och manliga respondenterna går det att utläsa att kraven är större på kvinnorna, kontrollen en aning mindre och det sociala stödet inte lika omfattande. / In anexamination ofwomen’s and men’s work conditions it appears thattoo high demands and limited resources contribute to poorer mentaland physical health. However, the state of knowledge concerning specifically women and med in specificindustries is relatively unclear. It can relateto the fact that individual studies do not study the relationship between requirements and resources and health separately for women and men.The aim of this study was toexamine social structures and working conditions for women and men, respectively.Toinvestigate differences in women’s and men’s working conditions, seven qualitative interviews were conducted with middle managers in the municipal sector. The differences are understood through av examination of the socialstructures that can be made visible in the division of labor between women and menand howwomen and menexperiencedifferences in demandsand resources. Furthermore,it is investigated how the differences affect workplace health.The empirical resultsshow that social structures, such as the gender order and socially constructed gender roles, influence the perception of female and male behavior. The representation of women expresses the patterns of daily activities that govern our social arrangement.Thus, perceptions are affected by requirements and resources, the quantitative requirements are the most prominent, especially among the female respondents.They have more subordinates and are expected to be more emotionally involved.This in turn affects workplace-related health, three out of four female respondents have been on sick leave due to stress during their time as middle manager.Throughout, different focus is paid to by the male and female respondents, the women's focus is on soft values to a greater extent.In a comparison between the female and male respondents, thedemands are greater on women, the control is slightly less, and the social support is not as extensive.

I denna enkätstudie som genomförts på nitton personer som arbetade inom förskolan, kom det fram att förskolepersonal upplevde att de arbetade utefter upplevda förväntningar där de prioriterade sina kollegors och barnens hälsa framför sin egen. Det kom även fram att några av dem hade svårt att koppla av från sitt arbete när de kom hem och var lediga eller sjuka. Några av informanterna uppgav att de hade svårt att bedriva sina arbeten då de upplevde att deras arbeten hade så många kringliggande arbetsuppgifter som exempelvis att tvätta, diska, montera upp saker och dokumentera men även att det hände så mycket oförberedda saker så att de fick lägga mycket av sin arbetstid på att vara problemlösare istället för att bedriva vad de uttryckte som sitt huvuduppdrag att bedriva pedagogisk undervisning. Många av informanterna uppgav att de arbetade utifrån avsaknaden av känslan att få vara med och påverka sina verksamheter samt avsaknad av KASAM det vill säga upplevelsen av begriplighet, hanterbarhet och meningsfullhet i sitt arbete och genom svaren kunde detta bidra till ohälsa hos förskolepersonalen.Då studiens syfte varit att se om avsaknaden av att kunna påverka sitt arbete relaterade till ohälsa hos personalen så visade det sig hos informanterna att det till stor del hade ett samband, vilket även annan forskning tidigare påvisat.Nyckelord: / In this survey based on nineteen people working in preschool it emerged that the preschool staff felt that they were working according to perceived expectations where they prioritized the health of their colleagues and children’s health over their own. It also emerged that some of them had difficulty relaxing from their work when they came home and were free or sick. Some of the informants stated that they had difficulty doing their work because they felt that their work had so many related tasks such as washing clothes, washing dishes, assembling things and documenting, but also that so much unprepared things happened that they had to spend a lot of their worktime being problem solvers instead of pursuing what they expressed as their main mission to conduct educational teaching. Many of the informants stated that they worked based on the lack of the feeling of being able to influence their activities as well as the lack of SOC, Sense of Coherence, that is the experience of comprehension, manageability, and meaningfulness in their work and through the answers this could contribute to ill health among preschool staff.Since the aim of this study was to see if the lack of being able to influence their work related to ill health among the staff, it turned out from the informants that it was largely related, as other research has previously shown.

