The service of a nurse is part of the general production of health is this country, which in turn, is linked to the present economical interest of the corrent growth of the monopolistic capital status in Brazil. Health production is on one of the lowest levels of public services responsible to the state and, increasingly, in the public - private services, administrated and sustained by the social services of the ministry of privisions who had implemented a privilaged policy in the private sector, in the early 1960's. In this case our work is determined, historically, by milti-economic factors, politicains, technicians, idealists, ethics and cultures whom impress a certain quality on the final product of our work, or rather, the nursing assistance that we are affording the population who depend on the quality protected by the professionals and public alike. We can not, however, talic of absolute autonomy within the nursing services at a time whem there are no specific laws in this area. Which includes nursing, the social divisions of health an work in the establishment of priorities in decisions an actions which have an effect on this service