Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-20T23:36:52Z No. of bitstreams: 1 JanaineMariaDeOliveira_DISSERT.pdf: 1361256 bytes, checksum: d5e8f48759f866c073ff84c1e160458a (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-24T23:23:52Z (GMT) No. of bitstreams: 1 JanaineMariaDeOliveira_DISSERT.pdf: 1361256 bytes, checksum: d5e8f48759f866c073ff84c1e160458a (MD5) / Made available in DSpace on 2017-03-24T23:23:52Z (GMT). No. of bitstreams: 1 JanaineMariaDeOliveira_DISSERT.pdf: 1361256 bytes, checksum: d5e8f48759f866c073ff84c1e160458a (MD5) Previous issue date: 2016-07-29 / O processo de se pensar e fazer sa?de passou por grandes mudan?as desde a cria??o do Sistema ?nico de Sa?de, o que, consequentemente, impulsionou mudan?as nos processos de forma??o profissional em sa?de, movidas pela necessidade de ter profissionais com uma vis?o voltada para a integralidade do cuidado em sa?de. A partir dessa necessidade, a inser??o do estudante nos servi?os de sa?de passa a ser mais valorizada. Tendo assim o preceptor um papel fundamental na aproxima??o do estudante com a popula??o e o territ?rio, na consolida??o da integra??o ensino-servi?o-comunidade. Diante dessa import?ncia, esse estudo foi impulsionado a questionar quais os sentidos que levam os profissionais do servi?o a exercem a preceptoria? Eles t?m dimens?o do seu papel como articulador desse processo de integra??o? O que motiva esse profissional e quais suas fragilidades? Com essas quest?es em mente, este estudo objetivou investigar os sentidos de ser preceptor nas experi?ncias de integra??o ensino-servi?o-comunidade, a partir dos discursos dos profissionais preceptores na ESF, O estudo utilizou a abordagem qualitativa com alicerce na produ??o de sentidos presentes nos discursos dos profissionais preceptores, e tem como base te?rica a abordagem das pr?ticas discursivas no referencial construcionista e teve como atores 20 profissionais preceptores na ESF que recebem estagi?rios de gradua??es da sa?de de institui??es de ensino p?blica e privadas. Foram realizadas entrevistas semiestruturadas, posteriormente transcritas e analisadas, permitindo a constru??o dos sentidos do ser preceptor a partir de 4 eixos anal?ticos, a saber: 1. Motiva??es e potencialidades; 2. Limita??es e cr?ticas; 3. Rela??o ensino-servi?o-comunidade; e 4. Ser preceptor. Como resultados foi percebido que o preceptor exerce a fun??o de educador na sua atua??o pr?tica. Entretanto tem dificuldade de atribuir-se a fun??o de educador e, apesar de limita??es t?cnicas e educacionais, ele desempenha com compromisso a preceptoria, desejando qualifica??o e organiza??o dessa pr?tica de modo a n?o sobrecarregar seu trabalho na ESF. Percebeu-se tamb?m que o ser preceptor envolve o trabalho de articula??o ensino servi?o, mas n?o na sua dimens?o coletiva e tamb?m sem a articula??o com a comunidade e o territ?rio como contexto fundamental no processo sa?de-doen?a. Conclui-se que na luta para normaliza??o da fun??o de preceptoria ainda h? muito o que avan?ar, faz-se necess?rio, por?m, refletir sobre os caminhos a serem trilhados no enfrentamento dos obst?culos, com estudos que venham a suscitar solu??es para essa problem?tica, assim como progredir no sentido da qualifica??o do profissional preceptor para que este possa vim a cumprir essa fun??o com maior propriedade, contribuindo para o fortalecimento do SUS e reafirma??o da ESF como cen?rio para forma??o em sa?de. / Since de creation of the Health Unic System, the process of to do and to think health has been for big changes. Consequently, this drove changes on the formation process in the health, driven by need of to tue professionals with the vision to turned for the integrality of the health care. Starting from this need, the student insertion on the health services it?s more valued, where the preceptor has a fundamental paper in the aproximation between student, population and territory and in the consolidation for the integration between teaching, service and community. From that importance, this study was boosted for to question what are the feelings that lead the professionals of the service for exercised the preceptory? They are dimension for the your paper into articulation on the process of integration? Whats motivates this professiona and are they your frailties? Whith this questions on the mind, this study objected to investigate the feelings and directions from to be preceptor in the experiences for the integration between teaching, service and community, starting from the speeches of the preceptors professionals in the Family Health Strategy. This study used the qualitative approach, subatantiated in the senses productions on the speeches for the preceptors professionals and has with theoretical basis the approach of the discursive practices on the construction referential and participated 20 preceptors professionals from de Famlily Health Strategy who receive interns from the private and public graduation institutions. Were are realized interviews, transcribed and analyzed, which allowed the construction of the preceptors feelings from for 4 axes for analysis: 1. Motivations and potentialities; 2. Reviews and limitations; 3. Relationship between teaching, service and community; and 4. To be preceptor. The results showed what the preceptor has exercised your educator function in your practice, but has difficulty in to feel this function. Although for techniques and educacional limitations, plays with commitment the preceptor function and want organization and qualification of that practice for don?t overload your job in the Family Health Strategy. Besides that, the preceptor involves the articulation between teaching and service, but not in your collective dimension as well as articulation with community and territory as fundamental context in the health and disease process. This study concluded that in the struggle for standardization for the preceptor function there is so much to evolve. It?s required reflexion on the ways threshed on the obstacles, with studies that to arouse solutions for this problem, it?s required progression in the professional qualification for the preceptor exercise this function with biggest property and to contribute for the fortification of the Heath Unic System and the Family Health Strategy as scenario from health formation.