Abstract
This chapter presents the results of Change Laboratory (CL) procedures in a Workers’ Health Reference Center (CEREST) to improve working conditions and enable its staff to use CL methodology in their own territory in the future. One year after the 3-year intervention, the staff was interviewed to assess its results. The findings reveal that part of the actors expanded the work activity’s object, promoting changes in work organization and using the methodology as a surveillance tool. However, there is always resistance to the new model, due to pressure for quantity over quality, lack of engagement of some people within the team and hesitations of the management. More effort and time will be necessary to consolidate the new model by the workers.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
What is your activity? What is the purpose of CEREST? How do you contribute to this goal? What are your experiences of success and failure? What contributed to success? What contributed to failure? Do you think CEREST has made any progress in its history?
- 2.
How did CEREST change after the end of CL sessions? Why were the meetings interrupted? How is CEREST now? How is the division of labour? Did the change take place in the same way in all sectors? How is the relationship with management? What if the CL was not used? Is it worse or better than it was before? Is there any change that remained? In relation to the change of personnel, did the people who entered have any training regarding the new model?
References
Bardin, L. (2009). Análise de Conteúdo. Lisboa: Edições 70.
Brasil. (2006). Ministério da Saúde. Rede Nacional de Atenção Integral à Saúde do Trabalhador: manual de gestão e gerenciamento. São Paulo: Ministério da Saúde.
Carvalho, G. (2013). A saúde pública no Brasil. Estudos Avançados, 27(78), 7–26. https://doi.org/10.1590/S0103-40142013000200002.
Dias, E. C., & Hoefel, M. G. (2005). O desafio de implementar as ações de saúde do trabalhador no SUS: a estratégia da RENAST. Ciência & Saúde Coletiva, 10(4), 817–827. https://doi.org/10.1590/S1413-81232005000400007.
Engeström, Y. (2015). Learning by expanding: An activity-theoretical approach to developmental research. New York: Cambridge Press.
Engeström, Y., Virkkunen, J., Helle, M., Pihlaja, J., & Poikela, R. (1996). The Change Laboratory as a tool for transforming work. Lifelong Learning in Europe., 1(2), 10–17.
Galdino, A., Santana, V. S., & Ferrite, S. (2012). Os Centros de Referência em Saúde do Trabalhador e a notificação de acidentes de trabalho no Brasil. Cadernos de Saúde Pública, 28(1), 145–159. https://doi.org/10.1590/S0102-311X2012000100015.
Sanchez, M. O., Reis Araújo, M., Cruz, A. L. S., & Ferreira, M. P. (2009). Atuação do CEREST nas ações de vigilância em saúde do trabalhador no setor canavieiro. Saúde e Sociedade, 18(1), 37–43. https://doi.org/10.1590/S0104-12902009000500006.
Vieira da Silva, L. M., & Almeida Filho, N. (2009). Equidade em saúde: uma análise crítica de conceitos. Cadernos de Saúde Pública, 25(2), 217–226. https://doi.org/10.1590/S0102-311X2009001400004.
Virkkunen, J., & Newnham, D. (2013). The Change Laboratory: A tool for collaborative development of work and education. Rotterdam: Sense Publishers.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Cerveny, G.C.d.O., Coluci, M.Z.O., Mendes, R.W.B., Vilela, R.A.d.G. (2020). The Clash Between New and Old Models of Surveillance System: A Case Study of Change Laboratory in a Workers’ Health Reference Center. In: Vilela, R., Pereira Querol, M., Beltran Hurtado, S., Cerveny, G., Lopes, M. (eds) Collaborative Development for the Prevention of Occupational Accidents and Diseases. Springer, Cham. https://doi.org/10.1007/978-3-030-24420-0_13
Download citation
DOI: https://doi.org/10.1007/978-3-030-24420-0_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-24419-4
Online ISBN: 978-3-030-24420-0
eBook Packages: MedicineMedicine (R0)