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As significa??es atribu?das ? educa??o alimentar e nutricional por professores do ensino fundamental I das escolas municipais de Diamantina/MGSilva, Ana Carolina Souza 18 May 2017 (has links)
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Previous issue date: 2017 / Estudo que objetivou desvelar as significa??es atribu?das ? Educa??o Alimentar e Nutricional (EAN) a partir da an?lise e interpreta??o dos sentidos e significados que professores do ensino fundamental I constitu?ram em rela??o ? mesma. Como pressupostos epistemol?gicos orientadores do estudo, adotamos a Psicologia S?cio-hist?rica e as categorias subjetividade, sentidos e significados (significa??es). Esse referencial te?rico-metodol?gico permitiu o reconhecimento das quest?es subjetivas como constitutivas do sujeito e da realidade e, portanto, fundamental para entender o processo de inclus?o da EAN pelos professores no contexto escolar. A pesquisa de campo foi desenvolvida em tr?s escolas municipais de Diamantina/MG, com a participa??o de seis professores do ensino fundamental I. Utilizamos como t?cnica de produ??o de informa??es a entrevista semiestruturada e, para proceder a sua an?lise e interpreta??o, nos inspiramos na proposta de Aguiar e Ozella dos N?cleos de Significa??o e tamb?m na estrat?gia complementar dos N?cleos Tem?ticos. Sistematizamos, a partir das falas dos professores, tr?s N?cleos Tem?ticos, quais sejam: 1) Significa??es atribu?das pelos professores ao conceito de EAN: concep??es e implica??es na constru??o do conhecimento, 2) Processo de (n?o)inclus?o da EAN no contexto escolar: dificuldades e desafios e 3) Significa??es das a??es realizadas: o car?ter pontual, responsabiliza??o compartilhada e as possibilidades de avan?os na abordagem de EAN. Elementos tais como, a concep??o estritamente nutricional do conceito de EAN, a ideia que se t?m sobre a EAN como um assunto relevante, mas que, contraditoriamente, n?o encontram as condi??es objetivas para sua inclus?o, o car?ter pontual das a??es, a responsabiliza??o atribu?da aos profissionais da sa?de, ? escola e/ou ? fam?lia, as a??es interdisciplinares e transversais ligadas ? l?gica instrumental, a EAN como mais um conte?do a ser trabalhado constituem os sentidos subjetivos atribu?dos pelos professores ? EAN e justificam a sua n?o inclus?o. Consideramos que esses elementos desvelados auxiliam a compreender como a EAN ? vivenciada no contexto escolar. Por fim, as reflex?es finais dessa pesquisa apontam para a necessidade de pensar a forma??o e a realidade dos professores da rede municipal de ensino a fim de que esses profissionais possam ter maior autonomia de a??o e desenvolver estrat?gias criativas para que a inclus?o da EAN seja uma realidade na escola. / Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Sa?de, Sociedade e Ambiente, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017. / This study aimed at revealing the meaning linked to Food and Nutritional Education (FNE) by analysis and interpretation of meanings that teachers of the elementary school had. As epistemological suppositions guiding this study, we adopted the Sociohistorical Psychology and the subjectivity, meanings and significance categories. This theoretical and methodological reference allowed the acknowledgment of subjective issues as pertaining of the person and the reality and, therefore, fundamental for the understanding of the inclusion process of the FNE by the teachers in the school context. The field research was developed in three city schools of Diamantina/MG, with the participation of six teachers of elementary school. As tools of information production we used the semi-structured interview and, to proceed in its analysis and interpretation, we were inspired in the proposal of Aguiar and Ozella of the Significance Core and also in the complementary strategy of the Theme Core. From the teachers? speeches, we selected three Theme Cores: 1) Significance related by the teachers to the concept of FNE: concepts and implications in the knowledge construction, 2) Process of (non) inclusion of FNE in the school context: difficulties and challenges and 3) Significance of the performed actions: the punctual character, shared responsibilities and the progress possibilities in the FNE approach. Elements as the strictly nutritional of the concept of FNE, the ideia that they had on FNE as a relevant topic, but that in opposite, they do not find objective conditions for its inclusion, the punctual character of the actions, and the given responsibility to the health professionals, the school and/or family, the interdisciplinary and transversal actions connected to the instrumental logic, the FNE as another subject to be worked with are the subjective meanings given by the teachers to the FNE and justify its not inclusion. We consider that these revealed elements help to understand how FNE is lived in the school context. Hence, the final reflections of this research point to the necessity of thinking the training and reality of teachers in the city school in order to an increased autonomy of action of these professionals, and the developing of creative strategies for the inclusion of FNE as a reality in school.
