ABSTRACT
BACKGROUND: This article discusses expanded governance of territorial issues as the basis for a sustainable way of producing and commercializing, as well as the relevance of work analysis within this governance. This discussion is developed from the Functionality and Cooperation Economy approach and from Brazilian experiences of organic food production and community-based solid waste management. OBJECTIVE: To identify and analyze the relationship between territorial issues and work activities in initiatives that seek territorial solutions for food and waste management in order to reflect on a sustainable economic transition and its challenges. METHODS: This article presents a reflection, a posteriori, concerning the follow-up of two initiatives that seek a sustainable economy and that, facing territorial issues, adopted different economic strategies. The field of research, by which the intended reflections are guided, originated from two intervention projects conducted by two different research/intervention groups. RESULTS: Our study highlights how the central focus on the effects of work in a territory can support the development of reflexivity and, consequently, the production of transversal cooperation and the sharing of material and immaterial resources, thereby leading to multifunctional territorial solutions. CONCLUSION: This study presents how the co-construction of multifunctional territorial solutions, involving cooperation among different actors, can be developed by an analysis of the respective activities involved. This analysis confers centrality to real work in order to feed the governance devices and enable the development of relationships of trust, necessary for living and producing in harmony, along with the construction of conventions and dynamic cooperation.
Subject(s)
Waste Management , Humans , Solid Waste , BrazilABSTRACT
BACKGROUND: The need for participative approaches in design is a key concern for Ergonomics. There exists a vast array of philosophies and techniques which may come under the heading of participation, but several of these methods are indeed not really participatory in the real sense of the concept. OBJECTIVE: The aim of this study is to reveal the elements that allow an ergonomic simulation approach to be applied as a design process method centered on the work perspective and anchored on the participation concept. METHODS: This study is centered on the subsequent analysis of a case study: the design of an Onshore Collaborative Center (OCC), in the context of Integrated Operations (IO) of the oil industry. The simulation sessions were filmed and recorded, and a logbook of the progress of the design process was produced daily in order to preserve the memory of the case. RESULTS: The main result of the research highlights that simulation is a method capable of presenting work as an important factor in the transformation of the project, as well as in technical choices, in addition to opening space for different participants and their various perspectives. However, for it to be an effective method of participation, there is the need for a "back and forth" process between work analysis and simulation during the ergonomic simulation approach. CONCLUSION: This study showed which elements support the construction of ergonomic simulation as a method capable of structuring the participation in design process. For this, the simulation must be based on work analysis and articulate the knowledge of different actors for decision-making to allow for new developments while promoting the vision of work as an important decision variable in the design process.
Subject(s)
Ergonomics , Industry , Humans , Ergonomics/methods , Research Design , Knowledge , Computer SimulationABSTRACT
BACKGROUND: The treatment of bad actors consists of analyzing the most triggered alarms at a plant, seeking to make modifications that provide workers with more efficient and safer operational conditions. The consideration of plant operators' practical knowledge in these proposed changes is both an opportunity and a challenge, as specific conditions are required. OBJECTIVE: To present and discuss how an alarm management report (AMR) could support the treatment of bad actors by promoting structured debates on real work situations and its contribution in improving the solutions proposed by alarm management committees (AMCs). METHODS: Data from nine AMC meetings were gathered and parsed using qualitative content analysis to classify the kind of information that the AMC used to justify the proposed changes and how these changes were decided. RESULTS: More than 60% of the changes were justified by information provided by the AMRs, indicating broad application and adoption. However, our findings suggest that the structured debates addressed variability and emerging strategies and may consider entire subsystems instead of single alarms. CONCLUSION: The use of structured debates is feasible for the treatment of bad actors and is an appropriate option that includes operating experience feedback for alarm optimization in industrial facilities.
Subject(s)
Safety Management , Humans , Oil and Gas Industry , FeedbackABSTRACT
BACKGROUND: Activity ergonomics aims to include work variability into design process to enable various dimensions of use in projects. As design evolves with use, understanding its characteristics is essential to decipher real working requirements. However, situated design can be pluralistic and may lead to different interpretations than initially intended. OBJECTIVE: This paper aims at understanding the relationship between the designing phase of work systems and the situated task design in high uncertainty operations. METHODS: In an ergonomic work analysis, cargo handling operations were observed at offshore platforms, followed by discussions with workers. Two case studies were selected for the intervention process to demonstrate how workers dealt with high uncertainty tasks on site. RESULTS: Situated task design exhibited three main characteristics: (1) the project emerges from the situation; (2) it has an intentional and original character; and (3) it is situated in time and space to solve local problems. CONCLUSIONS: This combination is the essence of a microproject, which is a concept proposed in this paper. The design must provide resources not only to execute work but also to redesign the task on site.
