A reforma trabalhista e as mudanças no trabalho de uma organização em gestão de saúde: uma análise psicodinâmica

Abstract

This study aimed to analyze the experiences of administrative workers of a health management organization located in the Midwest region of Brazil, in relation to the impacts on their work from the labor reform effective since November 2017. This is a descriptive exploratory case study involving ten administrative workers. Data collection was carried out through document analysis and individual interviews both complemented each other. Data were analyzed using discursive analysis and clinical work analysis. The results were presented in three-article format. Article 1 entitled "The impacts of labor reform on labor relations: a bibliographic review". The purpose was to present the results from the bibliographic survey which addressed the effects and perspectives of labor reform after the implementation of Law No. 13,467/2017, it was decided to investigate the national articles published in CAPES/MEC Journal Portal. The results indicate that in these articles studied, factors involving new labor relations and the new functioning of the labor market are prioritized after the approval of the labor reform. Article 2, entitled "The impacts of Labor Reform on the Work Organization", an analysis of the effects of labor reform on work organization was performed, one of the central elements for the psychodynamics of work. The results show that there are different criteria in the organization for the distribution of machines and equipment and access to them. The effects of this new work organization, after labor reform contributed significantly to the process of precariousness at work, the reform contributed significantly to social vulnerability, putting at risk working conditions. Insecurity, fear of unemployment and work overload are constant among the organization's workers, since the hiring performed by the organization is through the model of legal entity Finally, Article 3, entitled "The experiences of workers of an organization in health management from the labor reform" which sought to understand the psychic aspects that are mobilized by workers from the new work relationships, identifying the experiences of pleasure and suffering at work and coping strategies. The experiences of pleasure are experienced by the participants through the presence of relative autonomy to develop tasks with freedom mainly linked to the power to act freely. Among the results, the experiences of suffering arising from the overload on workers prevail, impacting their mental health. This is violence to the worker's mental health related to pressure for results, invasion of private life, interfering in social and family life. The use of rationalization as coping strategies was detected as a way found by them to deal with the suffering arising from the finding of loss of labor rights and the lack of access to social security, resulting from this process of "pejotization". Although the submission appears to be short-term for maintaining employment, this did not promote a mobilization for transformative action, since the conditions that aggravate suffering remain in the organization