{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:43:28Z","timestamp":1772239408276,"version":"3.50.1"},"reference-count":41,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ci\u00eanc. sa\u00fade coletiva"],"abstract":"<jats:p>Resumo O Kanban, uma tecnologia de gest\u00e3o do cuidado caracterizada pela valoriza\u00e7\u00e3o do trabalho multiprofissional e o uso intensivo da informa\u00e7\u00e3o, tem sido crescentemente utilizado para enfrentar a superlota\u00e7\u00e3o dos servi\u00e7os de emerg\u00eancia hospitalar (SEH). Pesquisadores acompanharam durante dez meses o Kanban em v\u00e1rios setores de um SEH municipal. Suas observa\u00e7\u00f5es, registradas em di\u00e1rios de campo, foram discutidos em reuni\u00f5es quinzenais por um coletivo de pesquisadores. O material emp\u00edrico foi organizado a partir de duas quest\u00f5es: H\u00e1 mudan\u00e7as nas \u201catribui\u00e7\u00f5es tradicionais\u201d da enfermagem atuando no Kanban? H\u00e1 transforma\u00e7\u00f5es nas rela\u00e7\u00f5es interprofissionais entre Medicina e Enfermagem na operacionaliza\u00e7\u00e3o do Kanban? Observou-se forte ades\u00e3o dos enfermeiros ao arranjo, pari passu com uma maior especializa\u00e7\u00e3o e fragmenta\u00e7\u00e3o do seu trabalho. Os diaristas assumem fun\u00e7\u00f5es administrativas tradicionais da enfermagem, enquanto os plantonistas desenvolvem assist\u00eancia direta aos pacientes. Os enfermeiros consideram que a decis\u00e3o cl\u00ednica ainda \u00e9 do m\u00e9dico, embora o Kanban propicie sua maior influ\u00eancia na decis\u00e3o. A gest\u00e3o de grande massa de dados cl\u00ednico-operacionais pelos enfermeiros, central na operacionaliza\u00e7\u00e3o do Kanban, refor\u00e7a sua autoridade profissional.<\/jats:p>","DOI":"10.1590\/1413-81232020251.28362019","type":"journal-article","created":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T13:20:26Z","timestamp":1576848026000},"page":"283-292","source":"Crossref","is-referenced-by-count":7,"title":["Enfermeiros na operacionaliza\u00e7\u00e3o do Kanban: novos sentidos para a pr\u00e1tica profissional em contexto hospitalar?"],"prefix":"10.1590","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9207-4781","authenticated-orcid":false,"given":"Luiz Carlos de Oliveira","family":"Cec\u00edlio","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7184-2342","authenticated-orcid":false,"given":"Ademar Arthur Chioro dos","family":"Reis","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3332-2183","authenticated-orcid":false,"given":"Rosemarie","family":"Andreazza","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5951-5314","authenticated-orcid":false,"given":"Sandra Maria","family":"Spedo","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0451-9822","authenticated-orcid":false,"given":"Nelma Louren\u00e7o de Matos","family":"Cruz","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6320-4308","authenticated-orcid":false,"given":"Luciana Soares de","family":"Barros","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4374-5021","authenticated-orcid":false,"given":"Gra\u00e7a","family":"Carapinheiro","sequence":"additional","affiliation":[{"name":"Instituto Universit\u00e1rio de Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6015-3314","authenticated-orcid":false,"given":"Tiago","family":"Correia","sequence":"additional","affiliation":[{"name":"Universidade Nova de Lisboa, Portugal; Instituto Universit\u00e1rio de Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9833-2932","authenticated-orcid":false,"given":"Mariana Cabral","family":"Schveitzer","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo, Brasil"}]}],"member":"530","published-online":{"date-parts":[[2020,1]]},"reference":[{"key":"ref1","series-title":"Fr\u00e1geis deuses: profissionais de emerg\u00eancia entre os danos da viol\u00eancia e a recria\u00e7\u00e3o da vida","author":"Deslandes SF","year":"2002"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1016\/j.annemergmed.2004.07.449","article-title":"The quality gap: Searching for the consequences of emergency department crowding","volume":"44","author":"Magid DJ","year":"2004","journal-title":"Ann Emerg Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1111\/j.1553-2712.2004.tb01369.x","article-title":"Estimating the degree of emergency department overcrowding in Academic Medical Center: results of the National ED Overcrowding Study (NEDOCS)","volume":"11","author":"Weiss SJ","year":"2004","journal-title":"Acad Emerg Med"},{"key":"ref4","series-title":"Urg\u00eancias e emerg\u00eancias em sa\u00fade: perspectivas de profissionais e usu\u00e1rios","author":"Giglio-Jacquemot A","year":"2005"},{"key":"ref5","series-title":"A superlota\u00e7\u00e3o dos servi\u00e7os de emerg\u00eancia hospitalar como evid\u00eancia de baixa efetividade organizacional","author":"Bittencourt RJ","year":"2010"},{"key":"ref6","first-page":"332","article-title":"Integralidade da aten\u00e7\u00e3o e integra\u00e7\u00e3o de servi\u00e7os de sa\u00fade: desafios para avaliar a implanta\u00e7\u00e3o de um \"sistema sem muros\"","volume":"20","author":"Hartz ZMA","year":"2004","journal-title":"Cad Saude Publica"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"13","DOI":"10.7861\/clinmedicine.10-1-13","article-title":"Managing capacity and demand across the patient journey","volume":"10","author":"Allder S","year":"2009","journal-title":"Clinical Medicine"},{"key":"ref8","series-title":"Efetividade das interven\u00e7\u00f5es para redu\u00e7\u00e3o da superlota\u00e7\u00e3o nos servi\u00e7os de emerg\u00eancia hospitalar","author":"Beltrammi DGM","year":"2015"},{"key":"ref9","series-title":"Saberes e Poderes no Hospital. 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