Na atualidade, entende-se que o campo do conhecimento da saúde mental é amplamente complexo e intersetorial, abrangendo muitos saberes. Muitos estudos sobre os cuidadores do sujeito com transtorno mental no Brasil, que revelam que apesar da mudança do paradigma no tratamento psiquiátrico - ocorrida na segunda metade do século XX - ainda há violações dos direitos dos pacientes internados, além do sentimento, na equipe de atenção, de certo desamparo e falta de conhecimento sobre o lidar com o paciente. Este trabalho teve como objetivo buscar conhecera visão de auxiliares de enfermagem de um setor de agudos masculino e feminino de um hospital especializado em psiquiatria do interior do estado de são paulo a respeito de seu trabalho. mais especificamente, pretende-se conhecer, a partir de sua própria perspectiva, a trajetória e formação profissional dessas pessoas, o contexto institucional e as práticas cotidianas envolvidas em seu trabalho e suas concepções a respeito da clientela atendida. Foram entrevistados através da \"história de vida temática\" onze auxiliares de enfermagem. Essas entrevistas foram gravadas e transcritas na íntegra, e analisadas qualitativamente. A análise permitiu apontar os seguintes temas: suas trajetórias de vida, influências recíprocas entre a vida pessoal e do trabalho, a formação dos profissionais,o perfil do auxiliar, a rotina de trabalho e seus apoios a visão sobre o paciente psiquiátrico, sua família. Os relatos convergiram para a apresentação da maneira como se configura o trabalho do auxiliar de enfermagem, quanto às suas visões e condições para o trabalho cotidiano Considera-se que é importante promover a criação de espaços de reflexão, discussão e escuta entre os profissionais de saúde mental, dentro dos setting de trabalho, integrando principalmente os que lidam diretamente com o paciente, de modo que nesses espaços se possa conversar sobre questões da prática diária específicas, mas também transcender a elas; relacionando essa prática com repercussões da vida pessoal no trabalho, promovendo apoio ao trabalhador. / It\'s well known that the mental health knowledge field is complex and inter sectorial. Many studies about the mental health patient, in Brazil, have revealed that although there was a change in the psychiatric treatment, still there is patients rights violations, and the feeling in the attention group is of certain hopelessness and lack of knowledge in dealing with the patient. This work aims to explore a masculine and feminine acute unit nursing personnel, in a psychiatry specialized hospital in the inner State of São Paulo, from the point of view of their work. More specifically, it\'s intended to know, from their own perspective their professional pathways and education, the institutional context and their everyday practices concerning work and clients. Eleven nursing professionals were interviewed through \"thematic life history\" interview. Those interviews were taped and integrally transcript and analyzed qualitatively. The analysis showed their life pathways, influences of their personal lives on work, professional education, work routine, support on psychiatric patients and the patient\'s family concepts. It\'s considered that it\'s important to promote reflection, discussion and hearing spaces among mental health professionals, in the work setting, with those who deal directly with the patient and the whole team so it\'s possible to discuss on every day practices, transcend to them relating to personal life repercussions, promoting support for work.

The decisions made by Mental Health Professionals (MHPs) are of utmost significance for providing the highest quality care to service users. The assessment of risk is one of the pivotal processes that MHPs undertake frequently, as per government policy guidelines, and in order to safeguard patients and the public. Although Risk Assessment Proformas (RAPs) consume a proportion of MHP time and resources, very little research has been undertaken to address factors that might affect their most optimal utilisation in practice. Previous literature suggests that medical decisions, like decision making of other kinds, is fraught with difficulty including being susceptible to the influence of cognitive biases, pre-decisional affect, overconfidence, and subjectively held attitudes towards organisational policies and regulations. Specifically, the presentation of risk information can influence decisions. It has also been suggested that anxiety has the capacity to elicit risk aversive responses, and that overconfidence and negative attitude may lead to complacency in undertaking policy-led responsibilities and produce non-compliance for the same. However, much of what is known about medical decision making has been gleaned from outside of context of mental health. As such, the current programme of research aimed to explore decision making in mental health settings and with a view to raise awareness of the complexity of decision making amongst MHPs. The implementation of quantitative and qualitative techniques (studies 1 and 2) revealed negative attitudes from psychiatrists towards Risk Assessment Proformas (RAPs), which are essentially structured decision making aids. Psychiatrist, compared to other MHPs, spent less time completing RAPs, which may reflect their differing attitudes towards their usefulness, something that was consistently emphasised during in-depth qualitative exploration. It was also found that experience was an additional differentiating factor between MHPs. Relationships between experience and other factors such as anxiety, confidence and complacency were found via conversations with MPHs, experience members of staff being less inclined to provide comprehensive and detailed accounts of service user risk in RAPs. This is problematic since although there is, in the UK, a policy led requirement that RAPs are completed for each service user, it is clear that there are inter-professional variations in how RAPs are being used and this acts to inhibit the best information sharing between all those involved in