Subject(s)
Ergonomics , Occupational Health , Humans , LiftingABSTRACT
Abstract The contribution of community health agents (CHAs) is strategic for overcoming the biomedical health model. However, weaknesses in defining the specific roles of this profession impose contradictions and impediments to this work, making it difficult to construct the professional world of CHAs. Thus, this study aimed to analyze the tasks performed by the CHAs to reveal the objects, values, and tools, used by these workers to help consolidate their professional world. This study is a qualitative research study guided by the principles of activity ergonomics that include documentary analysis, systematic observations, and interviews. The results showed that due to the myriad of activities performed by the CHAs, the professional world of these workers is not fully delineated. However, it is believed that the results, analysis, and discussion of the data verified in this research, can support the consolidation of the professional world of the CHAs.
Resumo A contribuição do trabalho dos ACS tem sido apontada como estratégica para superação do modelo biomédico de produção de saúde. No entanto, fragilidades na delimitação dessa profissão impõem contradições e impedimentos a esse trabalho, dificultando a construção do mundo profissional dos ACS. Este artigo tem como objetivo analisar as tarefas realizadas pelos ACS no intuito de revelar objeto, valores e ferramentas usadas por esses trabalhadores que ajudem na consolidação do seu mundo profissional. Trata-se de pesquisa qualitativa norteada pelos princípios da Ergonomia da Atividade, que contou com análise documental, observações sistemáticas e entrevistas. Os resultados demonstraram que em virtude de distintas e inúmeras atividades executadas pelos ACS, o mundo profissional desses trabalhadores não está plenamente delineado. Contudo, acredita-se que o resultado, análise e discussão dos dados apurados nesta pesquisa são capazes de apontar elementos que servem para apoiar a consolidação do mundo profissional dos ACS.
Subject(s)
Work , Community Health Workers , Public HealthABSTRACT
OBJECTIVE To systematize and analyze the evidence from qualitative studies that address the perception of Brazilian Community Health Agents about their work. METHODS This is a systematic review of the meta-synthesis type on the work of community health agents, carried out from the Virtual Health Library using the descriptors "Agente Comunitário de Saúde" and "Trabalho", in Portuguese. The strategy was constructed by crossing descriptors, using the Boolean operator "AND", and filtering Brazilian articles, published from 2004 to 2014, which resulted in 129 identified articles. We removed quantitative or quanti-qualitative research articles, essays, debates, literature reviews, reports of experiences, and research that did not include Brazilian Community Health Agents as subjects. Using these criteria, we selected and analyzed 33 studies that allowed us to identify common subjects and differences between them, to group the main conclusions, to classify subjects, and to interpret the content. RESULTS The analysis resulted in three thematic units: characteristics of the work of community health agents, problems related to the work of community health agents, and positive aspects of the work of community health agents. On the characteristics, we could see that the work of the community health agents is permeated by the political and social dimensions of the health work with predominant use of light technologies. The main input is the knowledge that this professional obtains with the contact with families, which is developed with home visits. On the problems in the work of community health agents, we could identify the lack of limits in their attributions, poor conditions, obstacles in the relationship with the community and teams, weak professional training, and bureaucracy. The positive aspects we identified were the recognition of the work by families, resolution, bonding, work with peers, and work close to home. CONCLUSIONS This review provided an overview of the difficulties and positive aspects that are present in the daily work of community health agents. Given this, we have raised two challenges. The first one refers to how public policy makers need to appropriation the research results and the second one refers to the need to invest in studies that are designed to generate solutions for the difficulties faced by community health agents in their work.