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-04-17T20:58:06Z No. of bitstreams: 1 MariaValquiriaNogueiraDoNascimento_TESE.pdf: 1968707 bytes, checksum: 426f5acaf435127acdc436c73b2cb8b2 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-04-18T18:34:12Z (GMT) No. of bitstreams: 1 MariaValquiriaNogueiraDoNascimento_TESE.pdf: 1968707 bytes, checksum: 426f5acaf435127acdc436c73b2cb8b2 (MD5) / Made available in DSpace on 2017-04-18T18:34:12Z (GMT). No. of bitstreams: 1 MariaValquiriaNogueiraDoNascimento_TESE.pdf: 1968707 bytes, checksum: 426f5acaf435127acdc436c73b2cb8b2 (MD5) Previous issue date: 2016-12-05 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / A Pol?tica de Pr?ticas Integrativas e Complementares [PNPIC] foi implantada em 2006, por meio da portaria GM n? 971, contemplando as pr?ticas terap?uticas como Homeopatia, Fitoterapia, Acupuntura, Medicina Antropos?fica, Termalismo/Crenoterapia, Pr?ticas Corporais/Atividade F?sica e T?cnicas em Medicina Tradicional Chinesa, com base nos princ?pios de uma escuta acolhedora, desenvolvimento do v?nculo terap?utico, integra??o do ser humano com o meio ambiente e a sociedade, vis?o ampliada do processo sa?de-doen?a, promo??o global do cuidado humano e autocuidado. Embora n?o institu?das pela Pol?tica Nacional, as Pr?ticas Integrativas e Complementares [PIC?s] de natureza coletiva t?m crescido gradativamente nos servi?os de sa?de, em raz?o das demandas locais e das pr?prias reivindica??es da popula??o. Nesse sentido, o objetivo deste estudo consistiu em analisar a inser??o das PIC?s Grupais como estrat?gia de cuidado e aten??o integral ? sa?de na aten??o b?sica e as possibilidades de di?logo com a educa??o popular. A pesquisa teve como cen?rio as Unidades B?sicas de Sa?de [UBS] e Unidades B?sicas de Sa?de da Fam?lia [UBSF], e como participantes profissionais que realizavam PIC?s Grupais nos servi?os. Em termos operacionais, desenvolvemos a pesquisa a partir das seguintes etapas: (a) visita ? Secretaria Municipal de Sa?de [SMS]; (b) mapeamento dos equipamentos de sa?de e de profissionais da aten??o b?sica que desenvolviam atividades em PIC?s Grupais; (c) identifica??o e caracteriza??o das PIC?s Grupais; (d) realiza??o de entrevistas e rodas de conversa; (e) observa??o-participante nos grupos de PIC?s. O estudo identificou 56profissionais em sa?de que desenvolviam PIC?s Grupais, vinculados ?s seguintes categorias: 16 agentes comunit?rios de sa?de, 09 enfermeiras, 08 educadores f?sicos, 07 m?dicas, 04 nutricionistas, 03 psic?logas, 03 auxiliares de enfermagem, 03 dentistas, 02 farmac?uticos e 01 fonoaudi?logo. Dos 66 equipamentos de sa?de da aten??o b?sica contactados, 37 realizavam PIC?s Grupais, divididas em 14 modalidades, a saber: relaxamento, medita??o, yoga, tai chi chuan, grupos de suporte m?tuo, tenda do conto, grupo de prosa com mulheres, grupo de bordadeiras, grupo de idosos, grupo de caminhadas, grupo de terapia e arte, grupos de conta??o de hist?rias, terapia comunit?ria e teatro do oprimido. As PIC?s Grupais atuam com ?nfase na valoriza??o das trocas interpessoais entre profissionais e usu?rios, com um olhar integral e interdisciplinar sobre os sujeitos, de modo a garantir uma participa??o mais efetiva e o compartilhamento de saberes, elementos essenciais na produ??o da autonomia. Nessa dire??o, a educa??o popular pode ser instrumento de reorienta??o da aten??o ? sa?de e globalidade das PIC?s Grupais, com base numa perspectiva participativa, criativa, dialogada e emancipadora. / The Policy of Integrative and Complementary Practices [PNPIC - Pol?tica de Pr?ticasIntegrativas e Complementares] was implemented in 2006, through GM Administrative Rule No. 971, contemplating therapeutic practices, such as Homeopathy, Phytotherapy, Acupuncture, Anthroposophic Medicine, Thermotherapy/Cryotherapy, Body Practices/Physical Activity and Techniques in Traditional Medicine, based on the principles of a warm listening, development of the therapeutic bond, integration of the human being with the environment and society, an expanded vision of the health-disease process, global promotion of human care and self-care. Although not instituted by the National Policy, the Collective and Complementary Practices [PIC's] ? Pr?ticas Integrativas e Complementares] of collective nature have gradually grown in the health services, due to the local demands and the own demands of the population. In this sense, the objective of this study was to analyze the insertion of Integrative and Complementary Group Practices as a strategy of care and integral health care in basic care and the possibilities of dialogue with popular education. The research had as a scenario the Basic Health Units [UBS] and Family Health Basic Units [UBSF], and, as participants, professionals that carried out group PIC's in the services. In operational terms, we developed the research from the following stages: (a) mapping of health equipment and primary care professionals who developed activities in group PIC's; (b) identification and characterization of group PIC's; (c) conducting interviews and talk wheels; (d) observation-participant in groups of PIC's. The study identified 56 health professionals who develop group PIC's, linked to the following categories: 16 community health agents, 09 nurses, 08 physical educators, 07 physicians, 04 nutritionists, 03 psychologists, 03 nursing assistants, 03 dentists, 02 pharmacists and 01 phonoaudiologist. Among the 66contacted basic care health teams, 22 perform group PIC's, divided into the following modalities: relaxation, meditation, yoga, tai chi chuan, mutual aid groups, taletent, prose group with women, group of embroiderers, group of seniors, group of walks, therapy and art group, storytelling groups, community therapy and theater of the oppressed. Group PIC's work focusing onvaluing interpersonal exchanges among professionals and users, with a comprehensive and interdisciplinary view of the subjects, in order to guarantee a more effective participation and the sharing of knowledge, essential elements in the production of autonomy. In this direction, popular education can be an instrument to reorient attention to health and globality of group PIC's, based on a participatory, creative, dialogic and emancipatory perspective.

