title: The health-illness care process and the logic of the nurse's work in the ICU.
abstract: The present study aims to learn the health production logic in the ICU based on the discourse defended by nurses and on the professional practice that is recognized by the relatives accompanying the hospitalized patients. This is a qualitative and dialectic investigation performed with seven nurses and five relatives in an ICU for adults of a teaching hospital in Santa Catarina. The theoretical-philosophical referential was based on Marxist and Gramscians readings. The results show that the logic of the health production in the ICU is inserted in a dialectic rhythm of autonomy, dependence and co-responsibility for the care. We understand that this reality can demonstrate the need to rethink the knowledge and practices to promote the constant re-formularization and transformation of the assistant context of intensive care.
authors.affiliation: Psychiatric Nursing, University of São Paul at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research Development. lbpinho@uol.com.br
authors.forename: Leandro
authors.initials: L
authors.lastname: Barbosa de Pinho
authors.forename: Silvia Maria
authors.initials: SM
authors.lastname: Azevedo dos Santos
mesh_terms: D004645:Empathy; D006801:Humans; D007362:Intensive Care Units; D008128:Logic; D009732:Nursing Care / Q000379:methods*; D009736:Nursing Process / Q000592:standards*; D005791:Patient Care / Q000592:standards*; D011361:Professional Competence