Made available in DSpace on 2014-12-17T14:46:40Z (GMT). No. of bitstreams: 1 RosangelaDC_DISSERT.pdf: 1849568 bytes, checksum: bb19fb5976dd5746dd1f52b5faa8a2f6 (MD5) Previous issue date: 2009-10-29 / This research aims to analyze, in the view of students, the pedagogic project of undergraduate nursing course, of UFRN, and its articulation with the SUS, in an attempt to understand the issues that permeate the teaching and learning of nursing. This is a qualitative study that used the focus group technique as a tool to collect empirical data. There were three meetings, where we had the collaboration of 23 graduating students from the eighth period of the semester 2009.1. For the analysis of information, we use a theoretical framework based on curriculum guidelines and basic principles of the SUS, making the analogy of the results with the metaphor of Greek mythology, Ariadne's thread, in dialogue with authors who discuss education as a transformative practice. Thus, the texture of the yarn was built of five thematic fields: joint the pedagogic project with the SUS; the teaching/service and theory/practice relation; interdisciplinarity or transdisciplinarity; didactic/methodological and relational approaches; and co-participation of students in the pedagogic project. According to the discussions, we find many difficulties in the teaching and learning process of undergraduate nursing in UFRN to strengthen the SUS, including: dislocation of educational institutions with services, professionals, managers and community; dichotomy between theory and practice; reality of services as a learning field and working process in health; posture adopted by professionals, teachers and other subjects included in the process of health education; decontextualization and fragmentation of teaching with the practice in health and nursing; excessive use of very illustrative methodologies, but little problem-solving; difficult and precarious situation in the relations between teachers and between teachers/students, regarding the acceptance of differences; absence of participation of students in the evaluation process and conduct of the educational project in progress. In this sense, we understand the need an auto-reflexive act of teaching and conducting collective pedagogical course with a view to achieving the SUS. Thus, it is necessary to support practices motivated by the polyphonic dialogue and the exercise of symbiosis and autopoiesis of subjects/actors jointly responsible for the ongoing process of learning for life. / A presente investiga??o tem como objetivo analisar, na vis?o de discentes, o projeto pedag?gico do curso de gradua??o de enfermagem, da UFRN, e sua articula??o com o SUS, na tentativa de compreender os desafios que permeiam o processo ensino/aprendizagem da enfermagem. Trata-se de um estudo com abordagem qualitativa que utilizou a t?cnica de grupo focal como instrumento para coleta do material emp?rico. Foram realizadas tr?s reuni?es, nas quais contamos com a colabora??o de 23 estudantes concluintes do oitavo per?odo do semestre letivo 2009.1. Para a an?lise das informa??es, utilizamos um aporte te?rico fundamentada nas diretrizes curriculares e princ?pios b?sicos do SUS, fazendo a analogia dos resultados encontrados com a met?fora da mitologia grega, o fio de Ariadne, mantendo o di?logo com autores que discutem a educa??o como pr?tica transformadora. Dessa forma, a tessitura do fio foi constitu?da por cinco teias tem?ticas: articula??o do projeto pedag?gico com o SUS; rela??o ensino/servi?o e teoria/pr?tica; transdisciplinaridade ou interdisciplinaridade; abordagens did?ticas/metodol?gicas e relacionais; e co-participa??o do discente no projeto pedag?gico. De acordo com as discuss?es, encontramos v?rias dificuldades no processo ensinar/aprender da gradua??o de enfermagem na UFRN para fortalecimento do SUS, entre elas: desarticula??o das institui??es de ensino com os servi?os, profissionais, gestores e comunidade; dicotomia persistente entre teoria/pr?tica; realidade dos servi?os como campo de aprendizagem e o processo de trabalho em sa?de; postura adotada por profissionais, docentes e outros sujeitos inseridos no processo de forma??o em sa?de; fragmenta??o e descontextualiza??o do ensino com as pr?ticas em sa?de e enfermagem; uso excessivo de metodologias muito ilustrativas e pouco problematizadoras; dificuldade e fragilidade na conviv?ncia entre professores e entre professores/alunos, no que diz respeito ? aceita??o das diferen?as; aus?ncia de participa??o de discentes no processo de avalia??o e condu??o do projeto pedag?gico em curso. Neste sentido, compreendemos a necessidade de autorreflex?o do agir pedag?gico e condu??o coletiva da proposta pedag?gica do curso, na perspectiva de concretiza??o do SUS. Desse modo, torna-se necess?rio o apoio em pr?ticas motivadas pelo di?logo polif?nico e no exerc?cio da simbiose e autopoiese dos sujeitos/atores co-respons?veis pelo processo permanente de aprendizagem para a vida

Made available in DSpace on 2014-12-17T14:46:41Z (GMT). No. of bitstreams: 1 LuisAMF_DISSERT.pdf: 3232688 bytes, checksum: 66501bc783e1fa5a5ecaef1f71f40fb5 (MD5) Previous issue date: 2009-10-29 / Descriptive exploratory study, with quantitative approach, with data collected from April to May 2009, aiming to identify the types of occupational violence affecting professionals on the nursing and medical staff in an emergency hospital service in Natal/RN, over the last 12 months; to identify emergency sectors where occupational violence episodes took place; to characterize aggressors on each type of occupational violence; to know the procedures adopted after each violent act targeting nursing and medical staff professionals; and to know the consequences of violence suffered by the nursing and medical staff professionals. The sample consisted of 26 nurses, 95 nursing assistants/technicians and 124 physicians, for a total of 245 professionals. The results showed that 50.61% of the professionals were women, aged 41 to 45 (22.45%), with post-graduate studies (51.43%), married (60.82%); 21.22% had 16 to 20 years of experience in the profession and in emergency practice; working 40 weekly hours (86.12%); and working both the day shift and the night shift (70.21%); 27.35% consider violence to be a part of their profession and the patient s companions as an important risk factor (86.53%); couldn t inform whether there was a specific established procedure for reporting occupational violence (45.71%); 73.06% suffered occupational violence in the 12 months; 70.20% verbal assault, 24.08% moral harassment, 6.12% physical assault, and 3.67% sexual harassment; 66.67% of the patients took part in the physical assault; the companions, in verbal assault (58.14%); and the health staff in moral harassment (69.49%); facing episodes violence, 37.65% of the professionals reported the fact to their co-workers; 57.25% uffered from stress as a consequence; on 4.71% of the episodes the professionals had to be bsent from work, resulting in 75 days of occupational violence-related absence. We conclude here was a high rate of occupational violence in the