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We sought to analyze, from the perspective of professors and students, the reasons and consequences of the expansion of undergraduate courses in nursing, discussing the dilemmas and the contradictions confronting the labor market. It was a qualitative study with data obtained from focus groups, conducted in 18 undergraduate nursing courses in the state of Minas Gerais, during the period of February to October of 2011. The narratives were submitted to critical discourse analysis. The results indicated that the education of the nurse was permeated by insecurity as to the future integration into the labor market. The insecurity translates into dilemmas that referred to employability and the precariousness of the working conditions. In this context, employment in the family health strategy emerges as a mirage. One glimpses the need for a political agenda with the purpose of discussion about education, the labor market and the determinants of these processes.

Os Centros de Referência em Saúde Mental (CERSAMS) representam hoje um dispositivo nuclear para fazer frente à proposta de Reforma Psiquiátrica. Assumem lugar estratégico contra o modelo hospitalocêntrico e inauguram espaço de interlocução com a loucura, reinventando o trabalho clínico. Este estudo tem como objetivo descrever as atividades do enfermeiro nas equipes dos CERSAMS da Secretaria Municipal de Saúde de Belo Horizonte, MG, focalizando o atendimento e seguimento ao doente mental. Trata-se de estudo qualitativo, cujos dados foram coletados através de entrevista semi-estruturada e submetido à análise do discurso. Foram sujeitos desta pesquisa oito enfermeiros inseridos nas equipes de saúde mental. Os resultados apontam sua inserção no trabalho interdisciplinar, assumindo a condução clínica do atendimento ao doente mental, auxiliando-o no seu percurso e na construção de vínculos com o tratamento.Los Centros de Referencia en Salud Mental (CERSAMS) representan hoy un dispositivo central para conducir la propuesta de la Reforma Psiquiátrica. Ocupan una posición estratégica contra el modelo hospitalocéntrico y establecen un espacio de interlocución con la locura reinventando el trabajo clínico. Esta investigación tiene como objetivo describir las actividades del enfermero en los equipos de los "CERSAMS" de la "Secretaria Municipal de Saúde de Belo Horizonte" centrándose en la atención y el acompañamiento al enfermo mental. Es un trabajo cualitativo del cual los datos fueron obtenidos por medio de entrevista semi-estructurada y sometido al análisis del discurso. Los sujetos de esta investigación fueron ocho enfermeros que trabajan en los equipos de salud mental. Los resultados indican su inserción en el trabajo interdisciplinario, asumiendo la conducción clínica de la atención al enfermo mental, ayudándolo en su trayecto y en la construcción de vínculos con el tratamiento.At the moment, the Mental Health Centers represent an important initiative in the conduction of Psychiatric Reform. They have a strategic role against the hospital centered model and inaugurate a space of interaction with the mental disorders, reinventing the clinical space. This study aimed at describing nurses' activities in the teams of the Mental Health Centers, maintained by the Municipal Health Department in the city of Belo Horizonte, state of Minas Gerais, Brazil, focusing on the care and follow-up of patients with mental disorders. This is a qualitative study and data were collected through semi structured interviews, analyzed by discourse analysis. Eight nurses were the subjects of this research. Results showed an inclusion of the interdisciplinary work in this centers, assuming the clinical conduction of the treatment to patients with mental disorders as well as helping them in the trajectory and construction of links with the treatment.