patient care. Following previous work in the area of cognitive bias and its influence upon general and medical decisions, a clinical vignette was also developed (study 3) to establish whether the presentation of risk information influences psychiatric admission decisions. The current findings supported previous work in that decisions were susceptible to the framing effect. The findings here, and previously in the literature, reveal a necessity for MHPs to be informed of bias in decision making in an attempt to improve objectivity in risk assessment practices. The unearthing of the framing effect also further signals the need for proper use of RAPs, where many MHPs may not be using them to their full potential - i.e. an aid to the systematic consideration of a range of information about a service user. The final part of the thesis (study 4) turned to the piloting of an educational module incorporating content around the factors affecting decision making in an attempt to raise awareness amongst MHPs. The rationale being better awareness of the complexity of decision making may act to enhance decision making processes. Pre and post intervention analyses revealed an improvement of baseline to follow-up knowledge of decision making bias and statistical concepts and this knowledge was maintained to a moderate level at four weeks follow-up. Although individuals maintained their susceptibility to the framing effect, the bias was less prevalent in those who knew of its presence before taking part in the study. Overall the findings give some support to the use of education as an approach to raising awareness about decision making processes in MHPs, although what remains to be seen is whether such education acts to bring about changes in behaviour - for example, different use of RAPs. The PhD programme suggests that MHPs are just as susceptible to cognitive biases, such as the framing effect, as has been demonstrated in both general population and other groups of health practitioners. At the same time, attitudes to RAPs differ depending on exact job role, which psychiatrist being least likely to spend time on their completion and reporting them as a tool for noting decisions reached as opposed to an aid to the process. This acts reduce the quality and quantity of reported information shared with colleagues about a service user. It is possible that MHP behaviour aligns with general attitude-behaviour models, such as the Theory of Planned Behaviour. As such, whilst the current work has demonstrated that educational interventions may act to improve awareness of decision making processes and their influences, further research would benefit from considering if these types of approach affect actual behaviour. For example, improved used of RAPs as decision-aids, reduced susceptibility to framing effects, consciousness around how information is represented in RAPs given knowledge of how the information may be used by others.

No / There is now a body of research evaluating breastfeeding interventions and exploring mothers' and health professionals' views on effective and ineffective breastfeeding support. However, this literature leaves relatively unexplored a number of questions about how breastfeeding women experience and make sense of their relationships with those trained to provide breastfeeding support. The present study collected qualitative data from 22 breastfeeding first-time mothers in the United Kingdom on their experiences of, and orientation towards, relationships with maternity care professionals and other breastfeeding advisors. The data were obtained from interviews and audio-diaries at two time points during the first 5 weeks post-partum. We discuss a key theme within the data of 'Making use of expertise' and three subthemes that capture the way in which the women's orientation towards those assumed to have breastfeeding expertise varied according to whether the women (1) adopted a position of consulting experts vs. one of deferring to feeding authorities; (2) experienced difficulty interpreting their own and their baby's bodies; and (3) experienced the expertise of health workers as empowering or disempowering. Although sometimes mothers felt empowered by aligning themselves with the scientific approach and 'normalising gaze' of health care professionals, at other times this gaze could be experienced as objectifying and diminishing. The merits and limitations of a person-centred approach to breastfeeding support are discussed in relation to using breastfeeding expertise in an empowering rather than disempowering way. / British Academy. Grant Number: 37524

No

Objective: To explore differences between conventional medicine (COM) and complementary and alternative medicine (CAM) regarding the attitude toward and the perceived use of shared decisionmaking (SDM) from the health professional perspective. Methods: Thirty guideline-based interviews with German GPs and nonmedical practitioners were conducted using qualitative analysis for interpretation. Results: The health professional–patient-relationship in CAM differs from that in COM, as SDM is perceived more often. Reasons for this include external context variables (e.g. longer consultation time) and internal provider beliefs (e.g. attitude toward SDM). German health care policy was regarded as one of the most critical factors which affected the relationship between GPs and their patients and their practice of SDM. Conclusion: Differences between COM and CAM regarding the attitude toward and the perceived use of SDM are attributable to diverse concepts of medicine, practice context variables and internal provider factors. Therefore, the perceived feasibility of SDM depends on the complexity of different occupational socialization processes and thus, different value systems between COM and CAM. Practice implications: Implementation barriers such as insufficient communication skills, lacking SDM training or obedient patients should be reduced. Especially in COM, contextual variables such as political restrictions need to be eliminated to successfully implement SDM.

