[Discourses on the nursing and psychiatric nurse models, published in the Annals of Nursing (1933-1951)]. / Discursos sobre os modelos de enfermagem e de enfermeira psiquiátrica nos Annaes de Enfermagem (1933-1951).

Social-historical study aimed at discussing the nursing and psychiatric nurse models, from the discourses published in the Annals of Nursing.The historical sources were articles published in the Annals of Nursing journal, from 1933 to 1951. An analysis of the discourse was subsidized by the genealogy of power by Michel Foucault.The analysis showed that the discourse on nursing and the psychiatric nurse, in the first half of the 20th century, is set, on one side, by the propositions used by psychiatrists, who sought to reiterate stereotypes and vocations to practice nursing, and, on the other side, by the active participation of nurses seeking to legitimize expertise for psychiatric nursing. It was concluded that the discourses analyzed defined a psychiatric care focused on the nurse and not the rest of the nursing staff, at that time.

Professional identity of nurses in pandemic times: new/old challenges reproduced in news media.

OBJECTIVE: To analyze aspects related to the professional identity of nurses during the COVID-19 pandemic usingnews media as a source. METHOD: Qualitative, and retrospective document study with 51 reports from Folha de São Paulo from March to December 2020. Data was organized using ATLAS.ti, with Thematic Content Analysis and discussion from the theoretical perspective of Claude Dubar. RESULTS: Three categories were formed: Identity captured by the images reflected on the text; The identity symbolized by the support of nurses to those who need care; and The identity symbolized by the support of nurses to those who need care. CONCLUSION: Despite the fact that the image of nurses is still mistakenly apprehended, the way they provide care, their commitment to the population, and their scientific mindedness ensured visibility and enabled a more empowered and secure identity for their role in society.

Organizational politics and professional struggles in nursing.

OBJECTIVE: to analyze the professional struggles between nursing organizational entities, in Rio de Janeiro, during the Regional Nursing Council's electoral process (1990-1993 administration). METHOD: historical study. We used journalistic articles, normative documents, legislation and semi-structured interviews with five nursing professionals who participated in this process. Interpretation of findings was supported by Bourdieu's concepts of habitus, field, capital, and symbolic power. RESULTS: Electoral Code changes of the aforementioned council, under the influence of administration (1987-1990), candidate for re-election, influenced the disclosure and eligibility criteria, making it difficult for broad participation, especially of Associação Brasileira de Enfermagem Rio de Janeiro Section. FINAL CONSIDERATIONS: nursing, in this period, generated a field of disputes related to positions of power and gender, which was evidenced in the electoral process studied, which highlighted using limiting strategies by a group, making it difficult for the entire category to participate.

Remote consultation with people with eating disorders during the COVID-19 pandemic.

OBJECTIVES: to analyze subjective experiences related to adaptation to remote care by users with eating disorders during the COVID-19 pandemic. METHODS: a descriptive study with a qualitative approach conducted with users of an eating disorders outpatient clinic. A semi-structured remote interview was applied using the Google Meet application. The data were submitted to lexical analysis using ALCESTE software and discussed in the light of scientific evidence. RESULTS: the remote appointment is a positive strategy but not a substitute for the face-to-face modality. The research cited financial savings, closer contact with professionals, and flexibility of service schedules as advantages. It pointed out the difficulty in clinical evaluation concerning weight, vital signs, and poor mastery of technology as limitations. FINAL CONSIDERATIONS: the study induces discussion about the systematization of remote care, which, during the COVID-19 pandemic, were responsible for providing a greater sense of support to people with eating disorders.

Ethel Parsons' biographical characteristics: leadership in American and Brazilian nursing.

OBJECTIVE: to reconstruct Ethel Parsons' biographical aspects in the centenary of the technical cooperation mission for nursing development in Brazil. METHOD: biographical research, carried out using the historical sources analysis method, which consists of reading and interpreting the collected documents. RESULTS: from a renowned family, Ethel Parsons was head of public health services and worked for the American Red Cross before being appointed to coordinate the Rockefeller Foundation mission in Brazil, where she inaugurated the Anglo-American model of nursing. For ten years, Parsons dedicated herself to leading such a mission, which resulted in implementation and dissemination, by decree, of the Anglo-American model of nursing. In 1931, she returned to her country, where she died in 1953. CONCLUSION: Ethel Parsons stood out in the 20th century as a woman and a nurse, leading public health care services in the USA and Brazil. Her biography demonstrates an ideal of professionalization and science to be conquered by nursing in the care and educational scenario, which influenced the design of a collective identity for Brazilian nursing.

