Ação de vigilância em acidentes do trabalho com o uso Modelo de Análise e Prevenção de Acidentes (MAPA) em Piracicaba/SP
Carregando...
Arquivos
Data
2016-01-28
Autores
Buoso, Eduardo [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Estadual Paulista (Unesp)
Resumo
A Vigilância em Saúde do Trabalhador - VISAT no Brasil foi estruturada como papel do Estado, atribuindo a responsabilidade ao Sistema Único de Saúde - SUS. Atualmente a Rede Nacional de Atenção em Saúde do Trabalhador – RENAST está presente nos Municípios por meio de seus Centros de Referência em Saúde do Trabalhador – CEREST, que são os responsáveis por atuar nas três dimensões de intervenção: as causas do risco ou adoecimento; sobre situações de exposições e sobre as consequências ou impactos de saúde. O CEREST de Piracicaba/SP testou e utiliza para investigação de acidente do trabalho o Modelo de Análise e Prevenção de Acidentes (MAPA). O autor se propõe a avaliar a apropriação dos conceitos da ferramenta pela equipe, adesão ao uso e resultados alcançados nas intervenções com enfoque qualitativo pela revisão de processos internos, entrevistas e revisão bibliográfica. Como resultado foi evidenciado a incorporação heterogênea de todos os conceitos utilizados pelo MAPA, com maior avanço de alguns agentes de vigilância que se aproximaram do meio acadêmico. Houve evolução de toda equipe para a multicausalidade do acidente, incorporando a teoria de que o acidente tem história e contexto e que o trabalhador nem sempre tem o poder de decisão sobre o processo em que está inserido, ultrapassando o limite das disciplinas clássicas, desvendando a complexidade das relações de trabalho. Foram evidenciadas diversas limitações que influenciaram na incorporação da ferramenta levando a baixa adesão ao uso cotidiano. Esse estudo demonstra a capacidade da ferramenta em desvendar a multicausalidade dos eventos, tornando-se essencial ao processo de negociação com as empresas. Os resultados alcançados com o uso do MAPA têm relação com a experiência dos interventores e capacidade de negociação, os parceiros envolvidos e a capacidade de decisão dos gestores nas unidades em intervenção.
The Health Surveillance Worker - VISAT in Brazil was structured as state's role by assigning the responsibility to the National Health System - SUS. Currently the National Network of Care for Occupational Health - RENAST is present in the municipalities through its Worker Health Reference Centers - CEREST, who are responsible for acting in the three policy dimensions: the causes of risk or illness; ; about situations of exhibitions and on the coon the consequences or health impacts. The CEREST of Piracicaba / SP has tested and used to work Accident Investigation Model Analysis and Accident Prevention (MAPA). The author aims to evaluate the appropriation of tool concepts for staff, increase in the use and results achieved in interventions with qualitative approach by reviewing internal processes, interviews and literature review. As a result, evidenced heterogeneous incorporation of all the concepts used by the MAPA, with higher feed some surveillance officers who approached academia. There was an increase of the whole team for the multiple causes of the accident, incorporating the theory that the accident has history and context and that the worker does not always have the power of decision on the case in which it appears, exceeding the limit of the classical disciplines, revealing the complexity of labor relations. Several limitations were shown to influence the incorporation of the tool leading to poor adherence to daily use. This study demonstrates the tool's ability to unravel the multiple causes of events, making it essential to the negotiation process with the companies. The results achieved with the use of MAPA are related to the intervening experience and negotiating skills, the partners involved and the managers' decision-making capacity in the units’ intervention.
The Health Surveillance Worker - VISAT in Brazil was structured as state's role by assigning the responsibility to the National Health System - SUS. Currently the National Network of Care for Occupational Health - RENAST is present in the municipalities through its Worker Health Reference Centers - CEREST, who are responsible for acting in the three policy dimensions: the causes of risk or illness; ; about situations of exhibitions and on the coon the consequences or health impacts. The CEREST of Piracicaba / SP has tested and used to work Accident Investigation Model Analysis and Accident Prevention (MAPA). The author aims to evaluate the appropriation of tool concepts for staff, increase in the use and results achieved in interventions with qualitative approach by reviewing internal processes, interviews and literature review. As a result, evidenced heterogeneous incorporation of all the concepts used by the MAPA, with higher feed some surveillance officers who approached academia. There was an increase of the whole team for the multiple causes of the accident, incorporating the theory that the accident has history and context and that the worker does not always have the power of decision on the case in which it appears, exceeding the limit of the classical disciplines, revealing the complexity of labor relations. Several limitations were shown to influence the incorporation of the tool leading to poor adherence to daily use. This study demonstrates the tool's ability to unravel the multiple causes of events, making it essential to the negotiation process with the companies. The results achieved with the use of MAPA are related to the intervening experience and negotiating skills, the partners involved and the managers' decision-making capacity in the units’ intervention.
Descrição
Palavras-chave
MAPA, Acidente do trabalho, Ações de vigilância, Saúde do trabalhador, Occupational accident, Surveillance, Worker health