Submitted by Natalie Mendes (nataliermendes@gmail.com) on 2015-07-22T23:57:04Z No. of bitstreams: 1 DISSERTA??O IRACEMA LUA.pdf: 1927753 bytes, checksum: 529b5dc086281d12b0c563f14ce3f3ea (MD5) / Made available in DSpace on 2015-07-22T23:57:04Z (GMT). No. of bitstreams: 1 DISSERTA??O IRACEMA LUA.pdf: 1927753 bytes, checksum: 529b5dc086281d12b0c563f14ce3f3ea (MD5) Previous issue date: 2014-03-31 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / We emphasize in this survey the illness of the worker concerned individual and collective damage that affects the quality of services provided for, with emphasis on nursing professionals, related to the direct contribution to the quality of care and the high stress loads which these professionals are exposed to, in their environment job. Due to female predominance in this category was necessary to approach gender issues in order to analyze the risks of exposure and morbidity profiles no longer under a biological vision, considering social factors in epidemiological analyzes. Considering such problems, we aimed to analyze the factors that are associated with conditions of physical and mental health workers in primary care nursing in Bahia. As a methodological approach, a cross sectional study was conducted in five cities in Bahia in 2011-2013, with a sample of 451 nursing workers. An 8-section questionnaire was elaborated relating to sociodemographic lifestyle, employment status, psychosocial aspects of working, perception of work and life, and health status. The Self Reporting Questionnaire - SRQ - 20 was used to track TMC and self -rated health was identified from the question: "In general, comparing yourself to people of your age, how have you considered your health?" To verify the factors associated with the outcome, we used the analysis of logistic regression in blocks. On considering the results, we identified 16.2 % prevalence of Common Mental Disorders, and 15.8 % of negative self-rated health status, and such occurrences were associated with several factors. The variables statistically associated with TMC, in the final model of analysis were: occupation, workweek, personal safety threatened at work, overload housework, the effort-reward model (ERI ), self-satisfaction, assessment of quality of life and self-rated health. While for the negative self-rated health status, the variables that best were applied were: compatibility of the activities, overload housework, according to the Karasek?s demand-control model, evaluation of quality of life and common mental disorders. Our results reinforce and renew the scientific evidence on subject, reaffirming the relationship between the health-disease process and work, be it professional or domestic as well as the present association between physical fitness and mental health. We highlight the importance of psychosocial aspects of work on workers' health, as evidenced by the association of outcomes with the demand-control model or the effort - reward imbalance model ( ERI ). The results of the study direct relevance to discussions and changes in the nursing work organizations in an attempt to minimize stress and occupational dissatisfaction, and promote health in this category. / Aponta-se que o adoecimento do trabalhador causa danos individuais e coletivos, interfererindo na qualidade dos servi?os prestados, com ?nfase para os profissionais de enfermagem, pela direta atribui??o com a qualidade da assist?ncia e pelas elevadas cargas de estresse ?s quais esses profissionais est?o expostos em seu ambiente de trabalho. Pela predomin?ncia feminina desta categoria foram abordadas ainda as quest?es de g?nero, a fim de se analisar os riscos de exposi??o e os perfis de morbimortalidade, n?o mais sob vis?o biologicista, considerando os fatores sociais nas an?lises epidemiol?gicas. Face a tais quest?es, objetivou-se analisar os fatores que est?o associados ?s condi??es de sa?de f?sica e mental em trabalhadoras de enfermagem da aten??o b?sica na Bahia. Adotou-se como procedimento metodol?gico um estudo transversal em cinco cidades baianas entre 2011-2013, com uma amostra de 451 trabalhadoras de enfermagem. Utilizou-se um question?rio com 8 blocos de quest?es referentes ?s caracter?sticas sociodemogr?ficas, h?bitos de vida, situa??o de trabalho, aspectos psicossociais do trabalho, percep??o do trabalho e da vida e situa??o de sa?de. O Self Reporting Questionnaire - SRQ-20 foi utilizado para rastrear TMC e a autoavalia??o do estado de sa?de foi identificada a partir da pergunta: ?De modo geral, em compara??o ?s pessoas da sua idade, como voc? considera o seu pr?prio estado de sa?de?? Para verificar os fatores associados aos desfechos, empregou-se a an?lise de regress?o log?stica em blocos. Considerando os resultados, foram identificadas preval?ncia de transtornos mentais comuns de 16,2% e de autoavalia??o negativa do estado de sa?de de 15,8%, estando essas ocorr?ncias associadas a fatores diversos. As vari?veis estatisticamente associadas ao TMC, no modelo final de an?lise, foram: categoria profissional, jornada de trabalho semanal, seguran?a pessoal amea?ada no trabalho, sobrecarga dom?stica, desequil?brio esfor?o-recompensa (ERI), satisfa??o consigo mesmo, avalia??o da qualidade de vida e autoavalia??o do estado de sa?de. Enquanto que, para a autoavalia??o negativa do estado de sa?de, as vari?veis que melhor se aplicaram foram: compatibilidade das atividades desenvolvidas, sobrecarga dom?stica, situa??o de trabalho segundo o Modelo Demanda-Controle de Karasek, avalia??o da qualidade de vida e transtornos mentais comuns. Os resultados encontrados refor?am e renovam as evid?ncias cient?ficas sobre o tema, reafirmando a rela??o entre o processo sa?de-doen?a e o trabalho, seja ele profissional ou dom?stico, bem como a associa??o presente entre a sa?de f?sica e mental. Destaca-se a import?ncia dos aspectos psicossociais do trabalho na sa?de das trabalhadoras, evidenciada pela associa??o dos desfechos com o Modelo Demanda-Controle ou com o Modelo desequil?brio Esfor?o-Recompensa (ERI). Os resultados desse estudo direcionam para a relev?ncia de discuss?es e mudan?as nas organiza??es de trabalho da enfermagem nos servi?os de aten??o b?sica na tentativa de minimizar o estresse e a insatisfa??o ocupacional, e promover a sa?de dessa categoria, bem como a qualidade da assist?ncia prestada por estes.