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Legisla??o de rotulagem nutricional: instrumento de informa??o na promo??o de escolhas alimentares - Natal-RNCosta, Sonia Maria Fernandes da 10 December 2010 (has links)
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Previous issue date: 2010-12-10 / Resolutions of the Board of numbers 359 and 360, of December 23, 2003, relating to
Nutrition Labelling for Packaged Foods, establish quality standards and provide the
education activities for health consumption, since one of the factors that enable the
selection of healthier foods are the food labels as an important part in nutrition
education. This is a descriptive study with a cross-sectional design. To calculate
sample size, it was considered a margin of error of 20%, confidence level of 95% and
prevalence of 52.5% for verifying nutritional information in a pilot study conducted in
2007. A total of 145 subjects were interviewed, resulting in 371 consumers in Natal,
Rio Grande do Norte, Brazil, in order to determine prevalence of consulting nutritional
information contained on food labels as a nutritional guideline for consumers and its
association with sociodemographic variables as well as identify the intervention
measures suggested by intervieweds so that this information can be better used to
select healthy foods. Twenty-five of the 69 supermarkets belonging to the
Supermarket Association of Rio Grande do Norte (ASSURN) were randomly
selected. Data collection relied on interviews and extensive direct observation, using
a semi-structured form composed of eight closed questions, some of which were
multiple choice, and ten open questions. The chi-square test was performed for
statistical analysis, using Statistical Package for Social Sciences (SPSS) 15.0
software. Label information most consulted was: expiry date (91.6%); product brand
(49.4%); nutritional information (47.0%); zero trans fat (32.9%); zero sugar content
(12.8%); zero fat content (3.0%); rich in fibers (2.7%); whether light or diet (30.4%);
list of ingredients (16.8%); whether the product contained gluten or not (4.1%). When
asked about the importance of nutritional information, 96.8% of the subjects
responded important or very important ; of these 46.6% and 3.8% reported partially
or totally understanding the information presented. It was found that 41.6% of the
consumers consulted nutritional information for dietary reasons related to nontransmissible
chronic diseases and 35.7% to be able to choose healthier foods. The
data show a significant association between motivation to choose healthier foods and
higher family income and schooling (p<0.0001). The intervention measures
mentioned to make nutritional information better understood and used were:
information and orientation about nutritional information, provided by qualified
professionals in the supermarkets, the commercial establishment or the product
manufacturer (73.9%) and media disclosure about the nature, importance and
purpose of nutritional information (42.9%). In despite of communication noises the
consumers use the nutrition claim for the nutritional guidance, showing association
with some demographic variables. However, they desire the implementation of
intervention measures that can be contextualized in the political construction of
nutrition education to promote healthy food choices / As Resolu??es da Diretoria Colegiada de n?meros 359 e 360, de 23 de dezembro de
2003, referentes a Rotulagem Nutricional para Alimentos Embalados, estabelecem
padr?es de qualidade e fundamentam as atividades de educa??o para o consumo
saud?vel, uma vez que um dos fatores que viabilizam a escolha de alimentos mais
saud?veis s?o os r?tulos dos produtos aliment?cios,como pe?a importante na
educa??o nutricional. Trata-se de uma pesquisa descritiva com delineamento
transversal em que para o c?lculo do tamanho da amostra foi considerado uma
margem de erro de 20%, um n?vel de confian?a de 95% e uma preval?ncia de 52,5%
para a verifica??o da declara??o nutricional, oriunda do piloto da pesquisa em