Subject(s)
Community Health Services , Community Health Workers , Brazil , Family Health , Female , Humans , Male , Public Health , WorkplaceABSTRACT
ABSTRACT OBJECTIVE To systematize and analyze the evidence from qualitative studies that address the perception of Brazilian Community Health Agents about their work. METHODS This is a systematic review of the meta-synthesis type on the work of community health agents, carried out from the Virtual Health Library using the descriptors "Agente Comunitário de Saúde" and "Trabalho", in Portuguese. The strategy was constructed by crossing descriptors, using the Boolean operator "AND", and filtering Brazilian articles, published from 2004 to 2014, which resulted in 129 identified articles. We removed quantitative or quanti-qualitative research articles, essays, debates, literature reviews, reports of experiences, and research that did not include Brazilian Community Health Agents as subjects. Using these criteria, we selected and analyzed 33 studies that allowed us to identify common subjects and differences between them, to group the main conclusions, to classify subjects, and to interpret the content. RESULTS The analysis resulted in three thematic units: characteristics of the work of community health agents, problems related to the work of community health agents, and positive aspects of the work of community health agents. On the characteristics, we could see that the work of the community health agents is permeated by the political and social dimensions of the health work with predominant use of light technologies. The main input is the knowledge that this professional obtains with the contact with families, which is developed with home visits. On the problems in the work of community health agents, we could identify the lack of limits in their attributions, poor conditions, obstacles in the relationship with the community and teams, weak professional training, and bureaucracy. The positive aspects we identified were the recognition of the work by families, resolution, bonding, work with peers, and work close to home. CONCLUSIONS This review provided an overview of the difficulties and positive aspects that are present in the daily work of community health agents. Given this, we have raised two challenges. The first one refers to how public policy makers need to appropriation the research results and the second one refers to the need to invest in studies that are designed to generate solutions for the difficulties faced by community health agents in their work.
RESUMO OBJETIVO Sistematizar e analisar evidências levantadas por estudos de natureza qualitativa que abordam a percepção do ACS sobre seu trabalho. MÉTODOS Revisão sistemática, tipo metassíntese, sobre o trabalho dos agentes comunitários de saúde, realizada a partir da Biblioteca Virtual em Saúde utilizando os descritores "Agente Comunitário de Saúde" e "Trabalho". A estratégia foi construída cruzando descritores, usando o operador booleano "AND", e filtrando artigos brasileiros, publicados de 2004 a 2014, resultando em 129 artigos identificados. Foram excluídos artigos de pesquisas quantitativas ou quanti-qualitativas, ensaios, debates, revisões da literatura, relatos de experiências e pesquisas que não incluíram os ACS como sujeitos. Aplicando esses critérios, foram selecionados e analisados 33 estudos que possibilitaram: identificação de temas comuns e diferenças entre eles; agrupamento de principais conclusões; classificação de temas e interpretação de conteúdo. RESULTADOS A análise resultou em três unidades temáticas: Características do trabalho dos agentes comunitários de saúde; Problemas relacionados ao trabalho dos agentes comunitários de saúde; Aspectos positivos do trabalho dos agentes comunitários de saúde. Sobre as características, evidenciou-se que o trabalho dos agentes comunitários de saúde é permeado pelas dimensões política e social do trabalho em saúde com uso predominante de tecnologias leves, tendo como principal insumo o conhecimento que esse profissional obtém junto às famílias, sendo a visita domiciliar o palco para o desenvolvimento desse contato. Sobre os problemas no trabalho dos agentes comunitários de saúde, foram identificados: falta de limites em suas atribuições; condições precárias; obstáculos na relação com a comunidade e equipes; fragilidade na formação profissional e burocratização. Os aspectos positivos identificados foram: reconhecimento do trabalho pelas famílias e resolutividade, formação de vínculo, trabalho junto aos pares e perto da residência. CONCLUSÕES Essa revisão teceu um panorama sobre as dificuldades e aspectos positivos que se apresentam no cotidiano de trabalho dos agentes comunitários de saúde. Frente a isso, levantou dois desafios. O primeiro se refere à necessidade de apropriação dos resultados das pesquisas pelos formuladores de políticas públicas e, o segundo, à necessidade de investimento em estudos que se voltem para engendrar soluções para as dificuldades enfrentadas pelos agentes comunitários de saúde no seu trabalho.
Subject(s)
Humans , Male , Female , Community Health Workers , Community Health Services , Brazil , Public Health , Family Health , WorkplaceABSTRACT
Resumo Introdução: plataformas offshore enfrentam crescentes demandas de manutenção, com um quantitativo fixo de trabalhadores. Com o tempo, ocorre a degradação progressiva das instalações, sendo necessárias estratégias diferenciadas para recuperar a integridade operacional. Objetivo: apresentar como uma Metodologia de Diagnóstico Rápido (MDR) em ergonomia foi elaborada para avaliar um conjunto de plataformas e revisitar o conceito de Modo Degradado de Funcionamento, quanto a segurança e confiabilidade operacional. Método: a MDR foi construída em quatro etapas e aplicada em 12 plataformas. Para cada uma, foram retraçados os processos históricos de seu modo de operação atual. Resultados: esta MDR permitiu revelar princípios gerais para sistematizar situações que devem melhorar e compreender processos amplos, que levaram ao acúmulo de condições ergonomicamente inadequadas, e recuperar parte da experiência acumulada pelas equipes embarcadas. A chave foi a preparação para os embarques, baseada na experiência dos ergonomistas e dos trabalhadores onshore e offshore. Conclusão: diagnósticos rápidos podem contribuir para reverter processos crônicos de degradação ao revelarem a visão geral das condições de vida e trabalho a bordo, as trajetórias singulares das plataformas e a contribuição positiva dos trabalhadores, colocando em debate mudanças e ações necessárias à inflexão de um dado percurso.