Made available in DSpace on 2014-12-17T15:38:32Z (GMT). No. of bitstreams: 1 LucianaFM_TESE.pdf: 854964 bytes, checksum: 132a69f66769754a3d044805d52a783c (MD5) Previous issue date: 2010-06-07 / The Primary Health Care and one of its main strategies, the Family Health Strategy (ESF), are framed as the gateway to the Public Health System (SUS). Thus, most of the incident and prevalent health problems in the population attended should be solved at this level of care, including psychological suffering, and the so-called complaint of nerves. Nerves and nervous denote a complexity that is not always well comprehended by health workers, in such a way that the care to this kind of problem is usually inadequate. In this line of thought, the general objective of this study is to analyze the network of discourses and the care to the psychological suffering, expressed as nerves, in SUS daily Primary Health Care. Besides and more specifically, it aims at identifying the principles and guidelines of the Primary Health Care in mental health; to investigate health workers positioning before psychological suffering and complaints of nerves, and also analyze different actions and practices of care carried out in different Health Units towards complaints like nerves. Institutional Ethnography was the theoreticalmethodological perspective adopted for the work. This approach seeks to understand and analyze the institutional relationships in a particular context considering sociostructural influences and power relations, as well as daily discourses and practices. Based on interviews with health professionals, informal conversations and observations in six Health Units with ESF teams from different sanitary districts in Natal/RN, it was possible to check that the index of complaint of nerves is high. The referral to psychologists and psychiatrists, as well as the prescription of psychotropic drugs appear as the most common intervention at this level of care. In general, the participants complain that they have poor specialized knowledge about the theme of mental health. They face the problem of bad work conditions and the lack of institutional support, which make actions of illnesses prevention and health promotion even more difficult. Besides, there are different ongoing practices such as meetings for hypertensive and aged people, walk, visit, round-table discussions and community therapy. However, not all of these actions are aimed at the care of psychological suffering. It is observed that the Matrix Support, which is a methodological strategy of supervision and follow up forcases of mental health, hasn t been totally implemented in the municipal system, although it is a tool that has been used by psychologists in some Health Units in the city. It was also verified that the health care practices to the problem of nerves strongly depend on the professional s commitment with the PSF guidelines and on mental health policies, in addition to continued support, when available, from other professional who works as matrix supporter / A aten??o b?sica e uma de suas principais estrat?gias, a Estrat?gia Sa?de da Fam?lia (ESF), se configuram como a porta de entrada para o Sistema ?nico de Sa?de (SUS). Dessa maneira, boa parte dos problemas de sa?de incidentes e prevalentes na popula??o dscrita deve ser resolvida nesse n?vel de aten??o, incluindo o sofrimento psicol?gico e a denominada queixa de nervoso. Nervos e nervoso denotam uma complexidade que nem sempre ? bem compreendida pelos trabalhadores de sa?de, de maneira que o cuidado a esse tipo de problema geralmente ? inadequado. O objetivo geral desse trabalho ? analisar a rede de discursos e de cuidados no atendimento ao sofrimento psicol?gico que se expressa como nervos, no cotidiano da aten??o b?sica do SUS. Mais especificamente, identificar os princ?pios e diretrizes da aten??o b?sica em sa?de mental; investigar o posicionamento dos trabalhadores de sa?de diante do sofrimento psicol?gico e das queixas de nervos, e analisar as diferentes a??es e pr?ticas de cuidado realizados nas diferentes Unidades de Sa?de diante de queixas como nervos. A perspectiva te?rico-metodol?gica adotada no trabalho foi a Etnografia Institucional. Essa abordagem busca compreender e analisar as rela??es institucionais em determinado contexto considerando as influ?ncias socioestruturais e as rela??es de poder, bem como as pr?ticas e os discursos cotidianos. Foram realizadas entrevistas com trabalhadores de sa?de, conversas informais e observa??es em seis Unidades de Sa?de com equipes da ESF de diferentes distritos sanit?rios do munic?pio de Natal/RN. Constatou-se o alto ?ndice de queixas de nervos, sendo que o encaminhamento a psic?logos e psiquiatras e a prescri??o de psicotr?picos s?o a forma mais comum de interven??o. Em geral, h? uma falta de conhecimento especializado sobre o tema da sa?de mental, bem como aus?ncia de discuss?es sobre as pol?ticas de sa?de mental. De um lado, as condi??es de trabalho e a falta de apoio institucional dificultam a realiza??o de a??es de preven??o de doen?as e promo??o ? sa?de. Por outro, h? diferentes pr?ticas em andamento tais como reuni?es de hipertensos e idosos, caminhadas, visitas, rodas de conversas e terapia comunit?ria embora nem todas visem o cuidado espec?fico ao sofrimento psicol?gico. O apoio matricial, estrat?gia metodol?gica de supervis?o e acompanhamento de casos de sa?de mental, vem sendo implantado por psic?logos em algumas Unidades de Sa?de do munic?pio, por?m ainda n?o est? totalmente implantado na rede. As pr?ticas de cuidado aos problemas de nervos dependem principalmente do envolvimento do trabalhador com as diretrizes da ESF e das pol?ticas de sa?de mental, al?m do apoio sistem?tico, quando dispon?vel, de outro profissional que funciona como apoiador matricial