Convergent care research and its qualification as scientific research.

OBJECTIVES: to highlight the main attributes of Convergent Care Research that ratify it as a method of scientific research. Methods: it is a theoretical-reflective study on Convergent Care Research's theoretical-methodological assumptions. Development: Convergent Care Research is compatible with the Social Constructionism paradigm. Convergent Care Research projects have two approaches: practical and conceptual. The Convergent Care Research process corpus contains five phases: conception; instrumentation; scrutiny; analysis and theorizing. Final Considerations: Convergent Care Research rigor encompasses the relationship between research and care practice, and this corresponds to the convergence of these two dimensions. Due to its theoretical foundation and criteria of methodological rigor, Convergent Care Research is aligned with scientific research methods.

The light of Florence Nightingale in the care for COVID-19 patients in primary health care.

OBJECTIVE: To analyze the contributions of Florence Nightingale`s care model in the COVID- 19 pandemic. METHOD: Reflection that addresses her theoretical model and its validity in this pandemic, using interpretative research methods and limiting nursing care to primary care. RESULTS: Some pandemics that have caused great impact in humanity are reviewed throughout history; the evolution of nursing care in relation to pandemics is studied; the genesis of community nursing is considered, and Nightingale's care model is reviewed in COVID-19. CONCLUSIONS: Florence Nightingale's thinking withstands the passage of time and, today, as the COVID-19 pandemic rages across the planet, her concept of holistic care and her idea of the art of nursing take on special significance by considering the context involving patients, families and communities.

Historicity of nursing graduate studies in Brazil: an analysis of the Sociology of the Professions.

OBJECTIVES: to analyze the scientific productions about the history of graduate studies in Brazilian nursing in the light of Eliot Freidson's Sociology of the Professions. METHODS: an integrative review, carried out in the databases indexed in Virtual Health Library. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations were followed. Thematic content analysis and Eliot Freidson's concepts were adopted. RESULTS: two categories emerged: "Institutionalization of graduate courses in Brazilian nursing", highlighting the historical process of professionalization in nursing through transition from empirical to professional care, subsidized by the monopoly of the construction of one's own knowledge; "The scientific production of graduate nursing in Brazil", showing the strengthening of a new generation of nurse researchers, given the greater scientificity in teaching due to implementation of graduate studies. FINAL CONSIDERATIONS: the analyzes present the historicity of graduate studies' institutionalization, supporting the understanding of professionalization outlines of Brazilian nursing.

The Florence Nightingale's nursing theoretical model: a transmission of knowledge.

OBJECTIVE: To reflect on the contribution of Florence Nightingale in the ​​health and nursing areas based on her epistemological legacy. METHOD: Reflection in which Florence Nightingale's nursing theoretical model is approached, trying to show how her family, training, social and cultural concepts influenced the formal construction of care. RESULTS: Florence Nightingale's vocation, profession and legacy stand out as faithful expressions of her thoughts for the professional constitution of the nurse. Responsible for the care of people with a strong humanitarian characteristic. CONCLUSIONS: It is not possible to unravel nursing care today from Nightingale's thinking. This represents the power of a lifetime dedicated to the profession.

Working conditions of a nursing team in mental health facility.

OBJECTIVE: To analyze how the nursing team from a Psychosocial Care Center II relates its insertion in the service with the work process. METHODS: Descriptive, analytical research outlined as a case study with a qualitative approach. The data were collected through semi-structured interviews with nursing professionals and went through content analysis subsidized by Bardin's work. RESULTS: Two thematic categories emerged: a) Ways of intake in the nursing services at the Psychosocial Care Center; b) Setbacks in nursing routine at the Psychosocial Care Center. FINAL CONSIDERATIONS: The fact that the professionals have not planned to work in mental health nor have training impacts the rhythm of psychosocial care development at the Psychosocial Care Center, forcing them to seek training in the field after admission. Unmotivated by the working conditions, the nursing team suffers from the absence of an interdisciplinary partnership and goes to great lengths to approach psychosocial care.

Professional Autonomy as Centrality in Best Practices in Nursing.

