Implications of health work processes in the offering of humanized care: integrative literature review

Abstract

Introduction: Humanization, as a transversal perspective to health practices, proposes that managers, workers and service users can rebuild ways of managing and caring in a shared and collective way. Objective: Understand the implications of health work processes in the provision of humanized care in the context of the UHS. Methodology: Integrative literature review, carried out in June 2023. Results: The sample consisted of 18 articles. Qualitatively, the data were organized into two categories: 1) conception of humanization, and; 2) implication of health work processes in the provision of humanized care in the context of the UHS. Ambience, participatory management, inseparability between management and attention, influence the shape of work processes. Aspects such as precarious working conditions, work fragmentation and mechanistic and hierarchical service management are unfavorable to the humanization of care. Conclusions: It is understood that material and environmental conditions and work organization determine work processes that, in turn, influence the achievement of humanization. The managerial practices, growing in public health services, highlight the privatizing logic, intensify the precariousness of workers' contracts and relationships, aspects that are incongruous with the principles and guidelines of the SUS and the humanization of care.