Made available in DSpace on 2014-12-17T15:38:39Z (GMT). No. of bitstreams: 1 EdilaneNRB.pdf: 461531 bytes, checksum: c5da09252b0d8ed8dcd729ccb9aa7745 (MD5) Previous issue date: 2008-02-27 / This study aims to analyzing the implementation of the Matrix Support proposal with professionals of Substitutive Services in Mental Health in the city of Natal/RN. The Matrix Support (MS) is an institutional arrangement which has been recently adopted by the Health Ministry, as an administrative strategy, for the construction of a wide care net in Mental Health, deviating the logic of indiscriminate follow-through changed by one of co-responsibility. In addition to this, its goal is to promote a major resolution as regards health assistance. Integral attention, as it is intended by the unique health system, may be reached by means of knowledge and practices interchange, establishing an interdisciplinary work logic, through an interconnected net of health services. For the accomplishment of this study, individual interviews of semi-structured character were used as instrument, with the coordinators and technical staff of the CAPs. The data collection was done in the following services: CAPS II ( East and West) and CAPS ad ( North and East), in the city of Natal/RN. The results point out that the CAPs to initiate of the discussion the process in the implementation of the MS aiming, to promote the reorganization and redefinition of the flow in the net, thus not acting in a fragmented way. Nevertheless, there is no effective articulation concerning the basic attention services, there is a major focus of the attention in mental health on the specialized services, little insertion in the territory and in the everyday life of the community / O objetivo deste estudo ? analisar a implementa??o da proposta do Apoio Matricial com profissionais de Servi?os Substitutivos em Sa?de Mental no munic?pio de Natal/RN. O Apoio Matricial (AM) ? um arranjo institucional recentemente incorporado pelo Minist?rio da Sa?de como estrat?gia de gest?o para a constru??o de uma rede ampla de cuidados em Sa?de Mental, desviando a l?gica de encaminhamentos indiscriminados para uma l?gica da co-responsabiliza??o. Ademais, visa produzir maior resolutividade ? assist?ncia em sa?de. Uma aten??o integral, como a pretendida pelo sistema ?nico de sa?de, poder? ser alcan?ada atrav?s da troca de saberes e de pr?ticas, instituindo uma l?gica de trabalho interdisciplinar, por meio de uma rede interligada de servi?os de sa?de. Para operacionaliza??o deste estudo, foram utilizadas como instrumento entrevistas individuais de car?ter semi-estruturado com os coordenadores e equipe t?cnica dos CAPS. A coleta de dados foi realizada nos seguintes servi?os: CAPS II (Leste e Oeste) e CAPSad (Norte e Leste), na cidade de Natal/RN. Os resultados apontam que os CAPS iniciaram o processo de discuss?o da implementa??o do AM, no intuito de promover a reorganiza??o e redefini??o do fluxo na rede, n?o atuando de forma fragmentada. Entretanto falta articula??o efetiva com os servi?os de Aten??o B?sica; h? uma centraliza??o da aten??o em Sa?de Mental nos servi?os especializados, com pouca inser??o no territ?rio e na vida cotidiana da comunidade

Made available in DSpace on 2014-12-17T15:43:48Z (GMT). No. of bitstreams: 1 AntonioWS_DISSERT.pdf: 1944652 bytes, checksum: 91ccd9ee2c5731107308efcbf756f2b5 (MD5) Previous issue date: 2012-12-19 / The accelerated industrialization, coming with the Industrial Revolution, caused profound changes in the working world. These changes led to the households risks from work environment. Trying to assist comprehensively the health of workers, Brazil has a program of Health Care Workers in the Primary Care, and the Family Health Strategy is the main entrance for this system. The study sought to determine if the actions of the health care worker have been developed in primary care through the Family Health Strategy. This is a quantitative study with a methodological evaluation, focusing on normative assessment. The sample was formed by professionals from Team Family Health Strategy, in the municipalities of Pau dos Ferros, Caic? and Natal in Rio Grande do Norte state. The sample consists of 202 professionals (Doctors, Nurses, Assistant / Technician Nursing and Community Health Workers) in 52 Health Family Units from the 3 municipalities cited. The instrument used consists of a checklist, from Manual of Primary Care 5 - Family Health - Occupational Health, Ministry of Health. The data were analyzed describing the variables by its frequency and doing a classification of cities from the scores obtained by each. It was observed that the Family Health professionals know the program of health care worker, however do not know the Manual of Primary Care 5, which is a guidance tool. As a result of non-appropriation of the FHT professionals with worker health, these activities are not performed, mainly surveillance in occupational health and health education labor / A industrializa??o acelerada, vinda com a Revolu??o Industrial, provocou mudan?as profundas no mundo do trabalho. Essas mudan?as levaram para o meio das fam?lias os riscos do ambiente do trabalho, em um processo de domiciliza??o do risco. Na busca de atender de forma integral ? sa?de dos trabalhadores, o Brasil integra a Aten??o ? Sa?de dos Trabalhadores ? Aten??o B?sica, tendo a Estrat?gia de Sa?de da Fam?lia como porta de entrada deste sistema. O estudo busca avaliar se as a??es de aten??o ? sa?de do trabalhador t?m sido desenvolvidas na aten??o b?sica, via Estrat?gia Sa?de da Fam?lia. Trata-se de um estudo quantitativo, com uma abordagem metodol?gica avaliativa, privilegiando a avalia??o normativa. Como p?blico alvo, est?o os profissionais da Equipe de Estrat?gia de Sa?de da Fam?lia, nos munic?pios de Pau dos Ferros, Caic? e Natal, no estado do Rio Grande do Norte. A amostra ? composta de 202 Profissionais (m?dicos, enfermeiros, auxiliar/t?cnico de enfermagem e agentes comunit?rios de sa?de) em 52 Unidades de Sa?de da Fam?lia dos 3 munic?pios. O instrumento de coleta utilizado ? constitu?do de uma Lista de Verifica??o, a partir do Caderno de Aten??o B?sica n? 5 Sa?de da Fam?lia Sa?de do Trabalhador, do Minist?rio da Sa?de. Analisaram-se os dados a partir de uma descri??o das vari?veis na forma de frequ?ncia percentual e da classifica??o dos munic?pios a partir dos escores obtidos por cada um. Observou-se que os profissionais da Sa?de da Fam?lia conhecem o programa de aten??o ? sa?de do trabalhador, no entanto n?o conhecem o Caderno de Aten??o B?sica n? 5, que ? um instrumento de orienta??o. Em consequ?ncia da n?o apropria??o dos profissionais da ESF com a sa?de do trabalhador, essas a??es n?o s?o realizadas, principalmente as a??es de Vigil?ncia em Sa?de do Trabalhador e Educa??o em Sa?de do Trabalhador