evid?ncia que foi realizado em 2007, com 145 entrevistados, determinando, assim,
um total de 371 consumidores em Natal-Rio Grande do Norte, Brasil. O estudo
objetivou determinar a preval?ncia da utiliza??o da declara??o nutricional presente
no r?tulo dos alimentos na orienta??o nutricional dos consumidores e a associa??o
desse uso com vari?veis sociodemogr?ficas bem como identificar as medidas de
interven??o sugeridas pelos entrevistados para que a declara??o nutricional venha
a ser mais bem utilizada como instrumento de informa??o para escolhas alimentares
saud?veis. Para a inclus?o no estudo, foram selecionados aleatoriamente, 25
supermercados dos 69 existentes no cadastro da Associa??o de Supermercados do
Rio Grande do Norte-ASSURN. Para a coleta de dados, foram aplicadas as t?cnicas
da entrevista e da observa??o direta extensiva, utilizando-se formul?rio
semiestruturado composto de oito perguntas fechadas, algumas destas de m?ltipla
escolha, e dez quest?es abertas. Na an?lise estat?stica, foi realizado o teste do Qui
quadrado, utilizando-se o Programa Statistical Package for Social Sciences SPSS-
vers?o, 15.0. Os dizeres de rotulagem mais consultados foram: validade do produto:
91,6%; marca do produto: 49,4%; declara??o nutricional: 47,0%; zero de trans:
32,9%; zero de a??car: 12,8%; zero de gordura: 3,0%; rico em fibras: 2,7%;
declara??o de light e diet: 30,4%; lista de ingredientes: 16,8%; cont?m ou n?o
cont?m gl?ten: 4,1%. Ao serem indagados sobre a import?ncia da declara??o
nutricional, 96,8% dos entrevistados responderam que a consideravam importante
ou muito importante, destes, 46,6%, referiram compreende-la parcialmente e 3,8%
totalmente. Identificou-se que 41,6% dos consumidores consultavam a declara??o
nutricional para controle dietoter?pico de determinadas doen?as cr?nicas n?o
transmiss?veis, e 35,7% para escolher alimentos mais saud?veis. Os dados
demonstraram associa??o significativa da motiva??o por escolhas alimentares mais
saud?veis com n?veis mais elevados de renda familiar e escolaridade: p<0,0001. As
medidas de interven??o sugeridas pelos consumidores para que a declara??o
nutricional fosse mais bem compreendida e utilizada foram: informa??o e orienta??o
sobre a declara??o nutricional, realizada por profissionais qualificados nos
supermercados, por parte do estabelecimento comercial ou do fabricante do produto
(73,9%), e divulga??o na m?dia sobre o que ? a informa??o nutricional, sua
import?ncia e finalidade (42,9%). Apesar dos ru?dos de comunica??o os
consumidores utilizam a declara??o nutricional para a orienta??o nutricional,
denotando associa??o com algumas vari?veis sociodemogr?ficas. No entanto, eles
anseiam que sejam implementadas medidas de interven??o que possam ser
contextualizadas na constru??o das pol?ticas de educa??o nutricional, para a
promo??o de escolhas alimentares saud?veis
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Desenvolvimento e avalia??o de um serious game de educa??o alimentar para escolaresRibeiro, Iramara Lima 02 May 2017 (has links)
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Previous issue date: 2017-05-02 / Os h?bitos alimentares na inf?ncia t?m preocupado a sociedade atual, haja vista a eleva??o na preval?ncia do sobrepeso/obesidade nessa fase de vida, por?m, o uso de Serious Games na perspectiva da Educa??o Alimentar e Nutricional pode contribuir na melhoria de tal quadro, na medida em que as crian?as cada vez mais se apropriam das tecnologias. Este estudo objetivou desenvolver e avaliar um Serious Game de Educa??o Alimentar e Nutricional para escolares entre sete e dez anos de idade da cidade de Natal-RN. Trata-se de uma pesquisa-a??o de abordagem qualitativa pela t?cnica do design participativo e ? luz da percep??o de Merleau-Ponty, cuja metodologia envolveu tr?s etapas: I. Compreens?o dos participantes sobre alimenta??o e interesses para com o jogo, al?m de teste de prot?tipo em papel; II. Constru??o do jogo; III. Avalia??o da satisfa??o do jogo e percep??o