Objective: To explore differences between conventional medicine (COM) and complementary and alternative medicine (CAM) regarding the attitude toward and the perceived use of shared decisionmaking (SDM) from the health professional perspective. Methods: Thirty guideline-based interviews with German GPs and nonmedical practitioners were conducted using qualitative analysis for interpretation. Results: The health professional–patient-relationship in CAM differs from that in COM, as SDM is perceived more often. Reasons for this include external context variables (e.g. longer consultation time) and internal provider beliefs (e.g. attitude toward SDM). German health care policy was regarded as one of the most critical factors which affected the relationship between GPs and their patients and their practice of SDM. Conclusion: Differences between COM and CAM regarding the attitude toward and the perceived use of SDM are attributable to diverse concepts of medicine, practice context variables and internal provider factors. Therefore, the perceived feasibility of SDM depends on the complexity of different occupational socialization processes and thus, different value systems between COM and CAM. Practice implications: Implementation barriers such as insufficient communication skills, lacking SDM training or obedient patients should be reduced. Especially in COM, contextual variables such as political restrictions need to be eliminated to successfully implement SDM.

O aumento dos investimentos em processos educativos formais para profissionais trouxe consigo a necessidade de avaliar o efeito dessas atividades, seja sobre o trabalhador treinado, seja sobre a organização. Os instrumentos mais utilizados para avaliação aparentemente não estão atingindo os objetivos, e pouco contribuem para retroalimentar atividades educativas. Na área da saúde são realizados muitos treinamentos, no entanto, nem sempre são avaliados. Sendo assim, surgiu a necessidade de compreender mais sobre o tema e, assim, iniciar a construção de uma metodologia de avaliação capaz de mostrar as informações indispensáveis para retroalimentação dos programas e, por conseguinte, melhorar a prática assistencial que é a finalidade precípua das ações educativas na área da saúde. Assim, esse estudo teve como objetivos analisar a produção científica publicada sobre avaliação de processos educativos formais de profissionais da área da saúde e analisar as características dos instrumentos encontrados na revisão de literatura. Para isso, utilizamos a revisão integrativa, método pelo qual pesquisas primárias são analisadas para elaboração de uma síntese do conhecimento produzido sobre o tema investigado. Foram revisadas as bases de dados da BVS, Pubmed e Cochrane, no período de Janeiro de 2000 a Julho de 2010; a amostra final foi de 19 artigos científicos. Os resultados evidenciaram que não é utilizada uma metodologia validada e sistematizada para avaliar processos educativos formais, que o foco da avaliação é principalmente o aprendizado do participante, com pouca atenção ao processo de ensino e ao comportamento no cargo, sendo assim, ampliar os níveis de avaliação é essencial. Não basta olhar para a satisfação do treinando e a aquisição de conhecimento; também é importante conhecer o quanto esse novo conhecimento é aplicado no trabalho e o que isso impacta na instituição contratante e no usuário do sistema de saúde. A utilização dos resultados de avaliação apenas para captar se o treinando adquiriu algum conhecimento ou se ficou satisfeito com a ação também é um uso restrito das ferramentas de avaliação de processos educativos formais para profissionais. A ausência de avaliações pode reduzir o valor do treinamento que precisariam de alterações. / The increased investment in formal education processes for professionals has brought the need to assess the effect of these activities, the employee is trained, is about the organization. The most widely used instruments for assessing apparently are not reaching the goals, and contribute little to give feedback to educational activities. In the health area are conducted many training sessions, however, are not always evaluated. Thus, the need to understand more about the subject and thus initiate the building of an evaluation methodology capable of displaying the necessary information for feedback from the programs and therefore improve the care that is the primary aim of stock education in health. Thus, this study aims to examine the published scientific literature on evaluation of educational processes formal healthcare professionals and analyze the characteristics of the instruments found in the literature review. For this, we use an integrative review, a method by which primary research are analyzed for developing a synthesis of knowledge produced about a topic. We reviewed the databases of the VHL, Pubmed and Cochrane, in the period January 2000 to July 2010, the final sample of 19 scientific articles. The results showed that there is a validated methodology used to assess systematic and formal educational processes, the focus of the evaluation is primarily the learning of the participant, with little attention to teaching and behavior in office, thus, increase the levels of evaluation is essential. Do not just look for the satisfaction of training and knowledge acquisition, is also important to know how this new knowledge is applied at work and that this impacts on the contracting institution and the user of the health system. The use of evaluation results to capture only if the trainee has acquired some knowledge or if she was satisfied with the action is also limited use of evaluation tools for formal educational processes for professionals. The lack of assessment can reduce the amount of training they needed changes.