The majority of literature on the work-family interface has focused on, and provided evidence of, the conflict associated with engagement in both work and family roles (Eby, Casper, Lockwood, Bordeaux, & Brinley, 2005). Research examining the positive aspects of work and family participation remains limited. The current study investigated how work-family positive spillover is transferred between members of the supervisor-employee dyad and subsequently how this affects employee sleep outcomes. It was hypothesized that work-to-family affective positive spillover experienced by supervisors would crossover to employees and increase their experiences of work-to-family affective positive spillover. In turn, this would allow for better employee sleep. It was also proposed that these relationships would depend on the level of employee perceptions of family-supportive supervisor behaviors (FSSB), such that higher levels of FSSB would result in higher levels of employee positive spillover and better employee sleep. As part of a larger study, survey data were collected in a sample of 696 workers supervised by 180 managers in the information technology sector. Contrary to expectations, results indicated that supervisor positive spillover was negatively related to employee positive spillover. Furthermore, FSSB moderated the association between supervisor positive spillover and employee sleep duration, such that the relationship between supervisor positive spillover and employee sleep duration was positive under high levels of FSSB, but negative under low levels of FSSB. Again, this finding was contrary to expectations. Alternative explanations are discussed.

Bakgrund: Digitaliseringen har ökat snabbt de sista åren, vilket ställer krav på flexibilitet och anpassningsförmåga. Psykisk ohälsa som ångest, depression och utmattning har under senare år blivit den vanligaste orsak till sjukfrånvaro i Sverige och det leder ofta till långa sjukskrivningar. Anställdas hälsa kan främjas av företagen genom att erbjudas olika hälsospecifika program, aktiviteter och åtgärder samt genom att bilda en väl fungerande arbetsorganisation som är fördelaktig för produktivitet, välbefinnande och hälsa. Syfte: Att undersöka medarbetares upplevelser av att använda sig av en mobil applikation, GOOZO, som är inspirerad av gamifiering, för att främja den arbetsrelaterade hälsan. Metod: En explorativ fallundersökning med en induktiv ansats. Nio semistrukturerade intervjuer har genomförts med HR-personal och medarbetare i en organisation som har implementerat ett digitalt hälso- och personalstrategiskt verktyg. Analys av datan har gjort med en kvalitativ innehållsanalys. Resultat: Fyra kategorier med tillhörande underkategorier har framkommit. Dessa är individuella motiv för användning, social gemensakp, arbetsgivarens engagemang och appens funktionalitet. Slutsats: Att använda en digital applikation för att främja den arbetsrelaterade hälsan kan vara ett bra sätt att uppmärksamma hälsans betydelse. Gamifiering är också ett bra sätt för att öka den sociala gemenskapen på arbetsplatsen, då aktiviteter med tävlingsinriktning kan engagera medarbetare. Resultat av studien bidrar till att uppfylla de globala målen 3, 8 och 10 i FN:s Agenda 2030. / Background: Digitization has increased rapidly in recent years, which places demands on flexibility and adaptability. Mental illness such as anxiety, depression and fatigue have in recent years become the most common cause of sick leave in Sweden and this often leads to long sick leave. Employees’ health can be promoted by companies by offering various health-specific programs, activities and measures and by forming a well-functioning work organization that is beneficial to productivity, well-being and health. Purpose: To investigate employees' experiences of using a mobile health application, GOOZO, as inspired by gamification, to promote work-related health. Method: An exploratory case study with an inductive approach. Nine semi-structured interviews were conducted with HR staff and employees at an organization that has implemented a digital health and personnel strategic tool. Analysis of the data has been done with a qualitative content analysis. Result: Four categories with associated subcategories have emerged. These are individual motives for use, social co-operation, the employee's commitment and the application’s functionality. Conclusion: Using a digital application to promote work-related health can be a good way to draw attention to the importance of health. Gamification is also an incentive to increase the social coherence at the workplace, as activities with a competition focus can engage employees. The results of the study contribute to meeting the global Goals 3, 8 and 10 of the UN Agenda 2030.