pelos escolares. Os resultados da etapa I mostraram que a compreens?o dos escolares sobre alimentos saud?veis esteve influenciada por pais, professores, fatores socioecon?micos e m?dia. Quanto ao jogo eletr?nico, os entrevistados propuseram a inclus?o das tem?ticas de atividade f?sica e h?bitos de higiene. O teste do prot?tipo em papel apontou para a necessidade de aperfei?oar menus, personagens e de adaptar o enredo, concretizados pela cria??o do jogo Ran-gO? na modalidade role-playing game no qual o jogador assume o papel de uma personagem. Na etapa tr?s, o teste de satisfa??o do usu?rio demonstrou a satisfa??o das crian?as concernente aos conhecimentos sobre alimenta??o, motiva??o e experi?ncia do usu?rio, carecendo de ajustes em rela??o a diminuir a sobrecarga de informa??es para aumentar a confian?a do jogador. Quanto maior foi a idade das crian?as, maior a satisfa??o, existiram, por?m, dificuldades daquelas com sete anos em rela??o ? habilidade/compet?ncia para jogar. A percep??o avaliada por meio das entrevistas na etapa final esteve associada ? qualidade nutricional do alimento e ? quantidade consumida pela personagem no ambiente do jogo, existindo a contextualiza??o da crian?a para a sua vida real. A experi?ncia perceptiva relacionou-se ao passado e ao presente da crian?a, o que pode conduzir ao h?bito numa rela??o com o porvir. O Ran-gO? mostra-se como ferramenta de Educa??o Alimentar prof?cua no que concerne a dar a conhecer a respeito dos aspectos da alimenta??o para que a crian?a possa refletir, enquanto sujeito pensante, sobre seus h?bitos, a fim de realizar escolhas condizentes com suas necessidades. / Current society has been preoccupied about childhood eating habits because of the rising prevalence of overweight / obesity in this stage of life. However, in so far as children increasingly take ownership of technologies, Serious Games in the perspective of Food and Nutrition Education can contribute to the improvement of this scenario. This study aimed to develop and to evaluate a Serious Game of Food and Nutrition Education for schoolchildren between 7 and 10 years in the city of Natal-RN. This is an action research of qualitative approach and developed by the technique of participatory design under the light of the perception of Merleau-Ponty, whose methodology involved three steps: I. Understanding of the participants about food and interests to the game, besides testing of a paper prototype; II. Construction of the game; III. Evaluation of satisfaction and perception of the game by schoolchildren. Results of step one showed that the students' understanding of healthy foods was influenced by parents, teachers, socioeconomic factors and the media. As for the electronic game, the interviewees proposed the inclusion of the themes of physical activity and hygiene habits. The prototype test pointed to the need for improving menus and characters, as well as adapting the game script. This was materialized by the creation of the Ran-gO? game under a structure of role-playing game in which the player assumes the role of a character. In step three, the user satisfaction test demonstrated children's satisfaction as to knowledge about feeding, motivation and user experience. The need for adjustments was identified in order to reduce information overload to increase confidence. The older the child the higher was the satisfaction. However, there were difficulties of those with seven years in relation to the ability / competence to play. The perception assessed by means of interviews in the last step was associated to the nutritional quality of the food and the amount consumed by the character in the game environment, and there was contextualization of the child to its real life. The perceptive experience was related to the past and the present of the child, which can lead to habit, in a relationship with the future. Ran-gO? shows itself as a Food Education tool fruitful as what concerns informing the child about food habits to make its choices consistent with its needs.