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-01-16T16:44:35Z No. of bitstreams: 1 SheylaPriscilaSouzaDeOliveira_DISSERT.pdf: 2168866 bytes, checksum: 42fe7ccdbe44062a41015450dc373d57 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-01-19T11:51:51Z (GMT) No. of bitstreams: 1 SheylaPriscilaSouzaDeOliveira_DISSERT.pdf: 2168866 bytes, checksum: 42fe7ccdbe44062a41015450dc373d57 (MD5) / Made available in DSpace on 2018-01-19T11:51:51Z (GMT). No. of bitstreams: 1 SheylaPriscilaSouzaDeOliveira_DISSERT.pdf: 2168866 bytes, checksum: 42fe7ccdbe44062a41015450dc373d57 (MD5) Previous issue date: 2016-10-31 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / Compreender a din?mica societ?ria e os caminhos por quais est?o percorrendo as pol?ticas sociais e a efetiva??o dos direitos sociais na conjuntura hostil e contradit?ria da sociedade capitalista, amparadas no ide?rio neoliberal, ? imprescind?vel para analisar o exerc?cio profissional dos/as assistentes sociais nos seus diversos espa?os de inser??o. Nessa perspectiva, o presente estudo ? fruto de uma pesquisa de campo e bibliogr?fica com o objetivo geral de analisar como tem se desenvolvido o exerc?cio profissional do (a) assistente social na Aten??o B?sica da Pol?tica de Sa?de no munic?pio do Natal/RN, com vistas a contribuir para a discuss?o do fazer profissional e a import?ncia do projeto ?tico-pol?tico como elemento norteador e indispens?vel para o Servi?o Social. Os dados emp?ricos foram coletados a partir de entrevistas semiestruturadas com assistentes sociais lotados/as na aten??o b?sica de Natal. Assim, foram entrevistados/as assistentes sociais de USF, UBS, diretor/a de Distrito Sanit?rio, diretor/a de unidade de sa?de, NASF e Consult?rios na Rua. Os dados da coleta foram analisados a partir da t?cnica de an?lise de conte?do e os resultados expostos no cap?tulo tr?s da disserta??o. Os resultados demonstram a fragilidade das condi??es de trabalho nas quais se encontram os/as assistentes sociais, fruto de dificuldades vivenciadas pela pol?tica de sa?de de modo geral, e que afetam os profissionais por se inserirem em processos de trabalho j? definidos pelos empregadores e por terem as pol?ticas sociais como principal campo de atua??o. Outro ponto interessante revelado no estudo ? a confus?o/imprecis?o que os sujeitos de pesquisa fazem ao se referir as compet?ncias e atribui??es privativas do Servi?o Social, principalmente sobre essa ?ltima por estarem inseridos em equipes multiprofissionais e interdisciplinares. Nessa perspectiva ? de extrema import?ncia problematizarmos o tema que ora se apresenta, pois ? a produ??o do conhecimento acerca do exerc?cio profissional, em tempos de regress?o de direitos e fortalecimento do neoconservadorismo, que nos permite olharmos para os rumos que a profiss?o tem tomado e reiterar a necessidade da defesa do fazer profissional norteado pelo projeto profissional cr?tico. / To understand the dynamics societ?ria and the roads for which are traveling the social politics and the efetiva??o of the social rights in the hostile and contradictory conjuncture of the capitalist society, aided in the neoliberal ide?rio, it is indispensable to analyze the social workers' professional exercise in their several insert spaces. In that perspective, the present study is fruit of a field research and bibliographical with the general objective of analyzing how he/she has if developed the (the) social worker's professional exercise in the Basic Attention of the Politics of Health in the municipal district of Christmas / RN, with views to contribute for the discussion of doing professional and the importance of the ethical-political project as element norteador and indispensable for the Social Service. The empiric data were collected starting from interviews semiestruturadas with full social workers / the in the basic attention of Christmas. Like this, they were interviewed / the social workers of USF, UBS, director / the one of Sanitary District, director / the one of unit of health, NASF and Clinics in the Street. The data of the collection were analyzed starting from the technique of content analysis and the exposed results in the chapter three of the dissertation. The results demonstrate the fragility of the work conditions in which are the social workers, fruit of difficulties lived by the politics of health in general, and that affect the professionals for if they insert in work processes already defined for the employers and for they have the social politics as main field of performance. Another interesting point revealed in the study is the confusion / imprecision that the subject of research do when referring the competences and private attributions of the Social Service, mainly on that last one for they be inserted in teams multiprofissionais and interdisciplinary. In that perspective it is of extreme importance problematize the theme that prays if it presents, therefore it is the production of the knowledge concerning the professional exercise, in times of regression of rights and invigoration of the neoconservadorismo, that it allows we look each other at the directions that the profession has been taking and to reiterate the need of the defense of doing professional orientated by the critical professional project. Keywords: Social Service. Job. professional

Made available in DSpace on 2014-12-17T15:30:50Z (GMT). No. of bitstreams: 1 JoseFLJ.pdf: 489038 bytes, checksum: 731141dec4f591b581277507990e3a2c (MD5) Previous issue date: 2006-05-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This work aims at investigating the surgeons-dentists acceptability in the field of public health in the city of Natal, State of Rio Grande do Norte, about the possibility of medicinal plants insertion in basic attencion of health. Moreover, it searchs to know if during their professinal formation it had some theoretician-pratical basement on this subject, as well as investigating their confidence on the medicinal plants. The basic motivation for developing this study is the possibility of contributing to the insertion of a tradicional health pratical at public assistance scope, endorsed by popular use, but now scientifically proven. For in a such way, the medicinal plants use is emphasized as a way to be followed to increase