Made available in DSpace on 2014-12-17T15:38:44Z (GMT). No. of bitstreams: 1 DaniloCTL.pdf: 443940 bytes, checksum: d43c74f20d1acda992d023f9ea017bd8 (MD5) Previous issue date: 2009-03-13 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This study aims to map the working process in the health area starting from the meeting between the family and health teams and mental trouble carriers./MTC. The area of research was the Family Health Unit of Ozeas Sampaio, which is located in the county of Teresina-PI. As regard to the methodology procedure, we used a semi-structured interview timetable, aimed to detail the care practices, admittance and diagnostics that those teams realize with their users. Three teams of eleven workers each were interviewed. There was a doctor, a nurse and two health community agents in each team. The other tools we used were a camp logbook, in which we wrote down some informal dialogs, daily observations and feelings of the unit, and also the accompaniment of the staffs in house calls as well as the weekly meetings in the unit. Those meetings allowed us the construction of two analytic axes: 1) description of the establishment (Family Health Unit) of the organization, (municipal foundation of health and the service network), and the institutions and practice of health. 2) Analysis of the meetings between the worker and the user of Mental Trouble Carriers. In the first axis, we verified the repetition of the working logic focused on jobs in the hospital with the maintenance of the hierarchical relations between worker and the work processes which dissociate management and watchfulness in health care. We identified the lack of physical structure, the lack of self-confidence of the worker in the attention of the mental health care. At the second axis, we assess that the meetings, at the Family Health Unit (FHU) or at the dwelling of the users cause nuisance, discomfort and anxiety to the workers because they deal with issues that go beyond what is named as being the health order such as life stories, family conflicts, unemployment, hunger, sexual and psychological violence. As a matter of fact, they involve difficulties for having new relationships, reception and responsibility for this request / Esse estudo objetiva cartografar os processos de trabalho em sa?de produzidos a partir dos encontros entre trabalhadores de equipes de Sa?de da Fam?lia e usu?rios portadores de transtornos mentais/PTM s. O campo de pesquisa foi a Unidade de Sa?de da Fam?lia (USF) Ozeas Sampaio, localizada no munic?pio de Teresina-PI. No que concerne aos procedimentos metodol?gicos, utilizamos um roteiro de entrevista semi-estruturado visando cartografar as pr?ticas de cuidado, acolhimento e diagn?stico que essas equipes realizam com esses usu?rios. Foram entrevistados onze trabalhadores de tr?s equipes diferentes, dentre eles um m?dico, um enfermeiro e dois agentes comunit?rios de sa?de de cada equipe. Outras ferramentas utilizadas foram um di?rio de campo, em que registramos di?logos informais, observa??es e sensa??es ocorridas no cotidiano da unidade; e tamb?m o acompanhamento ?s equipes em visitas domiciliares e ?s reuni?es semanais na unidade. Esses encontros possibilitaram a constru??o de dois eixos anal?ticos: 1) Mapeamento do estabelecimento (USF), da organiza??o (Funda??o Municipal de Sa?de e a rede de servi?os) e das institui??es e pr?ticas em sa?de; 2) An?lise dos encontros entre trabalhador e usu?rio PTM s. No primeiro eixo, verificouse a repeti??o da l?gica de trabalho hospitaloc?ntrico, com a manuten??o de rela??es hier?rquicas entre trabalhadores e de processos de trabalhos que dissociam gest?o e aten??o em sa?de. Identificamos a falta de estrutura f?sica, de capacita??o e de empoderamento dos trabalhadores para o cuidado em sa?de mental. No segundo eixo, observamos que os encontros, sejam na USF, sejam nas resid?ncias dos usu?rios, provocam nos trabalhadores inc?modo, desconforto e ang?stia, por lidarem com quest?es que v?o para al?m do que se especifica como sendo da ordem da sa?de, como as hist?rias de vida, conflitos familiares, desemprego, fome, viol?ncia f?sica, psicol?gica e sexual. Fato esse, que implica em dificuldades para cria??o de v?nculos, acolhimento e responsabiliza??o por essa demanda