researched population, with verbal ssault and moral harassment as the most frequent violence types. Because factors related to ccupational violence were very diverse, actions seeking to confront this problem shouldn t be limited to the work environment itself. Education ought to be one of the most effective ctions for avoiding or minimizing these events occurrence / Estudo explorat?rio descritivo, com abordagem quantitativa, desenvolvido entre abril e maio de 2009, com o objetivo de identificar os tipos de viol?ncia ocupacional, sofrida pelos profissionais da equipe de enfermagem e m?dica, nos ?ltimos 12 meses, em um servi?o de urg?ncia hospitalar, em Natal/RN; identificar os setores da urg?ncia onde ocorreram os epis?dios de viol?ncia ocupacional; caracterizar os agressores de cada tipo de viol?ncia ocupacional; conhecer os procedimentos adotados ap?s cada ato violento sofrido pelos profissionais da equipe de enfermagem e m?dica, e conhecer as consequ?ncias da viol?ncia sofrida pelos profissionais da equipe de enfermagem e m?dica. A amostra constou de 26 enfermeiros, 95 auxiliares/t?cnicos de enfermagem e 124 m?dicos, totalizando 245 profissionais. Os resultados mostraram que 50,61% dos profissionais eram mulheres, entre 41 e 45 anos (22,45%); com p?s-gradua??o(51,43%), casadas (60,82%); 21,22% tinham entre 16 e 20 anos tanto de experi?ncia na profiss?o como de experi?ncia na urg?ncia; carga hor?ria semanal de trabalho de 40 horas (86,12%); e trabalham tanto no turno diurno como no noturno (70,21%); 27,35% consideram que a viol?ncia faz parte da sua profiss?o e os acompanhantes como importante fator de risco (86,53%); n?o sabiam informar se no hospital havia um procedimento estabelecido, espec?fico, para o relato de viol?ncia ocupacional (45,71%); 73,06% sofreram viol?ncia ocupacional nos 12 meses; 70,20% agress?o verbal, 24,08% ass?dio moral, 6,12% agress?o f?sica, e 3,67% ass?dio sexual; 66,67% dos pacientes participaram da viol?ncia f?sica; os acompanhantes, do ass?dio verbal (58,14%); e a equipe de sa?de do ass?dio moral (69,49%); diante dos epis?dios de viol?ncia, 37,65% dos profissionais, contaram o fato para colegas de trabalho; 57,25% tiveram como consequ?ncia o estresse; em 4,71% dos epis?dios os profissionais precisaram ausentar-se do trabalho, resultando em 75 dias de absente?smo relacionado a viol?ncia ocupacional. Conclu?mos que houve um alto ?ndice de viol?ncia ocupcional na popula??o investigada, sendo a agress?o verbal e o ass?dio moral os tipos de viol?ncia mais frequentes. Os fatores relacionados ? viol?ncia ocupacional foram muito diversos e por esta raz?o, as a??es voltadas para o enfrentamento desse problema n?o devem estar limitadas apenas ao ambiente de trabalho. A educa??o dever? ser uma das a??es mais eficazes para evitar ou minimizar a ocorr?ncia desses eventos

Made available in DSpace on 2014-12-17T14:46:42Z (GMT). No. of bitstreams: 1 SeldaGSA_DISSERT.pdf: 1376140 bytes, checksum: 7301bd1a4f08350e07818bc4e5d57677 (MD5) Previous issue date: 2009-10-28 / The aging of the population already is a fact, before considered a phenomenon, today, is part of the reality of the majority of the societies in the world. The present study it has as objective to analyze the practical one of the shelter developed for the team to multidiscipline for the elderly in the Strategy of Health of the Family. One is about a descriptive and explorat?ria inquiry, developed by means of quantitative boarding. The population of this study consisted of nineteen teams that work in the inserted ESF in the urban zone of the city of Sousa-PB, understanding a complete of 133 professionals. The collection of date was carried through through a questionnaire contends closed questions, referring to the partner-demographic date e, specific open questions. The main results indicate that the professionals of Health of the city of Sousa, PB, that had participated of this study had consisted in a complete of 76. Amongst these, 20% are nurses, followed of the odont?logos in 6%; 35% are ACS and technician of nursing with 19%. The age of the interviewed ones meets in the age band enters, 21 and 30 years, in 43%. The majority is of the feminine sex with a 84% total. Already in accordance with civil state 34% is married. If treating to the wage, the doctor has of greater of 12 wages. The participants present the percentile greater of formed time of with referring 33% of 1 the 3 years of formation. E finally, the changeable time of performance, if had detached 39% of the participants with 08 the 11 years. With regard to as if it processes the reception and attendance to the person in the ESF, we can observe that, with priority attendance was prominence with 27% of the participants, followed of a considerate attendance with 26%. Already in relation to the actions that are developed daily in the ESF, these they are come back toward the HIPERDIA with 40%, followed of actions ruled in orientation with 27%. Some actions they are carried through in accordance with the aged necessity of each (13%) and through visits domiciliary (9%). It was asked to them as the shelter was facilitated in the UBS, these had told that it is through the attention that is excused the aged one (35%), and finally, as this made it difficult age, in its majority with 37% they had not wanted to answer, followed of the lack of understanding with 26%. With this study it was possible to conclude that the practical one developed for the professionals of the ESF of the city of Sousa, PB with the elderly, is characterized by an assistance ruled in the clinical aspect, little focused in the actions that to permeate the PNH / O envelhecimento da popula??o j? ? um fato, antes considerado um fen?meno, hoje, faz parte da realidade da maioria das sociedades no mundo. O presente estudo tem como objetivo analisar a pr?tica do acolhimento desenvolvida pela equipe multidisciplinar para a pessoa idosa na Estrat?gia de Sa?de da Fam?lia. Trata-se de uma investiga??o descritiva e explorat?ria, desenvolvida mediante abordagem quantitativa. A popula??o deste estudo constituiu-se de dezenove equipes que trabalham na ESF inseridas na zona urbana do munic?pio de Sousa-PB, compreendendo um total de 133 profissionais. A coleta de dados foi realizada atrav?s de um question?rio contendo quest?es fechadas, referente aos dados s?cio-demogr?ficos e, quest?es abertas espec?ficas. Os principais resultados indicam que os profissionais de Sa?de do munic?pio de Sousa, PB, que participaram deste estudo constitu?ram-se num total de 76. Dentre estes, 20% s?o enfermeiros, seguido dos odont?logos em 6%; 35% s?o ACS e t?cnicos de enfermagem com 19%. A idade dos entrevistados encontra-se na faixa et?ria entre, 21 e 30 anos, em 43%. A maioria ? do sexo feminino com um total de 84%. J? de acordo com o estado civil 34% s?o casados. Se tratando do sal?rio, o m?dico tem o de maior de 12 sal?rios. Os participantes apresentam o maior percentual de tempo de formado com 33% referente de 1 a 3 anos de forma??o. E por fim, a vari?vel tempo de atua??o, se destacaram 39% dos participantes com 08 a 11 anos. Com rela??o a como se processa a recep??o e atendimento ? pessoa na ESF, podemos observar que, o atendimento priorit?rio foi destaque com 27% dos participantes, seguido de um atendimento atencioso com 26%. J? em rela??o ?s a??es que s?o desenvolvidas diariamente na ESF, essas est?o voltadas para o HIPERDIA com 40%, seguidas de a??es pautadas em orienta??es com 27%. algumas a??es s?o realizadas de acordo com a necessidade de cada idoso (13%) e atrav?s de visitas domiciliares (9%). Foi-lhes perguntado como o acolhimento era facilitado na UBS, esses relataram que ? atrav?s da aten??o que ? dispensada ao idoso (35%), e por fim, como este era dificultado, em sua maioria com 37% n?o quiseram responder, seguidos da falta de compreens?o com 26%. Com este estudo foi poss?vel concluir que a pr?tica desenvolvida pelos profissionais da ESF do munic?pio de Sousa, PB com a pessoa idosa, ? caracterizada por uma assist?ncia pautada no aspecto cl?nico, pouco focalizado nas a??es que permeiam a PNH