A Constituição Federal de 1988 e o advento do Sistema Único de Saúde, nos princípios de equidade, universalidade e integralidade, geraram a transição para modelo de assistência com enfoque na noção de atenção primária à saúde. Com a intensificação dos esforços para implementação deste modelo, em 1994 surgiu o Programa de Saúde da Família, o qual foi elevado à estratégia reorientadora do sistema de saúde brasileiro em 1998. Programas como a Política Nacional de Humanização, a composição de equipes do Núcleo de apoio à Saúde da Família e o Programa Melhor em Casa mostram iniciativas em torno desse esforço. O profissional da saúde torna-se figura central em um contexto ainda em desenvolvimento por estar implicado e enredado em um campo cujas fronteiras não são fixas ou evidentes. O objetivo do estudo foi compreender o sentido da atuação do profissional da saúde na atenção primária. A abordagem metodológica escolhida foi a pesquisa bibliográfica descritiva com ênfase nos documentos divulgados pelo Ministério da Saúde e em estudos empíricos qualitativos anteriores. A apresentação dos resultados e discussão foram realizadas a partir de três eixos temáticos: a interprofissionalidade, a humanização, e a experiência da morte na atenção primária. A aproximação do profissional da saúde ao contexto do indivíduo e comunidade evidencia a falta de integração da atenção primária aos demais níveis de atenção do sistema de saúde, na mesma proporção que faz emergir a necessidade do trabalho em equipes interprofissionais, frente à complexidade da demanda e dos problemas éticos que envolvem sua atuação. A busca de objetos de atuação contidos no ser humano parece resultar no fragmentar do saber em saúde e do próprio humano. A experiência da morte no atendimento domiciliar estabelece outro patamar de reflexão acerca do sentido da atuação do profissional da saúde ao apontar um tema que concerne a toda vida humana: a finitude. O sentido da atuação do profissional da saúde emerge em meio à complexidade de lidar com a própria experiência subjetiva e do outro / The Federal Constitution of 1988 and the advent of the National Health System, in the principles of equity, universality and integrality, generated the transition to care model focusing on the concept of primary health care. With the intensification efforts in order to implement this model, in 1994 arouse the Health Family Program, which was elevated to reorienting strategy of the Brazilian health system in 1998. Programs such as the National Humanization Policy, the composition teams of Core Health Family´s support and the \"Best at Home\" Program show initiatives around that effort. The health professional becomes the central figure in a context that is still developing for being implicated and embroiled in a field whose boundaries arent fixed or evident. The aim of the study was to understand the meaning of health professional practice in primary care. The methodological approach chosen was the descriptive bibliographic research with emphasis on documents published by the Ministry of Health and on previous qualitative empirical studies. The presentation of results and discussion were made from three main themes: the interprofessionality, the humanization, and the experience of death in primary care. The approach of health professional to the individual and community context highlights the lack of primary care integration to the other care levels of the health system, in the same proportion that emerge the need to work in interprofessional teams, considering the complexity of demand and the ethical issues surrounding its operations. The search operation objects contained in the human being seems to result in the fragmentation of knowledge in health and human itself. The experience of death in home care provides another level of reflection about the meaning of the health professional performance by pointing an issue that concerns all human life: the finiteness. The meaning of the health professional performance emerges amid the complexity of dealing with their own subjective experience and the other

A presente pesquisa é um estudo qualitativo sobre a relação médico-paciente em pediatria, especificamente da relação do pediatra com a criança portadora de anomalia congênita e sua família. O estudo decorre da experiência em escolas especiais, na condição de médico pediatra. O pressuposto básico desta pesquisa é que existe uma dificuldade do médico em se relacionar com estes pacientes e sua família, devido a sua formação médica “deficiente”. Os objetivos da pesquisa foram: 1) identificar sentimentos e atitudes do pediatra no seu relacionamento com crianças com anomalias congênitas e seus familiares e 2) identificar as dificuldades de relacionamento do pediatra com estas famílias. A metodologia utilizada é uma “variante da pesquisa qualitativa”, que trabalha o conceito de representações sociais, segundo as correntes de pensamento mais importantes na área da saúde, aliada ao método psicodramático na