Resumen

BRANDAO JUNIOR, Paulo Starling. Dimensões subjetivas da biossegurança nas unidades de saúde. Bol. Pneumol. Sanit. [online]. 2001, vol.9, n.2, pp.57-64. ISSN 0103-460X.

The assorted list of biological, chemical, physical, ergonomical, psychosocial and accidental vulnerabilities shows us that security practice in the handling of biosafety products and technics in Health Units is extremely important. Added to this, the knowledge of subjective dimensions involved in occupational hazards, medical license and other issues related to the working process, organization and conditions, demand an interdisciplinary approach and the participation of a multidisciplinary staff, when dealing with such problems. The Health Institutions render specific services to population in general and conduct a diversity of health actions, which expose their workers mainly to infectious diseases. Such structure, due to the possibility of events of accidents and diseases, requires beforehand attitudes (Starling, 2000). In an inquiry at Civil Servant of Rio de Janeiro State Hospital, we analyzed the subjective dimensions of the accident with biological material among professionals at their working environment. The vulnerability factors to HIV, the hospital’s working conditions, organization and process, the relation of collateral effects with psychosomatic phenomenon, discrepancies between prescribed and real work besides some gender matters, were some topics discussed during the development of this research. The subjective dimensions of the accident showed up in the research by dynamic and complex process which involved the culture, process, organization and precariousness of hospital work, the psychosocial rebounds at work and in the family in the post-accident state and their association with the HIV/SIDA and psychosomatic reactions post-prophylaxis. We understand that whether risks are assumed as “neutralized” peculiarities of objects and work environment, out of the working process and organization context, preventive attitudes restringes to punctual interventions on most evident risks. It is emphasized the utilization of individual equipments and safety patterns of work are regularized, which, in some circumstances, configurates a symbolic prevention. Labor Medicine view is still predominant in biosafety analysis in Health Units distinguishing to the concept of “unsecure act”. One of the major problems is that the subjective dimensions are not incorporated in the understanding of the damages to health in the work environment. It justifies the needs of a better dissemination of knowledge and development of workers in the biosafety area in which the subjective dimension be an operative aspect in this field

Palabras clave : Biosafety; Health Units; Subjective Dimensions and accident with biological material.

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