this study aims to provide reflection points on the nursing management process in the current state impoverishment financial conditions facing nursing work in a public health service in the state of mato grosso. we used the concepts of vulnerability, user rights and ethic to seek to understand how these concepts can broaden the view of citizenship in the search for better health care conditions for the users and workers in the institution studied. the blatant impoverishment of conditions that was detected point to the need for more awareness raising all levels where we think about, carry out and submit ourselves to the health care nursing, working conditions, nursing ethics.