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Esse trabalho tem como perspectiva colocar em análise o modo pelo qual os movimentos sociais vêm abordando as questões da saúde do trabalhador docente em suas lutas, não apenas como ausência de doença, mas como um estado em que a saúde rompe com os limites do previsível. Estabelecemos como foco de análise a atuação dos movimentos sociais em educação, em especial o Fórum Nacional em Defesa da Escola Pública na LDB, como um espaço/tempo de proposição e articulação do movimento que busca, para o trabalho docente, a saúde. Trazemos como questão a tensão entre o modelo de gestão presente na atualidade e a proposta de gestão apresentada pelos movimentos que vinculavam a emergência dos conselhos de participação social como uma forma de intensificar a implementação de um Estado democrático. Retomar o processo de aprovação da LDB é retomar um processo de lutas e de golpe na vida dos educadores, por isso nosso interesse em buscar saídas, espaços de tensão onde os movimentos estão presentes, onde a saúde prevalece. / The perspective of this paper is to analyze the approach of the social movements toward the health issue regarding the education worker. In this context health is not only the absence of illness, but a complex state of health that goes further the limits of the predictability. Ours foci are social movements that are connected with the theme of education, moreover we are going to concetrate our attention on the National Forum in Defense of the Public School in LDB (Forum Nacional em Defesa da Escola Pública na LDB). Those fori are considered as locus/time for the proposition and the articulation of the general struggle for the health of the teaching worker. We put in light the tension between the on going management model and the model presented by social movements creadle of the social participation groups toward the intensification of the implementation of a democratic State. In our perspective, going back to the process of approvement of the LDB is equivalent to revisit the process of struggle and losses in the life of education professionals. This fact justifies our interest in the search of ways out and controversies within the movements that regard the topic of health.

Bakgrund: På grund av psykiatriska diagnoser ökar den arbetsrelaterade ohälsan. Genom att arbeta förebyggande och främjande på arbetsplatsen, kan den arbetsrelaterade hälsan stärkas och utvecklas. Med tanke på att ett hälsofrämjande fokus har stark koppling till arbetseffektivitet, behöver detta hälsoarbete framhävas. Av bakgrund till att flyktingströmmen 2015 resulterade i en hög arbetsbelastning för integrationsarbetare, fann denna studie ett intresse av att studera hälsofrämjande inslag på en kommunal mottagningsenhet för nyanlända. Syfte: Att studera om de anställda på en mottagningsenhet för nyanlända upplevde hälsofrämjande faktorer på sin arbetsplats. Metod: Studien genomfördes med hjälp av en kvalitativ metod. Intervjuer på nio heltidsanställda fick representera resultatet. Intervjuerna transkriberades och analyserades med en innehållsanalys. Resultat: Arbetsuppgifter, social gemenskap, möjlighet till delaktighet, kompetensutveckling, ledarskap samt dagliga hälsofrämjande aktiviteter på arbetstid visade sig vara betydande hälsofrämjande faktorer på arbetsplatsen. Konklusion: Faktorerna genomsyrade en hälsofrämjande karaktär eftersom de kunde kopplas till känsla av sammanhang, savoring och empowerment. Det konkluderades att upprätthållandet av faktorerna är viktigt, med tanke på att de kan påverka de anställdas hälsa positivt. Fortsättningsvis är det av stor vikt att de här faktorerna stärks och upprätthålls för att möjliggöra ett gott integrationsarbete. / Background: Work related illness is based on the growth of psychiatric diagnosis. By working preventive and promotive in the workplace, the work related health can be strengthened and developed. Given that workplace health promotion has a strong link to work effectiveness, this health work needs to be emphasized. Due to the fact that the 2015 refugee flow resulted in a high workload for integration workers, this study found an interest in studying health promotion features at a municipal receiving unit for new arrivals. Purpose: To study whether employees on a receiving unit for new arrivals experienced health promotive factors at their workplace. Method: The study was implemented by using a qualitative method. Interviews of nine fulltime employees represented the results. The interviews were transcribed and analyzed with a content analysis. Results: Work task, social community, opportunity for participation, capacity building, leadership and daily health promotion activities at work time was proven to be substantial health promoting factors at the workplace. Conclusion: Because of the linkage to sence of coherence, savoring and empowerment, the activities were related as health promotive factors. The factors are important given that they can positively improve employee health. Henceforth it is vital that these factors can be strengthened and maintained to promote integration work.