Made available in DSpace on 2014-12-17T14:46:43Z (GMT). No. of bitstreams: 1 GysellaRPCO_DISSERT.pdf: 1882123 bytes, checksum: 567dfcacd19a39b99bb1408ecf7decc2 (MD5) Previous issue date: 2008-12-22 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / We believe that the dissatisfaction arising from the lack of belief in the possibilities of change in the workplace, which cause difficulties to achieve professional results in the professional psychological distress that currently fits into the context of mental health. This is a qualitative, descriptive and representational research aiming to discover how the professional nurses represent the very psychological distress from work in the hospital environment. Aided and supported by specific objectives of identifying factors that generates this suffering and strategies for defense and confronting these professionals in the hospital. 22 nurses participated in this research, officials of the University Hospital Onofre Lopes, located in the city of Natal / RN, with length of service in the institution more than one year and less than five, and they accepted, by signing the Term of Free and Informed Consent, participate in the study. We use plurimethodological approach: a questionnaire, a semi-structured interview and the design-story with a theme adapted from Trinca with the support of the Theory of Social Representations and that nurses do in their psychological distress of the Central Core. We reviewed the data from the results generated by the ALCESTE software, based on hierarchical categorization downward, leading seven classes used as categories: Work process: completeness vs. incompleteness; labor contradiction of the nurse; qualitative aspects of interpersonal relationships; hospital surveillance: Challenges, muteness and neglect; Expectations, conflicts and feelings in the work process; Leisure: the other side of the work process, and Suffering generating aspects of in the work process. We consider the analysis of quarters generated by the program, which SLQ houses in the central core of the representations; the SRQ and the DLQ the intermediaries elements and the DRQ the peripheral elements that nurses do in their psychological distress. We analytically adequate results in the three belonging dimensions of social representations: the Subjectivity, the Intersubjectivity and Trans-subjectivity. We infer that the interpersonal relationship, the extra work, the deviation in the role of nurse show themself as the factors responsible for psychological distress of it. In that sense, the central core of SR of this profession is based on the level of trans-subjectivity and understood as a Social Representation controversy / Entendemos que a insatisfa??o advinda da falta de cren?a nas possibilidades de mudan?a do contexto laboral que originam dificuldades para a realiza??o profissional resulta no sofrimento ps?quico do profissional que, atualmente se insere no contexto da sa?de mental. Trata-se de uma pesquisa qualitativa, descritiva e representacional objetivando apreender como os profissionais enfermeiros representam o pr?prio sofrimento ps?quico decorrente do trabalho no ambiente hospitalar. Auxiliado e amparado pelos objetivos espec?ficos de identificar fatores geradores deste sofrimento e de identificar estrat?gias de defesa e enfrentamento desses mesmos profissionais em ambiente hospitalar. Participaram desta pesquisa 22 enfermeiros, funcion?rios do Hospital Universit?rio Onofre Lopes, situado no munic?pio de Natal/RN, com tempo de servi?o na institui??o maior que um ano e menor que cinco e que aceitaram, mediante a assinatura do Termo de Consentimento Livre e Esclarecido, participar do estudo. Utilizamos abordagem plurimetodol?gica: um question?rio, uma entrevista semi-estruturada e o Desenho-est?ria com tema adaptado de Trinca com o suporte da Teoria das Representa??es Sociais e a que os enfermeiros fazem do seu sofrimento ps?quico do N?cleo Central. Analisamos os dados a partir dos resultados gerados pelo software ALCESTE com base na categoriza??o hier?rquica descendente, derivando sete classes usadas como categorias: processo de trabalho: completude vs. incompletude; antinomia laboral do enfermeiro; aspectos qualitativos do relacionamento interpessoal; vigil?ncia hospitalar: desafios, silenciamento e neglig?ncia; expectativas, conflitos e sentimentos no processo de trabalho; lazer: o outro lado do processo de trabalho e, aspectos geradores de sofrimento no processo de trabalho. Consideramos pela an?lise dos quadrantes gerados pelo programa, que o Quadrante Superior Esquerdo abriga o n?cleo central das representa??es; o Quadrante Superior Direito e o Quadrante Inferior Esquerdo os elementos intermedi?rios e o Quadrante Inferior Direito os elementos perif?ricos que os enfermeiros fazem do seu sofrimento ps?quico. Adequamos analiticamente os resultados nas tr?s dimens?es de pertencimento das representa??es sociais: a Subjetividade, a Inter-subjetividade e a Trans-subjetividade. Inferimos que a rela??o interpessoal, a sobrecarga de trabalho, o desvio da fun??o do enfermeiro apresentou-se como os fatores respons?veis pelo sofrimento ps?quico do mesmo. Nesse sentido, o n?cleo central da representa??o social desta categoria profissional, insere-se no n?vel da trans-subjetividade e est? compreendida como uma Representa??o Social Pol?mica