Abstract Introduction: offshore platforms face increasing maintenance demands with fixed amount of workforce. Over time, the progressive deterioration of installations can be evidenced leading companies to adopt distinguished strategies to recover operational integrity. Objective: to present the development of a Rapid Ergonomics Diagnostic Methodology (REDM) to evaluate a group of platforms and revisit the concept of degraded mode of operation regarding safety and operational reliability. Method: the REDM was built in 4 stages and applied in 12 platforms of the studied company. For each one, the historical processes of its current operating mode were retraced. Results: this REDM allowed revealing general principles to systematize situations that should be improved, understanding broad processes that led to the accumulation of ergonomically inadequate conditions and recovering part of the experience accumulated by the embarked teams. The key was the preparation for shipments based on the ergonomics team and workers experience, both, onshore and offshore. Conclusion: REDMs can help to reverse chronic degradation processes by providing an overview of on boardwork and living conditions, the platforms’ unique trajectories and the positive workers’ contribution, discussing changes and necessary actions for a given route inflection.
ABSTRACT
Alterations made in the architectural design can be considered as a continuous process, from its conception to the moment a built environment is already in use. This article focuses on the "moving phase", which is the initial moment of the environment occupation and the start-up of services. It aims to show that the continuity of ergonomics interventions during the "moving phase" or start up may reveal the built environment inadequacies; clearly showing needs not met by the design and allowing making instant decisions to solve non-foreseen problems. The results have revealed some lessons experienced by users during a critical stage not usually included in the design process.
Subject(s)
Hospital Design and Construction/methods , Ergonomics , Organizational Case StudiesABSTRACT
Este trabalho analisou a eficiência e a adequação dos Equipamentos de Proteção Individuais (EPIs) utilizados na manipulação e na aplicação de agrotóxicos nas agriculturas brasileira e francesa. Essa análise foi feita a partir de dois casos: o primeiro, na cultura de tomate numa pequena comunidade rural do Brasil e o segundo, numa vinicultura na França. As evidências encontradas mostraram que os EPIs utilizados em ambos os casos, além de não protegerem integralmente o trabalhador contra o agrotóxico, ainda agravaram os riscos e perigos, pois se tornaram fontes de contaminação. Conclui-se que, nos casos analisados, os EPIs não eliminaram nem neutralizaram a insalubridade, conforme estatui a legislação, e ainda aumentaram a probabilidade de contaminação dos trabalhadores rurais em algumas atividades. Discutiu-se, ainda, a possibilidade dos EPIs apresentarem lacunas funcionais no projeto, na concepção, no uso, na manutenção, no armazenamento e no descarte, que devem ser melhor avaliadas através de futuros estudos de desenvolvimento tecnológico.
This study has analyzed the efficiency and adequacy of Personal Protective Equipment (PPE) used when mixing and spraying pesticides in Brazilian and French farming. Analysis was based on two case studies: The first one, concerning a tomato crop located in a small rural community in the Southeast of Brazil; the second, a vineyard in France. The findings showed that PPE used in both cases has not protected properly against pesticide and has sometimes even turned into a source of contamination. The study concluded that PPE could not eliminate or neutralize unhealthy conditions related to pesticide use, as law demands. Moreover, in some cases, it might have caused rural workers contamination. It also shows that PPE might not have been correctly planned, conceived, used, maintained, stored and disposed. Theses problems should be analyzed in further technological development studies.
Subject(s)
Ergonomics/methods , Occupational Risks , Pesticides/analysis , Pesticides/adverse effects , Pesticides/toxicity , PesticidesABSTRACT
De acordo com a experiência internacional, a centralizaçäo e integraçäo de salas de controle - modernizaçäo tecnológica em curso nas principais refinarias de petróleo no Brasil - tem como um de seus objetivos a reduçäo da mäo de obra. As equipes de turno passam a ser responsáveis pelo controle dediferentes unidades de produçäo, o que viabilizaria a diminuiçäo dos efetivos de operaçäo. A reduçäo de efetivos a que vem sendo submetida a indústria de refino no Brasil relança o antigo debate sobre os critérios pertinentes para a avaliaçäo do número de operadores necessários para assegurar a confiabilidade dessa indústria