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Alimenta??o e nutri??o: conhecimentos de educadores do munic?pio de ?gua Boa, Minas Gerais / Food and nutrition: knowledge of educators at ?gua Boa, Minas GeraisMAGALH?ES, Heloisa Helena Silva Rocha 29 March 2016 (has links)
The knowledge of educators on food and nutrition are the basis for the formation of healthy eating habits in schools, and are essential for the process of food and nutritional education of children. Therefore, know how they're built all of this knowledge for this group it is extremely important for educational planning and health. Thus, this study aimed to analyze knowledge about food and nutrition of all educators of early childhood education of ?gua Boa, Minas Gerais. A survey was conducted with a qualitative approach, grounded in the theory of Social Representations, with all preschool teachers of ?gua Boa. It was found that all are female and 86% have completed higher education. Most educators has participated in educational activities involving the issue of food and nutrition and report the project stocks on the subject in the school in which they work. It was found that none of the educators part of the school faculty of its institutions, although 80% of these educators anyone knows the political pedagogical project. For educators, food and nutrition education is important to promoting healthy eating habits of children. However, the knowledge of educators and nutritional education are based on the biological feed perspective, covering its relationship with the body and health. Cultural, social and psychological dimensions of food and nutrition education are not recognized by educators. The issues involving food and nutritional education are taught in isolation by educators. It follows that educators have their knowledge food and nutrition education built on biological feed perspective, making it necessary to carrying out work with this group on the other dimensions of food and nutritional education, through the enhancement of food culture, the local food system. These educators need encouragement to participate in the school faculty, as well as working the theme of food and nutritional education transversely. / Os saberes de educadores sobre alimenta??o e nutri??o s?o a base para a forma??o de h?bitos alimentares saud?veis no ?mbito escolar, sendo estes, elementos chave para o processo de educa??o alimentar e nutricional de crian?as. Assim sendo, conhecer como est?o constru?dos conjunto destes saberes para este grupo, ? de extrema relev?ncia para o planejamento educacional e de sa?de. Diante do exposto, este trabalho objetivou analisar o conhecimento sobre alimenta??o e nutri??o de todos os educadores da educa??o infantil do munic?pio de ?gua Boa, Minas Gerais. Foi realizada uma pesquisa com abordagem qualitativa, embasada na Teoria das representa??es sociais, com todos os professores de educa??o infantil do munic?pio de ?gua Boa. Verificou-se que todos s?o do sexo feminino e que 86% apresentam ensino superior completo. A maioria dos educadores j? participou de atividades pedag?gicas envolvendo o tema de alimenta??o e nutri??o e relatam a exist?ncia de projetos sobre a tem?tica na escola em que trabalham. Constatou-se que nenhum dos educadores integra o colegiado escolar de suas institui??es, embora 80% destes educadores aleguem conhecer o projeto pol?tico pedag?gico. Para os educadores, a educa??o alimentar e nutricional (EAN) ? importante para a promo??o de h?bitos alimentares saud?veis das crian?as. Contudo, os saberes dos educadores sobre educa??o alimentar e nutricional est?o constru?dos sobre a dimens?o biol?gica da alimenta??o, englobando sua rela??o com o corpo e a sa?de. As dimens?es culturais, sociais e psicol?gicas da EAN n?o s?o reconhecidas pelos educadores. As tem?ticas envolvendo a EAN s?o trabalhadas de forma isolada pelos educadores. Conclui-se que os educadores apresentam seus saberes de EAN constru?dos com base na dimens?o biol?gica da alimenta??o, fazendo-se necess?rio a realiza??o de trabalhos com este grupo sobre as demais dimens?es da EAN, atrav?s da valoriza??o da cultura alimentar, do sistema de produ??o de alimentos local. ? preciso que tenha incentivo para participa??o destes educadores no colegiado escolar, bem como trabalhar a tem?tica da EAN de forma transversal.