Made available in DSpace on 2014-12-17T14:46:43Z (GMT). No. of bitstreams: 1 LuciaFF_DISSERT.pdf: 786860 bytes, checksum: be952d6dd699c190c3285567006ae6ed (MD5) Previous issue date: 2009-10-30 / Universidade Federal do Rio Grande do Norte / Systemic arterial hypertension is a multifactorial disease that contributes to the country?s high cardiovascular morbi-mortality rates. Considering that hypertension affects individuals in their most productive age while facing work and living risk factors, it is important to investigate its occurrence and predisposing factors in different occupational segments. The objective of this study was to identify the prevalence of hypertension among workers attended to in a medical service of a public university, their hypertension levels, the risk factors present, and their knowledge of the factors that influence the arterial pressure. The epidemiologic study was conducted in the Health Department of the Federal University of Rio Grande do Norte with 102 workers that sought care in the medical clinic during the months of March to May 2009. Data were collected by means of a questionnaire and measurements of systolic and diastolic arterial pressure (SAP and DAP) that were classified in stages according to the Brazilian Society of Hypertension and the degree of risk for cardiovascular events according to the criteria of the Brazilian Society for Cardiology. Data were analyzed using descriptive statistics. The workers were, on average, 54 years of age; the majority (67%) was male and had primary or middle educational level; they worked mainly in supplemental units and deanship offices conducting different functions such as security guards, administrative assistants, health auxiliaries and constructions workers; 48 (47%) of the workers identified themselves as hypertensive for 8 years on average, with the majority executing hard labor and administrative functions. Among the workers with hypertension, the number of the pressure levels classified as pre-hypertensive, stage I and II were: (12% in the SAP and 20% in the DAP); (16% in the SAP and 9% in the DAP); and (15% in the SAP and 5% in the DAP), respectively. The workers that did not identify themselves as hypertensive presented classifications with greater frequencies were: normal (16% in the SAP and 30% in the DAP); and pre-hypertensive (21% in the SAP and 16% in the DAP). The risk factors identified in more than 50% of the workers were: tobacco smoking, alcohol consumption and indices of being overweight, although physical activities are also present. Of the 48 workers diagnosed as hypertensive, those that had 5 risk factors present and limitrophic pressure levels (12%), in stage I hypertension (16%) and stage II hypertension (15?%) were categorized as being in high risk for vascular events. The number of workers that indicated they had knowledge of the factors that influence their hypertension was less than 39% for each factor. It is concluded that there is a high prevalence of systemic arterial hypertension in the university workers, even amongst those already under treatment. They constitute a population at risk considering their age group, their work functions, and their inadequate life habits. Health care of these hypertensive workers that seek attention in the Health Department is an important aspect of the internal workers health policy in the institution. Educational interventions are recommended for the improvement of quality of life and of work in these workers / A hipertens?o arterial sist?mica (HAS) ? uma doen?a multifatorial que contribui para uma elevada morbimortalidade cardiovascular, em todo o pa?s. Considerando que a HAS afeta indiv?duos em idade produtiva, quando enfrentam fatores de risco no trabalho e nos h?bitos de vida, torna-se essencial conhecer a ocorr?ncia da hipertens?o e os fatores que predisp?em os trabalhadores dos diversos segmentos ocupacionais a essa doen?a. Objetivou-se, neste estudo, identificar a preval?ncia da HAS em servidores atendidos em um servi?o de sa?de de uma universidade p?blica, as varia??es de n?veis press?ricos, os fatores de risco presentes e o conhecimento que esses servidores possuem sobre os fatores que influenciam a eleva??o da press?o arterial. A pesquisa epidemiol?gica foi realizada no Departamento de Atendimento ao Servidor (DAS) da Universidade Federal do Rio Grande do Norte (UFRN), com 102 servidores atendidos na clinica m?dica no per?odo de mar?o a maio de 2009. Os dados foram coletados por meio de um question?rio e pela aferi??o dos n?veis press?ricos arteriais sist?licos e diast?licos (PAS e PAD). As aferi??es foram classificadas em est?gios de hipertens?o, segundo os par?metros da Sociedade Brasileira de Hipertens?o (SBH), e quanto ao risco cardiovascular que indicavam, com base nos crit?rios da Sociedade Brasileira de Cardiologia (SBC). Os dados foram analisados utilizando t?cnicas de estat?stica descritiva. Os servidores tinham, em m?dia, 54 anos de idade; a maioria era do sexo masculino (67%) e com escolaridade de n?vel fundamental ou m?dio (76%); trabalhavam principalmente nas unidades suplementares e nas pr?-reitorias; exerciam diversas fun??es, com predomin?ncia de vigil?ncia, assist?ncia administrativa, como auxiliares nos setores de sa?de e em obras estruturais. Identificou-se que 47% (48) dos servidores se autorreferiram como portadores de hipertens?o por oito anos em m?dia, a maioria exercendo fun??es bra?ais e administrativas. Entre os trabalhadores com hipertens?o autorreferida, observaram-se percentuais de trabalhadores com n?veis press?ricos nas classifica??es de pr?-hipertenso (12% no PAS e 20% no PAD), em est?gio I de hipertens?o (16% no PAS e 9% no PAS) e no est?gio II da doen?a (15% no PAS e 5% no PAD). As aferi??es dos n?o portadores foram classificada em: normal (16% no PAS e 30% no PAD) e pr?-hipertenso (21% no PAS e 16% no PAD). Os fatores de risco identificados em mais de 50% dos sujeitos foram: tabagismo, etilismo e sobrepeso, embora houvesse ind?cios de alguns h?bitos positivos para combater o sedentarismo. Dos 48 servidores com diagnostico de hipertens?o que tiveram 5 cinco fatores de risco presentes e n?veis press?ricos lim?trofes (12%), em est?gio I e II foram categorizados como de alto risco vascular, respectivamente, 16% e 15%. Nos servidores que indicaram ter conhecimento dos fatores que influenciam a eleva??o de sua press?o arterial, o percentual informado foi menor do que 39% para cada fator de risco citado. Conclui-se que havia uma alta preval?ncia de HAS entre os servidores atendidos no Departamento; que todos os servidores apresentavam comportamentos de risco; que os n?veis press?ricos eram elevados, mesmo naqueles que se encontravam em tratamento, revelando baixa ades?o ? terap?utica. Trata-se de uma popula??o em risco, quando se considera a faixa et?ria do grupo, as fun??es que exercem e os h?bitos de vida inadequados que possuem. A aten??o ? sa?de dos servidores com hipertens?o na UFRN e que procuram o servi?o do DAS se apresenta como uma a??o essencial no cumprimento da pol?tica de sa?de do trabalhador da institui??o e do pa?s. Sugere-se a realiza??o de interven??es educativas que resultem em melhoria da qualidade de vida e trabalho desses servidores