OBJECTIVES: to reflect on professional, user and family autonomy as a centrality in Best Practices in nursing in Brazil. METHODS: this is a theoretical-reflective study. RESULTS: from a retrospective look at the creation and evolution of nursing autonomy in its knowledge and care practices, it exposes the use of autonomy in nursing care and foster the participation of the user and his family as the center of Best Practices in nursing. FINAL CONSIDERATIONS: the text suggests the institutional commitment of health services to the formal postgraduate education of nurses and the prospect of more autonomy and quality for the expression of Best Practices in nursing.

Essential characteristics of a profession: A historical analysis focusing on the nursing process.

OBJECTIVE: To analyze knowledge/expertise, autonomy and professional status in the ways of practicing nursing in implementation of the Nursing Process in a University Hospital in Southern Brazil. METHOD: A qualitative socio-historical study using thematic oral history as a method and technique. Data were collected through semi-structured interviews with care nurses and professors. The Content Analysis technique was used in the analysis. RESULTS: Fourteen (14) care nurses and professors participated. Knowledge/expertise were pointed out as the main contributions in implementing the Nursing Process. Professional status emerged as recognition of technical and scientific competence of nurses by health staff and users. Autonomy was expressed as being able to decide on their conduct and linked to knowledge, commitment and professional identity. CONCLUSION: The Nursing Process is a way of exercising the profession based on knowledge and expertise with autonomy, and enables achieving status, reinforcing professional recognition.

Night Admission at a Psychosocial Care Center III.

OBJECTIVE: to analyze night admission characteristics at a Psychosocial Care Center III (CAPS III - Centro de Atenção Psicossocial). METHOD: a qualitative research, whose data were collected with 15 nursing professionals from November to April 2016, through a semi-structured interview. RESULTS: it was verified that night admission is provided by the nursing team in different dynamics from the day care. This team has strategies of care during crisis, avoiding search for other network services and maintaining the CAPS in its function within the psychosocial model. FINAL CONSIDERATIONS: service operation depends on the nursing team for its permanence condition in all shifts, which leads to the need to think about the legislation reformulation that structures the CAPS III team, in order to guarantee the interdisciplinary care provided by the Brazilian Psychiatric Reform in this device, which should replace hospitalization in a specialized institution.

Evidence of nursing patterns of knowing communicated by the brazilian press before Florence Nightingale's model.

OBJECTIVE: to identify evidence of nursing patterns of knowing disseminated by the Brazilian press before the implementation of Florence Nightingale's model in Brazil and categorize topics of journalistic articles according to Carper's and White's patterns of knowing. METHODS: categorical content analysis of materials related to Florence Nightingale, published in Brazil between 1850 and 1919, collected at Hemeroteca Digital. Four analysts identified themes of journalistic article, performing classification in patterns of knowing. RESULTS: there was a predominance of evidence of the sociopolitical pattern followed by the empirical pattern. In the analyses per decade, ethical and aesthetic patterns showed predominance between 1860 and 1870, respectively. CONCLUSION: White's classification by nursing patterns of knowing was useful in understanding precursor themes of professional/disciplinary knowledge that spread in Brazil, linked to Nightingale's character, in addition to the repercussions of her actions and her expanded sociopolitical perspective.

Militancy of nurses in the institutionality field: printed media versions.

OBJECTIVES: to analyze nurses' professional militancy in the institutionality field, presented by the printed media from Bahia State in the 1970s and 1980s. METHODS: a historical and qualitative research under Social History's perspective, whose data source was the newspaper A Tarde. The temporal cut-off encompasses milestones such as professional body restructuring and creation. RESULTS: the Associação Brasileira de Enfermagem democratization movement was reported in a superficial way, highlighting the struggle for power spaces. With respect to Conselhos Federal e Regional de Enfermagem daBahia, the newspaper notified creation and function of bodies, however, there was no visibility to the newspaper's performance. Concerning the union, there was political fragility of nurses against the creation and union participation in the fight for labor rights. Final Considerations: organization of political action occurred from isolated groups mobilization of professionals who were already traveling in political spaces, not the large mass of professionals.