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Terapia ocupacional em a??o interdisciplinar: jogos educativo-nutricionais na preven??o da obesidade infantilMunguba, Marilene Calderaro da Silva 18 July 2008 (has links)
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Previous issue date: 2008-07-18 / The inter-subjectivity is the answer in the search for the solution of complex problems, which concerns interfaces of knowledge, respecting their borders. This paradigm is
essential in the author's work. So, the search on screen is based on this perspective, by using inter-subject groups of work conduced by professionals of Computer Science,
Social Communication, Architecture and Urbanism, Pedagogy, Psicopegagogy, Nutritional Science, Endocrinology, Occupational Therapy and Nursing, it was also part
of this group an 8 year old child, daughter of one of the professional who took part of the group. This thesis aims to present the course of investigation developed, analyzing the
action of inter-subject Occupational Therapy and Nutrition on the promotion of learning nutritional concepts through educative-nutritional games in order to prevent child's
obesity in an educative context. The research was analytic, interventionist and almost experimental. It took place in a public school in Fortaleza, Cear?, Brazil, between August and December 2004. It was selected a sample non-probabilistic, by
convenience, of 200 children, born from 1994 to 1996. It was selected almost nonprobabilistically, by convenience, 200 children born between 1994 and 1996. To analyze the results it was used a triangulation, associated by quantitative and qualitative approaches. The basis collect happened through games specially manufactured to these research- video-games, board games, memory games, puzzles, scramble,
searching words and iterative basics. There were semi-structured interviews, direct and structured observations and focus in-groups. It was noticed the efficiency of educativenutritional games in the learning process, which lead to a changing of attitude towards the eating choices. These games gave similar results in relation to the compared
variations preferences, experience and attitudes, theses attitudes were observed through the game; and the categories to compare the possibility of learning by
playing, the fantasy in the learning process, learning concepts of nutritional education and the need of help in the learning process (mediation). It was proved that educativenutritional
games could be used to teach nutritional concepts, in an inter-subjective action of Occupational Therapy and Nutrition in schools. The simultaneous application of these games lead to the optimization of child s learning process. It should be
emphasized the need of studies about the adaptation of tools used in a child s Nutritional Education, with the help of inter-subjective action. Because just one subject, in a fractionated way can give an answer to complex problems and help to a change of the reality with effectiveness and resolution / A interdisciplinaridade constitui resposta na busca de solu??o de problemas complexos, e contempla as interfaces dos saberes, respeitando suas fronteiras. Esse paradigma ?
fundamental na trajet?ria da autora. Assim, a investiga??o em tela caracteriza-se por a??o nessa perspectiva, mediante a estrutura??o de um grupo de trabalho interdisciplinar, constitu?do por profissionais de Ci?ncias da Computa??o, Comunica??o Social, Arquitetura e Urbanismo, Pedagogia, Psicopedagogia, Ci?ncias da Nutri??o, Endocrinologia, Terapia Ocupacional e Enfermagem, tamb?m fazendo parte do grupo
uma crian?a de oito anos, filha de uma das profissionais componentes do grupo de trabalho. A presente tese visa apresentar o percurso da investiga??o desenvolvida,
com o objetivo de analisar a a??o interdisciplinar da Terapia Ocupacional e da Nutri??o na promo??o de aprendizagem de conceitos nutricionais pela media??o de jogos educativo-nutricionais na preven??o da obesidade infantil, no contexto educacional. Realizou-se, para tanto, um estudo anal?tico, intervencionista e quase-experimento, em escola p?blica de Fortaleza, Cear?, Brasil, no per?odo de agosto a dezembro de 2004. Foi selecionada amostra n?o probabil?stica, por conveni?ncia, de 200 crian?as, nascidas de 1994 a 1996. Para a an?lise dos resultados, utilizou-se a triangula??o,