Made available in DSpace on 2014-12-17T14:46:44Z (GMT). No. of bitstreams: 1 FatimaHGRM_DISSERT.pdf: 2336964 bytes, checksum: 9165fe3152c282073444e29ba58e9306 (MD5) Previous issue date: 2010-11-05 / It is an exploratory and descriptive study made by a quantitative approach, developed among February and May 2010, aiming to assess the pain of patients underwent abdominal surgeries in a University Hospital, in Natal/RN; to identify the local and intensity of the pain based on Numerical Estimative Scale; to analyze the pain related to the sensorial-discriminative, motivational-affective and cognitive-assessment dimensions, using the McGill Questionnaire pain; to establish a relation between the pain process and age, gender, religion, and king of surgery; to identify the medicines efficiency used to control postoperative pain. The sample was composed by 253 patients underwent abdominal surgeries. The results showed a total of 63.63% females between 38 and 47 years of age (21.34%); illiterates (21.73%); married (64.03%), living in Natal and surroundings (67.97%) and Catholics (74.30%). In their first assessment, 84.19% showed postoperative pain; the pain was considered light in 18.97% of them, moderate in 21.74% and severe in 43.48%. The mean number of descriptors chosen through the McGill Questionnaire Pain was 10.78 (DP= 6.09) and pain rating 23.65 (DP= 15.93). The descriptors selected with higher frequency were: sickening pain (69.01%), tired (65.25%), thin (62.44%), bored (58.69%), ardor (46.48%), pointed (38.50%) and colic (35.21%). In their second assessment, 57.71% of patients didn t relate any postoperative pain and 42.29% were still complaining about the pain. After taking analgesic medication, just 41.90% of patients who had complete pain relief. The Pharmacological groups most used were: simple analgesic (37.86%), weak opioids (32.98%), AINES (19.85%) and strong opioid (9.31%). It was not found a significant postoperative pain variation related to the sexes, religion and kind of surgery. It was concluded there were a high level in the number of patients with postoperative pain, mainly in a severe scale. Less than half of patients had the pain relief. Then, it was observed there was not coherence between the pain intensity and the analgesic it was used. To solve or relieve this kind of problems is necessary a permanent education to the health professionals who works in this area / Estudo explorat?rio descritivo, com abordagem quantitativa, desenvolvido entre fevereiro e maio de 2010, com o objetivo de avaliar a dor dos pacientes submetidos a cirurgias abdominais em um Hospital Universit?rio, em Natal/RN; identificar a localiza??o e a intensidade dolorosa mensurada pela Escala de Estimativa Num?rica; analisar a dor nas dimens?es sensorial-discriminativa, motivacional-afetiva e a cognitivo-avaliativa, utilizando o Question?rio para dor McGill; relacionar o processo ?lgico com a idade, sexo, religi?o e tipo de abordagem cir?rgica; identificar a efetividade da medica??o utilizada no al?vio da dor p?s-operat?ria. A amostra constou de 253 pacientes submetidos a cirurgias abdominais. Os resultados mostraram que 63,63% eram mulheres, entre 38 e 47 anos (21,34%); n?o alfabetizados (21,73%), casadas (64,03%), procedentes da grande Natal (67,97%) e cat?licas (74,30%). Na primeira avalia??o, 84,19% apresentaram dor p?s-operat?ria; 18,97% apresentaram dor leve; 21,74% moderada e 43,48% severa. A m?dia do n?mero de descritores escolhidos atrav?s do Question?rio de Dor McGill foi 10,78 (DP= 6,09) e o ?ndice de dor 23,65 (DP= 15,93). Os descritores escolhidos com maior frequ?ncia foram: dor enjoada (69,01%), cansativa (65,25%), fina (62,44%), aborrecida (58,69%), ardor (46,48%), pontada (38,50%) e c?lica (35,21%). Na segunda avalia??o, 57,71% pacientes n?o referiram dor p?s-operat?ria e 42,29% continuaram com queixas de dor. Apenas 41,90% dos pacientes tiveram sua dor totalmente aliviada ap?s administra??o do analg?sico. Os grupos farmacol?gicos mais utilizados foram os analg?sicos simples 37,86%, opi?ides fracos 32,98%, AINES 19,85% e opi?ides fortes 9,31%. N?o encontramos rela??o significativa entre a vari?vel dor p?s-operat?ria com o sexo, religi?o e tipo de abordagem cir?rgica. Conclu?mos que houve uma alta preval?ncia de dor p?s-operat?ria, principalmente a de intensidade severa. A dor foi efetivamente aliviada em menos da metade dos pacientes. Dessa forma, percebemos que n?o existia coer?ncia entre a intensidade da dor do paciente e o analg?sico administrado para o seu al?vio. A educa??o permanente dos profissionais de sa?de dever? ser uma das a??es mais eficazes para evitar ou minimizar a ocorr?ncia desse evento

Made available in DSpace on 2014-12-17T14:46:44Z (GMT). No. of bitstreams: 1 DanieleVD_DISSERT.pdf: 1474768 bytes, checksum: 2c3fc77468bc489daec37da03412db3e (MD5) Previous issue date: 2010-09-03 / Universidade Federal do Rio Grande do Norte / Venous ulcers (VU), recurrent chronic wounds resulting from Chronic Venous Insufficiency (CVI), affect different age groups and would severely affect ambulation of patients. The lesions require treatment lasting and complex and are responsible for significant morbidity and mortality. Thus, this study aims to identify the important aspects covered in the scientific literature protocol for assisting patients with venous ulcers, identifying the issues to be proposed by the judges of the study (nurses, doctors and physiotherapists) to the protocol of care provided to patients venous ulcers and present the structure of protocol proposed by the judges of the study to assist patients with venous ulcers treated at a referral hospital of Rio Grande do Norte. This is a descriptive study using a quantitative approach, carried out at the dressings, located in the outpatient surgical clinic of the Hospital University Onofre Lopes (HUOL), located in East Sanitary District, Natal-RN. The sample consisted of 39 professionals, 30 nurses, seven doctors and two physical therapists, team members HUOL surgical clinic and other public and private institutions of Rio Grande do Norte and Jequi?/Bahia. These professionals were the judges responsible for selecting the guidelines already proposed in the literature on VU protocols. Approved by the Ethics in Research HUOL (Report n.o 081/07), began the first stage of the study which consisted of reviewing the scientific literature about the relevant aspects to be included in a protocol for assisting patients with VU. These aspects were organized into a proposed questionnaire to the judges of the study. Following examination, held on the content validation with application of the Kappa (K), accepting a score higher than 0.80 and the Likert Scale, whereas rates from 4.0 to 5.0. The data collected were organized in Microsoft Excel and exported into Statistical Package for Social Sciences (SPSS) 15.0. The literature review included national and international scientific articles, thesis, dissertation and institutional protocols. Regarding the characterization of professional nurses predominated (76.1%), between 34 and 45 years (41.0%), female (79.5%), married/consensual union (46.2%), with specialization in VU care (61.5%), working in the hospital network (46.1%), with up to 5 years experience in VU (69.2%) and claiming to feel prepared to care for these injuries (92.3 %). With regard to aspects that had very good agreement (K ≥ 0.81), remained the items found in the literature with some modifications. In the analysis of the proposed evaluation items had very important, ranging from 4.1 (drug treatment) to 4.9 (patient assessment and care of the injury and the injured and perilesional skin). The proposition of the protocol is arranged in eleven items: A) Evaluation of patient and lesion, B) Registration and documentation, C) the wound and perilesional skin, D) an