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Esse trabalho tem como perspectiva colocar em análise o modo pelo qual os movimentos sociais vêm abordando as questões da saúde do trabalhador docente em suas lutas, não apenas como ausência de doença, mas como um estado em que a saúde rompe com os limites do previsível. Estabelecemos como foco de análise a atuação dos movimentos sociais em educação, em especial o Fórum Nacional em Defesa da Escola Pública na LDB, como um espaço/tempo de proposição e articulação do movimento que busca, para o trabalho docente, a saúde. Trazemos como questão a tensão entre o modelo de gestão presente na atualidade e a proposta de gestão apresentada pelos movimentos que vinculavam a emergência dos conselhos de participação social como uma forma de intensificar a implementação de um Estado democrático. Retomar o processo de aprovação da LDB é retomar um processo de lutas e de golpe na vida dos educadores, por isso nosso interesse em buscar saídas, espaços de tensão onde os movimentos estão presentes, onde a saúde prevalece. / The perspective of this paper is to analyze the approach of the social movements toward the health issue regarding the education worker. In this context health is not only the absence of illness, but a complex state of health that goes further the limits of the predictability. Ours foci are social movements that are connected with the theme of education, moreover we are going to concetrate our attention on the National Forum in Defense of the Public School in LDB (Forum Nacional em Defesa da Escola Pública na LDB). Those fori are considered as locus/time for the proposition and the articulation of the general struggle for the health of the teaching worker. We put in light the tension between the on going management model and the model presented by social movements creadle of the social participation groups toward the intensification of the implementation of a democratic State. In our perspective, going back to the process of approvement of the LDB is equivalent to revisit the process of struggle and losses in the life of education professionals. This fact justifies our interest in the search of ways out and controversies within the movements that regard the topic of health.

Dissertação(mestrado) - Universidade Federal do Rio Grande, Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, 2008. / Submitted by eloisa silva (eloisa1_silva@yahoo.com.br) on 2012-12-04T18:38:21Z No. of bitstreams: 1 aceliaines.pdf: 755584 bytes, checksum: eb903ca62cd88d8be08ce7b307610cc9 (MD5) / Approved for entry into archive by Bruna Vieira(bruninha_vieira@ibest.com.br) on 2012-12-06T03:56:40Z (GMT) No. of bitstreams: 1 aceliaines.pdf: 755584 bytes, checksum: eb903ca62cd88d8be08ce7b307610cc9 (MD5) / Made available in DSpace on 2012-12-06T03:56:40Z (GMT). No. of bitstreams: 1 aceliaines.pdf: 755584 bytes, checksum: eb903ca62cd88d8be08ce7b307610cc9 (MD5) Previous issue date: 2008 / O processo de cuidar é a essência do trabalho e do saber da enfermagem, e o Processo de Enfermagem (PE) é um recurso metodológico que possibilita ao enfermeiro aplicar os conhecimentos técnico-científicos que caracterizam sua prática profissional. Realizou-se uma revisão teórica, abordando questões administrativas no contexto do trabalho da enfermagem, a liderança nas inter-relações de trabalho nas organizações, bem como aspectos relevantes do processo saúde-doença-cuidado e os processos de trabalho em saúde e enfermagem, com ênfase na Sistematização da Assistência de Enfermagem (SAE), além dos fundamentos teóricos e etapas do PE preconizado por Wanda de Aguiar Horta. Este estudo descreve a construção de um modelo de PE. Teve como objetivo desencadear junto à equipe de enfermagem o processo de construção, implantação e implementação do PE para pacientes de cirurgia cardíaca. Este instrumento contribui para o enfermeiro administrar o trabalho e liderar a equipe de enfermagem. Para tanto, foram desenvolvidas as seguintes etapas: coleta de dados, com vistas a identificar problemas e estabelecer os diagnósticos de enfermagem; elaboração dos