História da construção de saberes em enfermagem traumato-ortopédica / History of knowledge construction in trauma and orthopedic nursing care / Historia de la construcción del conocimiento en enfermería traumatológica ortopédica

Objetivo: analisar o desenvolvimento da enfermagem traumato-ortopédica a partir da primeira turma de residentes de um hospital especializado. Método: o estudo seguiu a metodologia histórica com abordagem qualitativa. As fontes foram documentos escritos e orais. Resultados: trabalhar em uma instituição especializada foi o ponto de partida para a busca por especialização de enfermeiras atuantes no cuidado traumato-ortopédico, que perceberam o saber/poder adquirido no trabalho assistencial, além da intenção de qualificar a assistência e elevar o hospital a instituto. Estratégias empregadas reúnem a busca por parcerias com instituições universitárias e associativas, além da criação de uma associação própria. Considerações finais: a enfermagem traumato-ortopédica ampliou seu espaço científico ao criar um curso de especialização com uma unidade acadêmica. Foi possível delimitar o poder acadêmico e institucional da enfermagem na instituição de saúde pela formação de enfermeiras especialistas constituindo um grupo de reconhecido pelo saber científico.

Objective: to analyze the development of trauma and orthopedic nursing care from the very first class of residents of a specialized hospital. Method: historical methodology study with a qualitative approach. The sources consisted of written and oral documents. Results: working in a specialized institution was the starting point for nurses who were seeking specialization in the field of trauma and orthopedic care as they noticed the power-knowledge acquired through care work, plus they were willing to improve assistance and take the hospital up to an institute level. Strategies used include the search for partnerships with universities and associative-type institutions, in addition to creating their own association. Final considerations: trauma and orthopedic nursing care expanded its scientific space by creating a specialization course together with an academic unit. It was possible to define the academic and institutional power of the nursing staff in the health institution by considering the training process of its nurse specialists, who consisted of a group recognized for their scientific knowledge.

Objetivo: analizar el desarrollo de la enfermería traumatológica ortopédica a partir del primer grupo de residentes de un hospital especializado. Método: estudio con metodología histórica con un enfoque cualitativo. Las fuentes fueron documentos escritos y orales. Resultados: el trabajo en una institución especializada fue el punto de partida para la búsqueda de la especialización de las enfermeras que trabajaban en la atención traumatológica ortopédica, quienes notaron el saber/poder adquirido en el trabajo asistencial, además de la intención de cualificar la atención y elevar el hospital al nivel de instituto. Las estrategias empleadas incluyen la búsqueda de alianzas con instituciones universitarias y asociaciones, y la creación de una asociación propia. Consideraciones finales: la enfermería traumatológica ortopédica amplió su espacio científico mediante la creación de un curso de especialización con una unidad académica. Se logró delimitar el poder académico e institucional de la enfermería en la institución de salud a través de la formación de enfermeros especialistas, que es un grupo reconocido por el conocimiento científico.

The maternity ward of a teaching hospital: reconfiguration of maternal-child nursing care.

OBJECTIVE: to analyze the strategies used by nurses and nurse professors for a better position in the maternity ward of the teaching hospital of the Universidade Federal do Espírito Santo. METHOD: this is a social-historical study with a qualitative approach. The primary sources were written documents, such as official letters, memos, ordinances, standards and routines of the hospital; photographic material; and oral testimonies from seven participants. The interviews were performed using a semi-structured questionnaire, with questions regarding the adaptation from a sanatorium to a teaching hospital, the challenges faced, and the strategies adopted by the nursing department. RESULTS: the results allowed us to understand the close link between the maternity ward and the nursing course of the Universidade Federal do Espírito Santo, which created a differentiated nursing care that integrated training and care with a broader and humanized look. FINAL CONSIDERATIONS: the actions of the nurses were recognized and gave them professional visibility, influencing a new form of care in the maternity ward.

Trajetória e participação política da enfermagem em Santa Catarina no período 1972-2018 / Trajectory and political participation of nursing in Santa Catarina in the period 1972-2018 / Trayectoria y participación política de la enfermería em Santa Catarina em el período 1972-2018