indication of coverage, E) Use of antibiotic and pain treatment, F) Surgical treatment of CVI, G) Drug treatment, H) Improving venous return and prevetion of recurrence, I) Referral of patients, J) Training and K) Reference and counter reference / As ?lceras venosas (UV), feridas cr?nicas recidivantes que resultam da Insufici?ncia Venosa Cr?nica (IVC), acometem diferentes faixas et?rias e repercutem de forma severa na deambula??o dos portadores. As les?es requerem tratamento duradouro e complexo e s?o respons?veis por morbi-mortalidade significativas. Diante disso, este estudo tem como objetivos identificar os aspectos relevantes da literatura cient?fica contemplados em protocolo para assist?ncia aos portadores de ?lceras venosas; identificar os aspectos a serem propostos pelos ju?zes do estudo (enfermeiros, m?dicos e fisioterapeutas) para o protocolo de assist?ncia aos portadores de ?lceras venosas e apresentar a estrutura de protocolo proposta pelos ju?zes do estudo para assist?ncia aos portadores de ?lceras venosas atendidos em um hospital de refer?ncia do Rio Grande do Norte. Trata-se de um estudo descritivo, com abordagem quantitativa, realizado no setor de curativos, situado no ambulat?rio de cl?nica cir?rgica do Hospital Universit?rio Onofre Lopes (HUOL), localizado no Distrito Sanit?rio Leste, em Natal-RN. A amostra foi composta por 39 profissionais, sendo 30 enfermeiros, 7 m?dicos e 2 fisioterapeutas, integrantes da equipe de cl?nica cir?rgica do HUOL e de outras institui??es p?blicas e privadas do Rio Grande do Norte e de Jequi?/Bahia. Esses profissionais foram os ju?zes respons?veis por selecionar as diretrizes j? propostas na literatura sobre protocolos de UV. Aprovado pelo Comit? de ?tica em Pesquisa do HUOL (Parecer n.o 081/07), iniciou-se a primeira etapa do estudo que consistiu na realiza??o de revis?o de literatura cient?fica acerca dos aspectos relevantes a serem contemplados em um protocolo para assist?ncia aos portadores de UV. Esses aspectos foram organizados em um question?rio proposto aos ju?zes do estudo. Ap?s aprecia??o, realizou-se a valida??o de conte?do com aplica??o do ?ndice Kappa (K), aceitando-se escore superior a 0,80 e da Escala de Likert, considerando ?ndices de 4,0 a 5,0. Os dados coletados foram organizados no Microsoft Excel e exportados para Statistical Package for Social Science (SPSS) 15.0. O levantamento da literatura contemplou artigos cient?ficos nacionais e internacionais, tese, disserta??es e protocolos institucionais. Quanto a caracteriza??o dos profissionais predominaram enfermeiros (76,1%), entre 34 e 45 anos (41,0%), sexo feminino (79,5%), casados/uni?o consensual (46,2%), com especializa??o na ?rea de cuidado a UV (61,5%), atuando na rede hospitalar (46,1%), com at? 5 anos de experi?ncia em UV (69,2%) e alegando sentir-se preparado para cuidar dessas les?es (92,3%). No que diz respeito aos aspectos que obtiveram concord?ncia ?tima (K ≥ 0,81), permaneceram os itens encontrados na literatura com algumas modifica??es. Na an?lise dos aspectos propostos, os itens obtiveram avalia??o muito importante, variando de 4,1 (tratamento medicamentoso) a 4,9 (avalia??o do paciente e da les?o e cuidado com a ferida e a pele perilesional). A proposi??o do protocolo est? disposta em onze itens: A) Avalia??o do paciente e da les?o, B) Registro e documenta??o, C) Cuidado com a ferida e a pele perilesional, D) Indica??o de cobertura, E) Uso de antibi?tico e tratamento da dor, F) Tratamento cir?rgico da IVC, G) Tratamento medicamentoso, H) Melhoria do retorno venoso e preven??o de recidiva, I) Encaminhamento dos pacientes, J) Capacita??o profissional e K) Refer?ncia e contra-refer?ncia

Made available in DSpace on 2014-12-17T14:46:44Z (GMT). No. of bitstreams: 1 LorrainyCL_DISSERT.pdf: 1949623 bytes, checksum: ef9f96250e45a7f9bb9f11ce8475ea01 (MD5) Previous issue date: 2010-12-01 / The contemporary conjuncture based on the capitalistic knowledge converges to the corporal consciousness that makes us see, feel, taste and hear, be in/to pieces. Disembodied reason legitimate and legislate ways of being and living socially and its development is the dehumanization of human relations causing pain and suffering. The objective of this work is to discuss the body as pedagogical matrix through imagistic/artistic elements: music, painting and literature. Metaphors lead to self knowledge of human subjectivity and approach us to the kaleidoscope of sensitive knowledge and enables learning to learn with the infinite combinations of images, knowledge, feelings and worldviews. The song Mem?ria da Pele comes in the voice of Maria Bet?nia speak of the memories that are not mine, but are tattooed in me in the memory of skin, singing the memories of a love lived by who tries to forget rationally, but the body insists on remembering. It is password to think about what we are. The short story by Clarice Lispector, entitled Miss Algarve, narrates the life story of an unmarried and virgin woman, and her encounter with an alien called Ixtlan. Until then, she who lived as if every day were a Monday, found herself seduced by the pleasure of having a body in contact with another body, which also allowed her to give visibility to the bodies of others. She had repudiation by the immorality that her body and the other s perspired. The discovery of the body brings important lessons for nursing, involving our body and the others'. The painting the flying bed or Henry Ford Hospital, by Frida Kahlo, is our final metaphor. The traumatic experience of abortion is shown in this painting trough the picture of the artist naked in a hospital bed. This painting invites us to reflect on our work process. We need to think in multiple dimensions of the being and accept the invitation of art, so that the lightness confronts us with the weight imposed by the hegemonic ideology. I believe it is not a single view, but the many views that should justify the knowledge and practices of nursing; what matters is that they are woven into the dialogue, democracy, provided that protagonism of those individuals involved in this process, in the wandering and uncertainty, in the rewiring, solidarity, plurality. To this end, the body must be the great pedagogue that is able to be viewed not as a tapestry seen by the right view, as the logical knowledge sees, but seen by the opposite side in its singular, irregular, discontinuous weavings / A conjuntura contempor?nea alicer?ada no saber capital?stico conflui para a inconsci?ncia corporal que nos faz ver, sentir, saborear, ouvir, ser em/aos peda?os. A raz?o descorporificada legitima e legisla modos de ser e de viver socialmente e tem como desdobramento a desumaniza??o das rela??es humanas, causando dor e sofrimento. O objetivo deste trabalho ? discutir o corpo como matriz pedag?gica mediante elementos imag?sticos/art?sticos: m?sica, pintura e literatura. As met?foras levam a um auto conhecimento da subjetividade humana e nos aproxima do caleidosc?pio do saber sens?vel e possibilitam aprender a aprender com as infinitas combina??es de imagens, conhecimentos, sentimentos e vis?es de mundo. A m?sica Mem?ria da Pele vem