coleta e análise dos dados. Foram entrevistados 10 (dez) pediatras, utilizando-se um roteiro de entrevista do tipo não-estruturada. As entrevistas foram gravadas em fita cassete e a análise dos dados evidenciou a “deficiência” da formação médica no ensino da relação médico-paciente. Além disso, emitimos a tese de que esta dificuldade está ligada com a imagem de onipotência, tanto do médico como de outros profissionais de saúde, fruto de sua formação universitária. Quanto à prática médica pôde-se identificar uma atividade intensa em número de horas por dia de trabalho, que prejudica a formação continuada formal e informal, a reflexão sobre esta prática e a atenção dispensada a cada paciente, caracterizando o que chamamos de “ativismo”. Também pudemos perceber diferenças na relação médico paciente quanto à classe social do paciente. Foram identificados sentimentos de choque emocional, depressão e impotência nos médicos frente à deficiência, com destaque para a ansiedade no momento de falar com os pais sobre a deficiência de seus filhos. Quanto ao momento especifico de dar a notícia aos pais sobre o nascimento de um bebê com anomalia congênita, foram identificadas práticas consideradas inadequadas pela maioria dos estudiosos do assunto. Com a intenção de "proteger a mãe", quase todos os entrevistados revelaram a prática de contar a notícia primeiro ao pai, sem a presença da mãe, sedando-a logo após o parto. Outra prática identificada foi a de criar expectativa sobre a saúde do bebê para "preparar" a mãe e os familiares para receberem a notícia. Finalmente, é sugerido que a formação médica passe a discutir o relacionamento com famílias de crianças com deficiência e a criação de equipes multiprofissionais em maternidades e Unidades de Terapia Intensiva, com a função de transmitir informações aos pais e familiares, nos casos de anomalia congênita, estados graves de saúde com possibilidade de seqüelas ou morte de bebês. / The present investigation is a qualitative study of the doctor-patient relationship in pediatrics, specifically of the relationship between pediatrician and children with congenital anomalies and their families. The study is based on the author’s experience in special schools as a pediatrician. The basic assumption of this study is that the physician has difficulty in relating to these patients and their families due to his “disabled” medical training. The objectives of the study were: 1) to identify the feelings and attitudes of the pediatrician in his relationship with children with congenital anomalies and their relatives, and 2) to identify the difficulties experienced by the pediatrician in relating to this families. The methodology used was a “variant of qualitative research” which explores the concept of social representations according to the most important currents of thought in the health area, allied to the psychodrama method for data collection and analysis. Ten pediatricians were interviewed using a nonstructured questionnaire. The interviews were recorded on tape and data analysis demonstrated the “disablement” of medical training in terms of teaching about the doctor-patient relationship. In addition, the author proposes the thesis that this difficulty is linked to the image of omnipotence both of the doctor and of other health professionals, created by their university education. With respect to medical practice, intense activity was identified in terms of number of work hours per day, which impairs continuing formal and informal education, the reflection about this practice and the attention given to each patient, characterizing what we call “activism”. It was also possible to perceive differences in the doctor-patient relationship in terms of the social class of the patient. Feelings of emotional shock, depression and impotence were detected in physicians facing these disablements, with emphasis on the anxiety they feel when they must talk to the parents about the disablement of their children. As to the specific time when the news should be broken to parents about the birth of a baby with a congenital anomaly, the practices identified are considered inadequate by most of those who study this subject. With the intention of “protecting the mother”, almost all the doctors interviewed revealed the practice of first disclosing the news to the father without the presence of the mother, whom they submit to sedation soon after delivery. Another practice identified was to create expectations about the health of the baby in order to “prepare” the mother and the other relatives to receive the news. Finally, the author suggests that medical education should start to involve the discussion of the relationship with the families of disabled children and the creation of multiprofessional teams in maternities and in Intensive Care Units in order to transmit information to the parents and relatives in cases of congenital anomalies or of serious health conditions involving the possibility of sequels or of infant death.