Objetivo: conhecer a participação política dos profissionais da enfermagem enquanto reflexo de suas entidades representativas. Métodos: pesquisa qualitativa de abordagem histórico-social. Dentro do recorte histórico de 1972 a 2018, entre março e setembro de 2019, entrevistaram-se 5 ex-presidentes das Associação Brasileira de Enfermagem - Seção Santa Catarina e do Conselho Regional de Enfermagem de Santa Catarina. A compreensão dos dados se deu por meio da análise de conteúdo de Bardin e interpretação através do marco conceitual de Denise Elvira Pires de Pires. Resultados: percebe-se uma significativa mudança de quadro da participação política da enfermagem através das décadas. Desde a criação da ABEn-SC a enfermagem transita de um corpo forte e unido para uma trajetória e participação em subsequente desarticulação. Conclusão: A desmobilização de uma categoria é multifatorial. Reflexo da desarticulação das entidades representativas da profissão, raízes histórico-culturais de sua fundação e do imaginário individual e social de uma profissão. (AU)

Objective: To Know the political participation of nursing professionals as a reflection of their representative entities. Methods: qualitative research of a historical-social nature in the history of 1975 to 2018, between March and September 2019. Interviewed 5 former presidents of the Brazilian Nursing Association - Santa Catarina Section and the Regional Nursing Council of Santa Catarina. The understanding of the data took place through the analysis of Bardin's content and interpretation through the conceptual framework of Denise Elvira Pires de Pires, profession, discipline and work. Results: there is a significant change in the framework of political participation in nursing over the decades. With a fragile articulation between the entities representing the category. Conclusion: The demobilization of the professional category is multifactorial. Reflection of the disarticulation of the entities representing the profession, the historical and cultural roots of its foundation and the individual and social imagery of the profession. (AU)

Objetivo: conocer la participación política de los profesionales de enfermería como reflejo de sus entidades representativas. Métodos: investigación cualitativa de carácter histórico-social en la historia de 1975 a 2018, entre marzo y septiembre de 2019. Se entrevistó a 5 ex presidentes de la Asociación Brasileña de Enfermería - Sección Santa Catarina y el Consejo Regional de Enfermería de Santa Catarina. La comprensión de los datos se llevó a cabo a través del análisis del contenido y la interpretación de Bardin a través del marco conceptual de Denise Elvira Pires de Pires, profesión, disciplina y trabajo. Resultados: hay un cambio significativo en el marco de participación política en enfermería a lo largo de las décadas. Con una articulación frágil entre las entidades que representan la categoría. Conclusión: La desmovilización de la categoría profesional es multifactorial. Reflejo de la desarticulación de los entes representativos de la profesión, las raíces históricas y culturales de su fundación y el imaginario individual y social de la profesión. (AU)

Enfermera visitadora modelo vanguardista de cuidados de salud en España / Enfermeira de saúde pública modelo vanguardista de cuidados na Espanha / The public health nurse cutting-edge care model in Spain

Resumen Objetivo analizar la figura de la enfermera visitadora española en el periodo comprendido entre 1921 y 1953. Método estudio histórico-social, cualitativo, a partir de fuentes documentales primarias y secundarias. Se utilizó el Modelo Estrutural Dialético de Atención (MEDC), como soporte al proceso de gestión y análisis de datos. Resultados las enfermeras visitadoras españolas tenían el título de especialistas en salud pública, adquirido en Bedford College, en Inglaterra, o en la Fundación Rockefeller, en Estados Unidos. Actuaban en entornos rurales y urbanos, realizando su trabajo en Centros Primarios y Secundarios de Higiene Rural, lugares donde educaban a la población en las normas de higiene personal y salud pública. Conclusión e implicaciones para la práctica la enfermera visitadora española consiguió extender la educación sanitaria por todo el país, promover los hábitos higiénicos y nutricionales de la población en general, reducir la incidencia de las enfermedades infecto-contagiosas y promover las reformas sanitarias que se iniciaron a principios del siglo XX. En la actualidad, la figura de la enfermera visitadora puede ser considerada como precursora de la enfermera especialista en atención familiar y comunitaria.

Resumo Objetivo analisar a figura da enfermeira visitadora espanhola no período de 1921 a 1953. Método estudo histórico-social, qualitativo, a partir de fontes documentais primárias e secundárias. Utilizou-se o Modelo Estrutural Dialético de Atenção (MEDC) como suporte ao processo de gerenciamento e análise de dados. Resultados as enfermeiras visitadoras espanholas tinham o título de especialistas em saúde pública, adquirido no Bedford College, na Inglaterra, ou na Fundação Rockefeller, nos Estados Unidos. Atuavam em ambientes rurais e urbanos, realizando seu trabalho em Centros de Higiene Rural Primários e Secundários, locais onde educavam a população sobre as regras de higiene pessoal e de saúde pública. Conclusão e implicações para a prática a enfermeira visitadora espanhola conseguiu expandir a educação em saúde em todo o país, promover hábitos higiênicos e nutricionais para a população em geral, reduzir a incidência de doenças infectocontagiosas e promover reformas sanitárias iniciadas no início do século XX. Atualmente, a figura da enfermeira visitadora pode ser considerada como precursora da enfermeira especialista em cuidados familiares e comunitários.