na voz de Maria Bet?nia falar das lembran?as que n?o s?o minhas, mas est?o em mim tatuadas na mem?ria da pele, cantando as recorda??es de um amor vivido de quem tenta esquecer racionalmente, mas que o corpo teima em lembrar. ? uma senha para pensar no que somos. O conto de Clarice Lispector, intitulado Miss Algrave, narra a hist?ria de vida de uma mulher solteira e virgem, e seu encontro com um extraterrestre chamado Ixtlan. At? ent?o, ela que vivia como se todos os dias fossem uma segunda-feira, se viu seduzida pelo prazer em ter um corpo em contato com outro corpo, o que lhe permitiu tamb?m dar visibilidade aos corpos dos outros. Tinha rep?dio pela imoralidade que os corpos dos outros e o seu transpiravam. A descoberta do corpo traz li??es importantes para a enfermagem, envolvendo o nosso e os outros corpos. A tela cama voadora ou o Hospital Henry Ford, de Frida Kahlo, ? nossa ?ltima met?fora. A experi?ncia traum?tica do aborto ? mostrada nessa tela atrav?s da pintura da artista nua em cima de uma cama de hospital. Essa tela nos convida a refletir sobre nosso processo de trabalho. Precisamos pensar na multidimensionalidade do ser e aceitar o convite da arte, para que a leveza nos confronte com o peso imposto pelo ide?rio hegem?nico. Acredito n?o ser uma ?nica vis?o, mas as muitas vis?es que devam fundamentar os saberes e fazeres da enfermagem; o que importa ? que sejam eles tecidos no di?logo, na democracia, na condi??o de protagonismo dos sujeitos envolvidos nesse processo, na err?ncia e incerteza, na religa??o, na solidariedade, na pluralidade. Para tanto, o corpo deve ser o grande pedagogo capaz de ser olhado n?o como uma tape?aria vista pelo direito, como v? o saber l?gico, mas vista pelo avesso em suas tramas singulares, irregulares, descont?nuas

Made available in DSpace on 2014-12-17T14:46:45Z (GMT). No. of bitstreams: 1 AngelicaTNM_DISSERT.pdf: 2422950 bytes, checksum: 6575edb0114f2f6f691b59d1fe519701 (MD5) Previous issue date: 2010-10-04 / The present study is based on an analysis of professional work relationships in the nursing team from the task/skills of its members as a contribution to understanding the work process in nursing. It is aimed to identify the skills of the nursing team members through the vision of nurses, technicians and nursing assistants, thus it attempts to find strategies to improve the health assistance to patients. It is a descriptive and analytical study with a qualitative approach grounded in theoretical and methodological framework of Symbolic Interactionism. The research was carried out in the participant work place, a Public Hospital of Reference for the SUS, located in the eastern health district of Natal/RN. Nineteen nursing professionals participated in the study, which seven was nurse and twelve nursing technician. As procedure to collect data we used an unstructured interview accompanied by a standard topic guide which was recorded and later transcribed. The content analysis was chosen as the main methodology to analyze the discussion, which gave rise to thematic categories that were considered relevant based on the theoretical framework of this study, and the interactionist theory. This study was in accordance with the ethical principles of the Resolution n?. 196/96, it has obtained an appropriate consent of the UFRN Research Ethics Committee. The results indicate that the professionals seen the nursing as a profession strongly attached to the health care process and as a profession that acquired a scientific status very recently. Regarding to the nursing functions in the work process in nursing, the professionals they identified the manage/administer category as the main activities developed by these professionals, thus the education and complex care in nursing categories. Concerning to the technicians and nursing assistants functions, it was figured out in the professional s opinion that there is not distinction among the attribution of these categories. The interviewed were unanimous in report that these professionals are more involved in direct patient health care through performance of basic duties in nursing care. Finally, with regard to the work relationship among nursing team members, the majority of those interviewed see this relationship as disharmony and quarrelsome and in general, there is not bond between categories that comprise the process of work in nursing. On the basis of our results we consider the importance of knowing the meaning of nursing given by these professionals; also their skills could be useful as basis to identify problems, which source could be detected in the power relationship, deviations of functions, gap between design (knowledge) and performance (doing) work, besides the loss of the global activities view in the process of nursing work / O presente estudo faz uma an?lise das rela??es de trabalho na equipe de enfermagem a partir das atribui??es/compet?ncias de seus membros, como contribui??o para o entendimento do processo de trabalho em enfermagem. Teve como objetivos identificar as compet?ncias dos membros da equipe de enfermagem atrav?s da vis?o de enfermeiros, t?cnicos e auxiliares de enfermagem, al?m de tentar detectar estrat?gias para melhorar a assist?ncia prestada ao paciente. Trata-se de um estudo descritivo e anal?tico com abordagem qualitativa, fundamentado em princ?pios te?rico-metodol?gicos do Interacionismo Simb?lico. Teve como cen?rio o local de trabalho dos participantes, sendo este um Hospital P?blico de Refer?ncia para o SUS, localizado no Distrito Sanit?rio Leste do Munic?pio de Natal/RN. Participaram do estudo 19 profissionais de enfermagem, dos quais, 07 eram enfermeiros e 12 eram t?cnicos de enfermagem. Como procedimento de coleta, utilizou-se uma entrevista n?o-estruturada acompanhada de formul?rio, cuja foi gravada e posteriormente transcrita. Para a an?lise dos resultados, utilizou-se a an?lise de conte?do, a qual fez emergir categorias tem?ticas relevantes, que foram analisadas tendo por base os referenciais te?ricos desse estudo, bem como a teoria interacionista. O estudo obedeceu aos preceitos ?ticos da Resolu??o n?. 196/96, com parecer favor?vel do Comit? de ?tica e Pesquisa da UFRN. Os resultados obtidos indicam que para os profissionais a Enfermagem ? uma profiss?o fortemente atrelada ao processo de cuidar e recentemente vem adquirindo status de ci?ncia. No que se refere ?s fun??es do enfermeiro, no processo de trabalho em enfermagem, tais profissionais relacionaram as categorias gerenciar/administrar como sendo as principais atividades desenvolvidas por eles, al?m da categoria de ensino e da presta??o de assist?ncia em cuidados de enfermagem complexos. Com rela??o ?s fun??es dos auxiliares e t?cnicos de enfermagem, notou-se que na opini?o dos profissionais, n?o existe mais uma distin??o entre as atribui??es dessas categorias. Os entrevistados foram un?nimes em relatar que a esses profissionais est? atribu?do o cuidado direto ao paciente, atrav?s da realiza??o de cuidados de enfermagem mais simples. E, por fim, no que tange ?s rela??es de trabalho entre os membros da equipe de enfermagem, para a maioria dos entrevistados tais rela??es s?o conflituosas, desarm?nicas e, geralmente, n?o existe uni?o entre as categorias que comp?em o processo de trabalho em enfermagem. Diante desses achados, considera-se que a import?ncia de se conhecer o significado de enfermagem atribu?do por estes profissionais, bem como as suas compet?ncias pode servir de base para a identifica??o dos problemas, cuja origem pode se localizar nas rela??es de poder, desvios de fun??es, distanciamento entre concep??o (saber) e execu??o (fazer) do trabalho, al?m da perda da globalidade das atividades realizadas no processo de trabalho em enfermagem