associando as abordagens qualitativa e quantitativa. A coleta de dados ocorreu mediante a aplica??o de jogos elaborados para esta investiga??o: Videogame, Jogo de Tabuleiro, Jogo de Mem?ria, Quebra-Cabe?a, Ca?a-Palavras e Cartilha Interativa. Foram empregados entrevista semi-estruturada, observa??o direta e estruturada e grupo focal. Constatou-se a efici?ncia dos jogos educativo-nutricionais na media??o da
aprendizagem, que leva ? mudan?a de atitude quanto ?s escolhas alimentares. Esses jogos obtiveram resultados semelhantes relativos ?s vari?veis de compara??o -
prefer?ncia, experi?ncia e atitudes, atitudes observadas na execu??o do jogo; e ?s categorias de compara??o - possibilidade de aprender brincando, fantasia no processo
de aprendizagem, aprendizagem de conceitos em educa??o nutricional e necessidade de ajuda na aprendizagem (media??o). Comprovou-se que jogos educativo-nutricionais
podem ser utilizados na aprendizagem mediada de conceitos nutricionais, em a??o interdisciplinar da Terapia Ocupacional e Nutri??o, em escola. A aplica??o simult?nea desses jogos levou ? otimiza??o da aprendizagem da crian?a. Ressalta-se a
necessidade de estudos sobre a adequa??o dos instrumentos utilizados na Educa??o Nutricional da crian?a, mediante a atua??o interdisciplinar, j? que somente uma disciplina, de maneira fragmentada, consegue responder a problemas complexos e contribuir para a mudan?a da realidade com efetividade e resolubilidade
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Promo??o da alimenta??o saud?vel na aten??o prim?ria ? sa?de: contribui??o para constru??o coletiva do saber-fazerLima, Rosana Maria Ferreira de Moura 15 September 2014 (has links)
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Previous issue date: 2014-09-15 / O reconhecimento da alimenta??o como determinante e condicionante do processo sa?dedoen?a
exige novas explica??es e interven??es da a??o pol?tica em alimenta??o e nutri??o
e demanda modelo de aten??o ? sa?de pautado na integralidade das a??es e centrado na
promo??o da sa?de. Este estudo, caracterizado como pesquisa-a??o de car?ter
intervencionista, buscou desenvolver estrat?gias para apoiar a inser??o transversal das
a??es de promo??o da alimenta??o saud?vel nas pr?ticas de profissionais de um N?cleo de
Apoio ? Sa?de da Fam?lia e uma Unidade da Estrat?gia Sa?de da Fam?lia no munic?pio de
Natal, capital do Rio Grande do Norte, a partir da an?lise das percep??es e processos de
trabalho dessas equipes. Foram adotadas v?rias estrat?gias metodol?gicas: C?rculo
Hermen?utico Dial?tico, Observa??o Direta, Encontros Tem?ticos Reflexivos e Oficina
?Repensando as pr?ticas educativas para promo??o da alimenta??o saud?vel?. Para registro
de dados, foram utilizados os Di?rios de Pesquisa-DP e de Momentos-DM. A an?lise
ocorreu de forma processual, em conjunto com os participantes da pesquisa, em constante
movimento de reflex?o-a??o-reflex?o, com base na hermen?utica-dial?tica. Quanto aos
resultados, em rela??o ? promo??o da sa?de, evidenciaram-se as seguintes percep??es:
promo??o da sa?de associada ? preven??o de doen?as e agravos; promo??o da sa?de
relacionada ? qualidade de vida e ao bem estar, em suas v?rias dimens?es; promo??o da
sa?de enquanto responsabilidade do Estado; promo??o da sa?de relacionada ?s a??es de
educa??o em sa?de; promo??o da sa?de como express?o da resolutividade e
acessibilidade aos servi?os de sa?de. Quanto ? alimenta??o saud?vel, predominaram as
percep??es referentes aos aspectos nutricionais. No que se refere ? educa??o alimentar e
nutricional-EAN, observou-se predomin?ncia da percep??o de EAN como informa??o,
orienta??o e transmiss?o de conhecimentos para mudan?as de pr?ticas alimentares. No que
diz respeito ao processo de trabalho, observou-se que entre as a??es para promo??o da
sa?de, predominam as atividades educativas, como palestras, rodas de conversas, que na
maioria das vezes, ocorrem de forma fragmentada, sem planejamento conjunto entre as
equipes, variando de acordo com os profissionais e o momento de trabalho em que s?o
realizadas. Os resultados apontaram para a necessidade de reorganiza??o dos processos
de trabalho, na perspectiva da articula??o intra e intersetorial e da constru??o de novas