Abstract Objective to analyze the figure of the Spanish visiting nurse from 1921 to 1953. Method This is a historical-social, qualitative study based on primary and secondary documentary sources. The Dialectical Structural Model of Care (DSSM) was used to support the data management and analysis process. Results Spanish visiting nurses had specialization in public health, acquired at Bedford College, in England, or at the Rockefeller Foundation, in the United States. They worked in rural and urban environments, performing their work in Primary and Secondary Centers of Rural Hygiene, where they educated the population about personal hygiene and public health rules. Conclusion and implications for practice Spanish nurse visitors were able to expand health education throughout the country, promote hygienic and nutritional habits for the general population, reduce the incidence of infectious-contagious diseases, and promote sanitary reforms that began at the beginning of the 20th century. Currently, the figure of the visiting nurse can be considered a forerunner of the specialist nurse in family and community care.

Professional identity of nurses in pandemic times: new/old challenges reproduced in news media / Identidad profesional de las enfermeras en tiempos de pandemia: nuevos/viejos desafíos en los medios periodísticos / Identidade profissional das enfermeiras em tempo de pandemia: novos/velhos desafios a partir da mídia jornalística

ABSTRACT Objective: To analyze aspects related to the professional identity of nurses during the COVID-19 pandemic usingnews media as a source. Method: Qualitative, and retrospective document study with 51 reports from Folha de São Paulo from March to December 2020. Data was organized using ATLAS.ti, with Thematic Content Analysis and discussion from the theoretical perspective of Claude Dubar. Results: Three categories were formed: Identity captured by the images reflected on the text; The identity symbolized by the support of nurses to those who need care; and The identity symbolized by the support of nurses to those who need care. Conclusion: Despite the fact that the image of nurses is still mistakenly apprehended, the way they provide care, their commitment to the population, and their scientific mindedness ensured visibility and enabled a more empowered and secure identity for their role in society.

RESUMEN Objetivo: Analizar aspectos relacionados con la identidad profesional de las enfermeras durante la pandemia de COVID-19 a partir de contenidos periodísticos. Método: Estudio cualitativo, documental y retrospectivo, con 51 reportajes del periódico Folha de São Paulo entre marzo y diciembre de 2020. La organización de los datos fue realizada por ATLAS.ti, con Análisis de Contenido Temático y discusión desde la perspectiva teórica de Claude Dubar. Resultados: Se constituyeron tres categorías: la identidad captada por las imágenes reflejadas en el texto; La Identidad simbolizada por el apoyo dado por enfermeras a quienes necesitan cuidados; y La identidad como valor social del trabajo del enfermero. Conclusión: A pesar de la imagen aún errónea y del contexto difícil, el compromiso con la población, la forma de cuidar y la cientificidad aseguraron visibilidad y posibilitaron una identidad más empoderada y segura de su papel en la sociedad.

RESUMO Objetivo: Analisar aspectos relacionados à identidade profissional das enfermeiras durante a pandemia da COVID-19 a partir de conteúdo jornalístico. Método: Estudo qualitativo, documental e retrospectivo, com 51 reportagens da Folha de São Paulo com recorte histórico entre março e dezembro de 2020. A organização dos dados se deu pelo ATLAS.ti, com Análise de Conteúdo Temática e discussão na perspectiva sociológica de Claude Dubar. Resultados: Três categorias foram constituídas: a Identidade capturada pelas imagens refletidas no texto; Identidade simbolizada pelo apoio das enfermeiras a quem precisa de cuidado e; Identidade como um valor social do trabalho das enfermeiras. Conclusão: Apesar da imagem ainda errônea e o contexto difícil, o compromisso com a população, a forma de cuidar e a cientificidade garantiram visibilidade e possibilitaram uma identidade mais empoderada e segura de seu papel na sociedade.