Made available in DSpace on 2014-12-17T14:46:45Z (GMT). No. of bitstreams: 1 DiegoB_DISSERT.pdf: 2006113 bytes, checksum: 24caddf7e16ff7f9db8fd37296acff67 (MD5) Previous issue date: 2010-11-08 / The objective of this work which is characterized as an applied research, with a qualitative exploratory approach and has case study character has been the analysis of the conceptions and dealings of health professionals of SAMU in Natal RN about the attendance of psychiatric urgencies. The information was collected between the months of March and April of 2010, by means of semi-structured interviews, performed with 24 health professionals integrating of SAMU-Natal as well as the usage of direct observation technique, performed in the institution's medical regulation room. Both the number of professionals involved in the interviews and the bringing about of the observations, were determined by saturation methods in qualitative research's information collecting. The interviews and observations were transcribed and submitted to contents analysis technique , more specifically, to thematic analysis, which made possible to reach the deepest levels, that go beyond what has simply been manifest in the speech of the interviewed, getting to the relations among the categories and social structures of the issue of the research. Keeping this in mind, three analysis categories have been built, namely: conceptions and concepts of psychiatric urgencies shared by health professionals in SAMU-Natal; attendances to psychiatric urgencies in SAMU-Natal; and the Brazilian Psychiatric Reformation under the view of the SAMU-Natal's health professionals. Reflection about the analyzed information revealed discussions pertaining to the stigma and prejudice on mental illness, and also, pointed out to some hindrances which impair the attendance to individuals in mental suffering in SAMU-Natal. The interviewed health professionals' conceptions on the individual in psychical crisis involve concepts of unpredictability, aggressiveness and risk, stigmatizing elements and historically associated to the social hazard ideology and need for mentally sicks' segregation. The predominance of these conceptions, seen in health professionals speech, had identifiable reflexes on assistance to psychiatric demands performed by SAMU-Natal, namely: indiscriminate request for military police's presence during psychic crisis intervention, neglect about occasions that involve mental health patients, as well as repetitive assisting practice directed on physical contention, and transportation to psychiatric hospital. Associated to it, the professionals have shown distorted and reductionist understanding about Brazilian Psychiatric Reformation, and, in the majority, haven't lent credibility to present model of attention to mental health, based on psycho-social treatment, pointing their speech to a need for psychiatric patient's internment. In this sense, we notice that the hospital-centered and excluding model conceived by classical psychiatry still remains alive in these health professionals' mentality as a reference to psychiatric urgency's assistance. Therefore, the research revealed a sequence of elements, that make us think about the challenges that health sector and society must face to realize Brazilian Psychiatric Reformation's principles and guidelines / O objetivo desse trabalho, caracterizado como uma pesquisa aplicada, de abordagem qualitativa, explorat?ria e do tipo estudo de caso, foi analisar as concep??es e pr?ticas dos profissionais de sa?de do SAMU de Natal-RN sobre o atendimento ?s urg?ncias psiqui?tricas. As informa??es foram coletadas entre os meses de mar?o e abril de 2010, por meio de entrevistas semi-estruturadas realizadas com 24 profissionais de sa?de lotados no SAMUNatal e da utiliza??o da t?cnica da observa??o direta, feita na sala de regula??o m?dica da institui??o. Tanto o n?mero de profissionais participantes nas entrevistas quanto o tempo de realiza??o das observa??es foram determinados pelo m?todo da satura??o na coleta de informa??es em pesquisas qualitativas. As entrevistas e observa??es foram transcritas e submetidas ? t?cnica da an?lise de conte?do, mais especificamente, da an?lise tem?tica, o que possibilitou o alcance de n?veis mais profundos, que ultrapassaram o que foi simplesmente manifesto nas falas, atingindo a rela??o entre as categorias e estruturas sociais do problema de pesquisa. Diante disso, foram constru?das tr?s categorias de an?lise, a saber: concep??es e conceitos de urg?ncia psiqui?trica dos profissionais de sa?de do SAMU Natal; a assist?ncia ?s urg?ncias psiqui?tricas no SAMU-Natal; e a Reforma Psiqui?trica brasileira sob o olhar dos profissionais de sa?de do SAMU de Natal-RN. A reflex?o sobre as informa??es analisadas revelaram discuss?es a respeito do estigma e preconceito sobre a doen?a mental, bem como, apontaram para alguns entraves que prejudicam a assist?ncia ao sujeito em sofrimento mental no SAMU-Natal. As concep??es sobre o sujeito em crise ps?quica dos profissionais de sa?de entrevistados envolvem os conceitos de imprevisibilidade, agressividade e do risco, elementos estigmatizantes e historicamente associados ? ideologia da periculosidade social e necessidade de segrega??o do doente mental. O predom?nio dessas concep??es, no discurso dos profissionais de sa?de, tem reflexos identific?veis na assist?ncia prestada pelo SAMU-Natal ?s demandas psiqui?tricas, na qual se destacam: a solicita??o indiscriminada da pol?cia militar durante as interven??es em crise ps?quica, a neglig?ncia com as ocorr?ncias que envolvem pacientes de sa?de mental, bem como, a pr?tica assistencial repetitiva e direcionada ? conten??o f?sica, medica??o e ao transporte para hospital psiqui?trico. Associado a isso, os profissionais demonstraram compreens?es deturpadas e reducionistas da Reforma Psiqui?trica brasileira e, em sua maioria, n?o deram credibilidade ao atual modelo de aten??o ? sa?de mental pautado no tratamento psicossocial, remetendo suas falas ? necessidade de internamento dos pacientes psiqui?tricos. Nesse sentido, percebemos que o modelo hospitaloc?ntrico e excludente concebido pela psiquiatria cl?ssica ainda permanece vivo no ide?rio desses profissionais como refer?ncia para a assist?ncia ?s urg?ncias psiqui?tricas. Portanto, a pesquisa revelou uma s?rie de elementos que nos fazem pensar a respeito dos desafios que o setor sa?de e a sociedade ainda precisam enfrentar para concretizar os princ?pios e diretrizes da Reforma Psiqui?trica brasileira