protocolos de cuidados de enfermagem para diagnósticos específicos de pacientes em pré e pós-operatório de cirurgias cardíacas; cadastramento e inclusão dos protocolos elaborados no software do sistema de intranet institucional para a geração da Prescrição de Enfermagem Informatizada (PEI) para pacientes internados em Unidades de Internação do Hospital de Cardiologia e Oncologia Dr. Pedro Bertoni. A abordagem metodológica utilizada foi a pesquisa convergente-assistencial proposta por Trentini e Paim. Para tanto, realizou-se um estudo preliminar de adequação do PE com as enfermeiras envolvidas, quando, então, foram elaborados os protocolos de cuidados de enfermagem para os principais diagnósticos de enfermagem presentes no paciente cardíaco cirúrgico, durante o pré e pós-operatório mediato, no intuito de subsidiar o planejamento do cuidado nestes períodos, os quais foram testados durante os meses de maio a setembro e validados. Estes protocolos constituem o conteúdo que alimenta o software, o qual foi construído pelo Setor de Informática da Instituição, que permite acessar o prontuário dos pacientes internados e, com base nos diagnósticos presentes, selecionar os protocolos de cuidados necessários, que foram cadastrados e padronizados no sistema de intranet, gerando a PEI, como forma de orientar o trabalho assistencial e registrar e documentar os cuidados de enfermagem implementados. Também, realizaram-se entrevistas com as enfermeiras que participaram do processo de construção, implantação e implementação do PE, analisando a sua percepção em relação à SAE, ao PE, à PEI como recursos ao exercício e desempenho de aptidões pessoais e profissionais do enfermeiro para administrar o trabalho e liderar a equipe de enfermagem na organização, realização e avaliação do trabalho da enfermagem. O processo de análise permitiu evidenciar que o enfermeiro é o protagonista da equipe e o líder na organização do trabalho. Os resultados deste estudo mostram que a SAE desenvolvida pelas enfermeiras, implantada e implementada é uma ferramenta de trabalho que unifica a linguagem e as ações de enfermagem e cuidados prestados, dando maior valorização ao serviço de enfermagem, pois torna visível o trabalho da equipe de enfermagem, quantifica suas ações e qualifica o atendimento. / The caring process is the work essence and the nursery knowledge and the Nursery Process (NP) is a methodological instrument that makes possible the nurse inserts the scientific/technical knowledge that is characteristic of their professional practicing. It was made a theorical revision, taking administrative questions in the nursery work context, the leadership in the work inter-relationships in organizations, as well relevant aspects of the health/sickness/care process and the wok processes in health and nursery, with emphasis on the Nursery Assistance Systematization (NAS), besides theorical fundaments and NP’s steps recognized by Wanda de Aguiar Horta. This present study describes a NP model construction. Together with the nursery team, it had as its goal, to have the construction, NP implantation to patients who needed a cardiac surgery, during their time in the hospital, as an instrument to the nurse administrates the work and lead the nursery team. The next steps were developed for that: data picking, visits to identify problems and to establish nursery diagnostics; nursery care protocol elaboration to patients’ specific diagnostics before and after cardiac surgery, electing and inclusion of elaborated protocols in the institutional intranet system software to form the Technological Nursery Prescription (TNP) to integrated patients in Units of Doctor Pedro Bertoni Oncology and Cardiology Internal Hospital. The methodological collection which was used was the convergent-assistance research proposed by Trentini e Paim. It was made a preliminary study of NP collocation with the involved nurses, when, then, were elaborated the nursery care protocols to the mains nursery diagnostics present in the cardiac surgery patient, before and after the late operation, with the goal of subside the care planning in these periods, which were tested and validated during the may and september months. These protocols build the content the feeds the software, which was build by Institution Technological Sector, that allows to access the internal patients’ form and, based on present diagnostics, to select the necessary care protocols, that was put and patterned in the intranet system, forming TNP, as a way to