basic pharmaceutical assistance, improving the acess to the medicine and diminish expenses. Following this logic, family health program constitutes the way through which this pratical will be available to the users of health services. The research was done over thirty surgeonsdentists, all ofthem pertaining to public service ofNatal, state ofRio Grande do Norte. It was used, as research instrument, semi-estructured interview associated with methodological analysis user s speeches. On this form, this work is inserted in a trend observed nowadays not only in Brazil, where the use of the medicinal plants has been stimulated and defended to be inserted at programs ofprimary attenction of health / Este trabalho tem por objetivo conhecer a aceitabilidade dos cirurgi?es-dentistas da assist?ncia p?blica na cidade de Natal/RN em rela??o ? possibilidade de inser??o da fitoterapia na aten??o b?sica de sa?de. Al?m disso, busca conhecer se durante a forma??o profissional deles houve algum embasamento te?rico-pr?tico sobre este assunto, bem como investigar a confian?a que eles atribuem aos fitoter?picos. A motiva??o b?sica para a realiza??o desse estudo est? na possibilidade de contribuir com a inser??o de uma pr?tica de sa?de tradicional no ?mbito da assist?ncia p?blica, respaldada pelo uso popular, por?m ? luz do conhecimento cient?fico. Para tanto, a fitoterapia ? enfatizada como um caminho a ser seguido com vistas a incrementar a assist?ncia farmac?utica b?sica, aumentando o acesso ao medicamento e minorando gastos. Seguindo esta l?gica, o PSF constitui o caminho atrav?s do qual esta pr?tica poder? chegar at? o usu?rio do servi?o de sa?de. A popula??o estudada foi composta de trinta cirurgi?es-dentistas vinculados ao servi?o p?blico de Natal-RN. O instrumento utilizado foi um roteiro de entrevista semi-estruturada, com a t?cnica de an?lise das pr?ticas discursivas. Nesse sentido, este trabalho se insere dentro de uma tend?ncia que se v? atualmente n?o s? no Brasil, onde a utiliza??o das plantas medicinais tem sido incentivada, estimulada e defendida para ser inseri da dentro dos programas de aten??o prim?ria ? sa?de. Palavras-chaves: Fitoterapia; servi?os p?blicos de sa?de; sa?de bucal; aten??o b?sica

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-14T20:41:15Z No. of bitstreams: 1 AnnaCarolinaVidalMatos_DISSERT.pdf: 2351324 bytes, checksum: b015b6d254a35a6308eeae0d4b84e8ff (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-15T18:56:19Z (GMT) No. of bitstreams: 1 AnnaCarolinaVidalMatos_DISSERT.pdf: 2351324 bytes, checksum: b015b6d254a35a6308eeae0d4b84e8ff (MD5) / Made available in DSpace on 2017-03-15T18:56:20Z (GMT). No. of bitstreams: 1 AnnaCarolinaVidalMatos_DISSERT.pdf: 2351324 bytes, checksum: b015b6d254a35a6308eeae0d4b84e8ff (MD5) Previous issue date: 2016-07-12 / A presente pesquisa tomou como refer?ncia a popula??o em situa??o de rua como uma manifesta??o da quest?o social, o que implica um fen?meno gerado a partir de condi??es hist?ricas, com a media??o de aspectos sociais, econ?micos e pol?ticos. Em consequ?ncia da organiza??o e das lutas do Movimento Nacional da Popula??o de Rua, atualmente, no Brasil, tal fen?meno ? abordado pelo Estado como uma quest?o transversal a v?rias ?reas da gest?o p?blica. Assim, em 2011, surge a Pol?tica Nacional Para a Popula??o em Situa??o de Rua, em que foram criados os Consult?rios na Rua (CnaR). Estes s?o equipamentos da aten??o b?sica voltados para a preven??o e promo??o de sa?de junto ? popula??o em situa??o de rua. Nessa dire??o, esta pesquisa visou a entender a atua??o dos profissionais dos CnaR no munic?pio do Natal/RN. O objetivo geral foi analisar a atua??o das equipes do CnaR frente ?s demandas e necessidades de sa?de da popula??o em situa??o de rua do munic?pio de Natal/RN. De forma mais espec?fica, pretendeu-se caracterizar as pr?ticas dos profissionais do CnaR; problematizar os limites e as potencialidades desse equipamento na sua rela??o com a rede de sa?de e com a intersetorialidade; e discutir como se d? o acesso ao cuidado integral ? sa?de da popula??o em situa??o de rua, por meio das pr?ticas do CnaR. Assim, foram feitas entrevistas semiestruturadas com os profissionais das equipes e, concomitantemente, observa??o participante e registros em di?rios de campo a partir do acompanhamento de uma das equipes. Em Natal/RN, existem tr?s equipes do CnaR, localizadas em duas regi?es da cidade, sendo elas compostas por 19 profissionais e um coordenador. Participaram das entrevistas 17 profissionais. Foi constatado que as demandas que chegam para as equipes s?o bastante diversificadas, mas ligadas ao perfil de desassist?ncia e nega??o de direitos caracter?stico dessa popula??o, o que exige uma educa??o cr?tica e permanente acerca do fen?meno, algo que foi visto como incipiente. Al?m disso, o trabalho dos profissionais se d? na dire??o das pr?ticas voltadas para a inser??o dos usu?rios na rede de sa?de, como o matriciamento, e no atendimento ?s demandas apresentadas no campo ? e essas ?ltimas acabam sendo priorizadas por seu volume. A dificuldade de articula??o com outros servi?os da rede emergiu como uma das mais marcantes da atua??o e, junto com o excesso de atividades, foi apresentada como limite para a efetiva inser??o dos usu?rios na rede. Constatou-se tamb?m que h? uma necessidade de estimular a articula??o com parceiros centrais como o NASF e o MNPR. Por fim, ? importante ressaltar que entender as pr?ticas dos CnaR permite ampliar o entendimento da constru??o das pol?ticas sociais para a popula??o em situa??o de rua, diminuir a invisibilidade e promover a constru??o de possibilidade de uma transforma??o na realidade desse p?blico. / This research took people under street condition as a manifestation of the Social Issue, implying a phenomenon generated from historical conditions, with the mediation of social, economic and political aspects. As a result of the organization and the struggles of the National Movement of People Under Street Condition, currently in Brazil this phenomenon is addressed by the State as a transversal issue for various areas of public administration. Thus, in 2011, arises the National Policy to the Population under Street Condition, from which the Street Clinics were created (CnaR). These are equipments of Primary Care focused on