tecnologias, tais como: Projeto de Sa?de do Territ?rio ? PST, Projeto Terap?utico SingularPTS,
Cl?nica Ampliada e Compartilhada, pr?ticas educativas com metodologias ativas de
ensino-aprendizagem. A partir dos resultados consideramos que se faz necess?rio a
?reforma do pensamento?, por meio de mudan?as na forma??o profissional e do
fortalecimento dos espa?os de educa??o permanente, considerando a complexidade que
envolve a alimenta??o, a educa??o alimentar e nutricional e a promo??o da sa?de. A
reforma do pensamento deve estar articulada e imbricada ? produ??o de saberes e pr?ticas
que favore?am a intersetorialidade, a transversalidade, o di?logo e a postura democr?tica e
solid?ria, com base na constru??o coletiva do saber-fazer. Esperamos que esse estudo
possa contribuir com reflex?es e iniciativas que estimulem a constru??o de pr?ticas que
promovam a alimenta??o saud?vel na Aten??o Prim?ria ? Sa?de, na perspectiva da
integralidade do cuidado e da realiza??o da Seguran?a Alimentar e Nutricional. / The recognition of the food as determinant and health-disease process etching requires new
explanations and interventions of the food and nutrition policy action and demand health care
model based on the completeness of the actions and focused on health promotion. This
study, characterized as research-action of interventionist character, sought to develop
strategies to support the transverse insertion of healthy eating promotion in professionals
practices a core of support for the health of the family and a family health strategy Unit in the
city of Natal, capital of Rio Grande do Norte, from the analysis of perceptions and work
processes of these teams. Several methodological strategies were adopted: Dialectical
Hermeneutical Circle, direct observation, reflective and Thematic Meetings Workshop
"Rethinking the educational practices for promoting healthy eating". For data logging, search
diaries - SD were used and moments. The analysis of procedural form occurred in
conjunction with research participants, in constant movement of reflection-action-reflection,
based on hermeneutics-dialectic. About the results, in relation to the promotion of health,
showed the following insights: health promotion and disease prevention-related harms;
health promotion related to quality of life and well-being, in its various dimensions; health
promotion as a responsibility of the State; health promotion related to the actions of health
education; health promotion as an expression of efficaciousness and accessibility to health
services. Regarding healthy nutrition, predominated the perceptions relating to nutritional
aspects. With regard to food and nutritional education - FNE, it was observed a
predominance of perception of FNE as information, guidance and knowledge transfer for
changes of dietary practices. As regards the working process, it was observed that among
the actions for health promotion, educational activities predominate, such as lectures,
conversations, groups that mostly occur in fragmentary form, without joint planning teams,
varying according to the professionals and the moment of work in which they are carried out.
The results pointed to the need for reorganization of the work processes, in the context of
intra-and intersectoral coordination and the construction of new technologies, such as:
Health project of the territory ? HPT, Unique Therapeutic Project- UPT, Expanded Clinic and
educational practices, Shared with active teaching and learning methodologies. From the
results we believe that it is necessary to "thought reform", from changes in vocational training
and strengthening of the permanent education spaces, whereas the complexity that involves
feeding, food and nutrition education and health promotion. The reformation of thought must
be articulate and closely tied to the production of knowledge and practices that encourage
intersectoral approach, the transversality, dialogue and democratic and supportive attitude,
based on the collective construction of know-how. We hope that this study can contribute
with reflections and initiatives that encourage building practices that promote healthy eating
in primary health care, in terms of completeness of the care and the attainment of food
security and nutrition.
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