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This theoretical study results from the observation and problematization of inexperienced nurses' insertion in technological environments, which requires specialized knowledge and practices. We pose the question if the use of this knowledge leads to a fragmented practice. The objective is to discuss the specialized knowledge necessary for nursing work in this setting, at the light of the principles that guide the new scientific paradigm. A bibliographical survey and literature review weredoi:10.1590/s0104-11692008000600017 pmid:19229410 fatcat:e7friegferaebbgztcocobtin4