Submitted by Rosina Valeria Lanzellotti Mattiussi Teixeira (rosina.teixeira@unisantos.br) on 2015-05-08T12:52:28Z No. of bitstreams: 1 Selda H. C. DO N. PEREIRA.pdf: 1275038 bytes, checksum: 395189327b5154728676096b650eb44b (MD5) / Made available in DSpace on 2015-05-08T12:52:28Z (GMT). No. of bitstreams: 1 Selda H. C. DO N. PEREIRA.pdf: 1275038 bytes, checksum: 395189327b5154728676096b650eb44b (MD5) Previous issue date: 2015-03-30 / BACKGROUND: Burnout Syndrome affects many types of professions, being more common in those that require greater contact with customers, especially teachers and health professionals. Several studies have been conducted in Brazil and worldwide about this condition, potentially linked to work. OBJECTIVES: To evaluate the prevalence of Burnout Syndrome in Medical Experts of the Social Security in the Executive Management of Campina Grande - PB. METHODS: Had been done a cross-sectional study with the application of questionnaires MBI (Maslach Burnout Inventory) to check the syndrome and a questionnaire of socio-demographic informations with questions about age, gender, title, shift work, work experience and time hours working week. Currently, according to the Executive Management of the National Social Security Institute - INSS of Campina Grande -. Pb, this population is made up of 39 experts. Based on this information was included the entire population of experts who were in work activity for at least 12 consecutive months and agreed to participate voluntarily in the study. Experts were excluded if they were away from their activities for vacation, leave, hospitalization. This research was based on guidelines and regulatory standards for research, established in the Resolution of the National Health Council (NHC) No. 466/12, in force in the country. A descriptive analysis was performed of all variables, comparison tests between two percentages, Pearson's correlation coefficient. The significance level was 5%. RESULTS: There was a slight predominance of females. A higher prevalence of married experts (comparison test between two percentages, p <0.001), with children (comparison test between two percentages, p <0.001), and with Medical Specialization (comparison test between two percentages, p <0.001) . It was observed that more than 80% of professionals are in danger of developing burnout (comparison test between two percentages p <0.001). CONCLUSION: Much needs to be done to improve the working conditions of the expert and minimize the problems of the working relationship between experts, peers, INSS and insured. The present work, it is not proposed to examine this relationship, however these types of conflicts between experts, policyholders and the own institution, affect the worker's relationship with his work. / INTRODUÇÃO: A Síndrome de Burnout acomete muitos tipos de profissões, sendo mais comum naquelas que exigem um maior contato com os clientes, especialmente professores e profissionais da área de saúde. Vários estudos têm sido conduzidos no Brasil e no mundo inteiro à cerca dessa patologia, potencialmente ligada ao trabalho. OBJETIVOS: Avaliar a prevalência da Síndrome de Burnout em Médicos Peritos da Previdência Social na Gerência Executiva de Campina Grande ¿ PB. MÉTODOS: Foi realizado um estudo transversal com a aplicação dos questionários MBI (Maslach Burnout Inventory) para verificar a síndrome e um questionário de dados sócio-demográficos com questões a respeito de idade, sexo, titulação, turnos de trabalho, tempo de experiência profissional e carga horária de trabalho semanal. Atualmente, segundo dados da Gerência Executiva do Instituto Nacional de Previdência Social ¿ INSS de Campina Grande ¿ PB, essa população é formada por 39 peritos. Baseado nessa informação foi incluída toda a população de peritos que estavam em atividade laboral há pelo menos 12 meses consecutivos e aceitaram participar voluntariamente da pesquisa. Foram excluídos os peritos que estavam afastados de suas atividades por férias, licença, hospitalização. Foi realizada a análise descritiva de todas as variáveis, testes de comparação entre duas porcentagens e coeficiente de correlação de Pearson. O Nível de significância foi de 5%. RESULTADOS: Houve um ligeiro predomínio do sexo feminino. Uma maior prevalência de peritos casados (teste de comparação entre duas porcentagens, p<0,001), com filhos (teste de comparação entre duas porcentagens, p<0,001), e com Especialização Médica (teste de comparação entre duas porcentagens, p<0,001). Observou-se que mais de 80% dos profissionais estão em risco de desenvolvimento da síndrome de burnout (teste de comparação entre duas porcentagens com p <0, 001). CONCLUSÃO: Muito precisa ser feito no sentido de melhorar as condições de trabalho do perito e minimizar os problemas da relação de trabalho entre peritos, pares, INSS e segurados. O presente trabalho, não se propôs analisar essa relação, porém esses tipos de conflitos entre peritos, segurados e a própria instituição, afetam a relação do trabalhador com o seu trabalho.