prevention and health promotion among the people under street condition. In this sense, this research aimed to understand the work of CnaR professionals in the city of Natal/RN. The general objective was to analyze the practices of CnaR teams toward the demands and health needs of the people under street condition of Natal/RN. More specifically, it sought to characterize the practices of CNAR professionals; problematize the limits and potential of this equipment in their relationship with the health network and the intersectorality and; discuss how the access to full health care of the population people under street condition takes place through CnaR practices. Aiming these objectives, semi-structured interviews were conducted with professional teams and, concomitantly, participant observation and records in field diaries from the observations of one of the teams. There are three teams CnaR in Natal/RN, located in two areas of the city, composed of 19 professionals and a coordinator. Seventeen professionals participated in the interviews. It was found that the demands that come to the teams are quite diverse, but related to lack of assistance profile and denial of rights that characterizes this population, which requires a critical and permanent education about the phenomenon, which was seen as incipient. Moreover, the work of professionals takes place in the direction of practices aiming the integration of users in the health system, such as matrx support, and facing immediate demands in the field, and the latter end up being prioritized because its volume. Integration with other network services has emerged as one of the most outstanding difficulties for the practices and, along with excess of activity, was presented as limitation for the effective integration of users in the network. It was also found that there is a need to encourage cooperation with main partners as NASF and MNPR. Finally, it is important to highlight that the understanding of the practices of CnaR allows greater understanding of the construction of social policies for the people under street condition, reduces the invisibility and promote the construction of the possibility of a change in the reality of this public.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-20T23:36:53Z No. of bitstreams: 1 NathalySophiaRochaPhillipsDavid_DISSERT.pdf: 3816331 bytes, checksum: fd53ac789388554ba81c53f7856b7a07 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-24T23:49:25Z (GMT) No. of bitstreams: 1 NathalySophiaRochaPhillipsDavid_DISSERT.pdf: 3816331 bytes, checksum: fd53ac789388554ba81c53f7856b7a07 (MD5) / Made available in DSpace on 2017-03-24T23:49:25Z (GMT). No. of bitstreams: 1 NathalySophiaRochaPhillipsDavid_DISSERT.pdf: 3816331 bytes, checksum: fd53ac789388554ba81c53f7856b7a07 (MD5) Previous issue date: 2016-08-31 / A reforma sanit?ria, institu?da no Brasil a partir de 1988, traz como um dos princ?pios basilares do Sistema ?nico de Sa?de - SUS a aten??o integral em sa?de. Uma das pol?ticas estruturantes para este cuidado integral ? a Pol?tica Nacional de Pr?ticas Integrativas e Complementares ? PNPIC, publicada no Brasil desde 2006, que incorpora como dispositivo a cl?nica ampliada e traz uma nova proposta de cuidado no ?mbito da sa?de. O Munic?pio de N?sia Floresta encontra-se em processo de implanta??o da sua Pol?tica Municipal de Pr?ticas Integrativas e Complementares em Sa?de ? PMPIC. O presente estudo ? uma pesquisa qualitativa do tipo Pesquisa-A??o de cunho anal?tico etnofenomenol?gico com abordagem sociopo?tica, que tem como objetivo descrever e analisar o processo de implanta??o da PMPIC/N?sia Floresta ? RN, ? luz dos sentidos e significados apontados pelos profissionais da Estrat?gia de Sa?de da Fam?lia (grupo pesquisado) e como isso influenciou na gest?o do cuidado em sa?de. Como estrat?gia metodol?gica para coleta dos dados foi organizado pela autora um Ateli? Humanopoi?tico de Autoavalia??o Integrativa-AHAI. Os resultados do estudo apontam para a importante mudan?a no modelo de aten??o no munic?pio de N?sia Floresta a partir da implanta??o da PMPIC. Avan?os foram identificados nos aspectos legais e protocolares da gest?o do Cuidado no munic?pio. O Cuidado integrativo humanescente, introduzido pelos profissionais da Estrat?gia Sa?de da Fam?lia do munic?pio, fortaleceu a transdisciplinaridade e integralidade, a ado??o de novas tecnologias que atendem aos pressupostos da PMPIC, da Clinica ampliada e da Pol?tica Nacional de Humaniza??o. / The sanitary reform of the Public Health in Brazil, that was implemented by1988, points out the integrated health care as one of the most important aspect for the Unified Health System (SUS in Portuguese).The Complementary and Integrative Practices in Health (PICS in Portuguese) that is one of the basis of the politics for this integrated care and was published in Brazil by 2006, includes the expanded clinics as a tool and brings a new proposal about the care in health. N?sia Floresta, a county close to the capital of Rio Grande do Norte state (Natal), is implementing its County Policies of Complementary and Integrative Practices (PMPIC). This study is a qualitative research (research-action type) with an ethno-phenomenological analytical nature and with a social-poetic approach, and has the goal to describe and analyze the implementation process of the PMPIC at N?sia Floresta-RN county, based on the opinions and meanings pointed out by the professionals of the Strategy of the Family Health (researched group, ESF in Portuguese) and how this has influenced the management of care in health. As a methodological strategy for the data collection, it was organized by the author a Human-Poetic Atelier of Integrative Self-Assessment (AHAI in Portuguese). The results of the study point out to an important change at the model of attention used in N?sia Floresta County from the implementation of PMPIC. There were also identified advances at the legal and the protocol aspects related to the care management in the County.The Humanescent Integrative Care, introduced by the team of the Family Health Strategy of the county, strengthened the transdisciplinarity and the integrality, the adoption of new technologies that meet the assumptions of the PMPIC, the expanded clinic and the National Policy of Humanization.