guide the assistance work and to register and to prove the implanted nursery cares. Also, interviews with the nurses who participate of the construction process, NP implantation were made, analyzing their perception towards NAS, NP and TNP as instruments to the exercise and the nurse professional and personal talents work to administrate the work and to lead the nursery team in the nursery work organization, realization and evaluation. The analysis process allowed to point that the nurse is the team protagonist and the leader in the work organization. The study results show that the NAS implanted and developed by the nurses is a work tool the unifies the language and nursery actions and given cares, with more valorization to the nursery service, because it makes the Nursery Team work visible, quantifies their actions and qualifies the assistance. / El proceso de cuidar es la esencia del trabajo y del saber de enfermería y el Proceso de Enfermería (PE) es un recurso metodológico que permite al enfermero aplicar los conocimientos técnico-científico que caracterizan su práctica profesional. Fue realizada una revisión teórica, abordando cuestiones administrativas en el contexto del trabajo de la enfermería, el liderazgo en las interrelaciones de trabajo en las organizaciones, así como los aspectos relevantes del proceso salud-enfermedad-cuidado y los procesos de trabajo en salud y enfermería, con énfasis en la Sistematización en la Asistencia de Enfermería (SAE), además de los fundamentos teóricos y las etapas del PE preconizado por Wanda de Aguiar Horta. Esto trabajo describe la construcción de un modelo de PE. Tuve como objetivo desencadenar junto con la equipo de enfermería el proceso de construcción, implementación y la aplicación de la PE para los pacientes de cirugía cardiaca durante la internación hospitalar, como una herramienta para el enfermero administrar el trabajo y liderar el equipo de enfermería. Para tanto, fueran desarrolladas las siguientes etapas: recogida de los datos, con fin de determinar los problemas y establecer el diagnóstico de enfermería; elaboración de los protocolos de la atención de enfermería para diagnósticos específicos de los pacientes en pre y postoperatorio de cirugía cardiaca; registro y la inclusión de los protocolos utilizados en el software del sistema de intranet para la generación de la Prescripción de Enfermería Informatizada (PEI) para los pacientes hospitalizados en las Unidades de Internación del Hospital de Cardiología y Oncología Dr. Pedro Bertoni. El abordaje metodológico utilizado fue la búsqueda convergente-asistencial propuesta por Trentini y Paim. Para tanto, fue utilizado un estudio preliminar de adecuación del PE con las Enfermeras participan, cuando entonces, fueran elaborados los protocolos de cuidado de enfermería para los principales diagnósticos de enfermería en el paciente en cirugía cardiaca, durante el pre y postoperatorio tardío, con fin de subsidiar la planificación del cuidado en esos períodos, los cuales fueran testados durante los meses del mayo a septiembre, y validados. Estos protocolos constituyen el contenido que alimenta el software, que fue construido por la División de Informática de la Institución, que permite el acceso a al prontuario de los pacientes internados y, con base nos diagnósticos presentes, seleccionar los protocolos del los cuidados necesarios, que fueran registrados y normalizados en el sistema de intranet, generando la PEI, como manera de orientar el trabajo asistencial y registrar y documentar los cuidados de enfermería implementados. También, fue realizado entrevistas con las enfermeras que participaron en el proceso de construcción, implementación y aplicación de la PE, analizando su percepción a respecto a la SAE, el PE, al PEI como recursos al ejercicio y el desempeño de las competencias personales y profesionales del enfermero para administrar y liderar el trabajo del equipo de enfermería en la organización, ejecución y evaluación del trabajo de la enfermería. El proceso de análisis permitió evidenciar que el enfermero es el protagonista del equipo y el líder en la organización del trabajo. Los resultados de este estudio muestran que la SAE desarrollada por las enfermeras, implantada e implementada es una herramienta de trabajo que unifica el lenguaje y las acciones de enfermería y de cuidados prestados, dando más valor al servicio en la enfermería, pues hace visible el trabajo del Equipo de Enfermería, cuantifica sus acciones y califica el servicio.