Introduction: Authorities within the health care sector have a big responsibility for public health, where health promotive and preventive work methods applies to achieve a positive public health development. A big public health problem is obesity, which is a large contributing factor to lifestyle diseases that affects both adults and children. In Sweden statistic show that every fifth child is obese. An important arena is family centres which should work for guiding and supporting off families to a better health through informing the families about healthy habits. Purpose: Investigate how three family centres in southern Sweden work health promotive and preventive with families about obesity. Method: The study was performed with help from a qualitative method. Semi-structured interviews with twelve occupational professions got to represent the result. The interviews were transcribed and evaluated with a content analysis. Results: Make healthy living habits visible, guide and educate parents, different working methods, approach to the families were meaningful for the health promotive and preventive work at the family centres. The result also highlighted challenges and difficulties in the family centres work. Conclusion: The theory KASAM could be linked to the work of the family centres, as a sense of context could be important for the work with the families to perceive comprehensibility, manageability and meaningfulness. The visibility of people´s living habits is best done through a collaboration between several key players. The family centres work is important for the future public health, implementation of resources is therefore important.

Submitted by SBI Biblioteca Digital (sbi.bibliotecadigital@puc-campinas.edu.br) on 2018-03-15T13:45:12Z No. of bitstreams: 1 MARIANA PEREIRA DA SILVA.pdf: 1495567 bytes, checksum: cfe3269f86ef6ee276b2a7ebc6ca324d (MD5) / Made available in DSpace on 2018-03-15T13:45:12Z (GMT). No. of bitstreams: 1 MARIANA PEREIRA DA SILVA.pdf: 1495567 bytes, checksum: cfe3269f86ef6ee276b2a7ebc6ca324d (MD5) Previous issue date: 2018-01-30 / Conselho Nacional de Pesquisa e Desenvolvimento Cient?fico e Tecnol?gico - CNPq / This dissertation presents the results of an ?intervention-research?, which is so named due to the relevance of the intervention in the whole process. In this way, the objectives were to promote an intervention in a reflection group about work and health with workers from an automobile industry and to analyze the health-disease process experienced by them. It was attended by 14 workers from the same company whose form of organization of work and the productive processes is characteristic of Toyotism, a model of organization that stimulates individualism, competitiveness, outsourcing, flexibility and thus may favor the processes of work-related mental disorders. These workers shared their daily experiences related to work and reflected on them in a group, performed at CEREST in Campinas ? SP, over 11 meetings, during the period of six months. The group had an open character and was built together to the participants. The information shared by them showed that, initially, they wanted a lot to join the company, and while being admitted, they felt they have achieved a dream. During time, however, that dream has become a nightmare, as they experienced a context of psychological violence and demands for a high rate of production, which ended up favoring the development of physical injuries. As a result, the work-related mental suffering was intensified, as the injured workers were excluded, humiliated and reinserted to work in incompatible functions. In this sense, in the reflection group, subjects such as work under capitalism, flexible speech, the workers? guilt for illness, their life stories, new life projects, the union and solidarity among them, among other examples were discussed through conversation wheels and use of mediating materiality. It is possible to say that this kind of group assisted in the promotion of elements for the development of more critical reflections by the workers, who closed the meetings feeling less blame, stronger, united, in solidarity to each other, more active and responsible for social transformation. / Esta disserta??o apresenta os resultados de uma ?interven??o-pesquisa?, que est? sendo assim denominada devido ? relev?ncia da interven??o em todo o processo. Desse modo, os objetivos foram promover uma interven??o em um grupo de reflex?o sobre trabalho e sa?de com trabalhadores de uma ind?stria automobil?stica e analisar o processo de sa?de-adoecimento vivenciado por eles. Participaram 14 trabalhadores de uma mesma empresa, cuja forma de organiza??o do trabalho e dos processos produtivos ? caracter?stica do Toyotismo, um modelo de organiza??o que estimula o individualismo, a competitividade, a terceiriza??o, a flexibiliza??o e, assim, pode favorecer os processos de adoecimento mental relacionados ao trabalho. Tais trabalhadores compartilharam suas viv?ncias cotidianas relacionadas ao trabalho e refletiram sobre elas em um grupo, realizado no CEREST de Campinas - SP, ao longo de 11 encontros, durante o per?odo de seis meses. O grupo tinha um car?ter aberto e foi constru?do juntamente aos participantes. As informa??es compartilhadas por eles mostraram que, inicialmente, desejavam muito ingressar na empresa e, ao serem admitidos, sentiam ter realizado um sonho. Com o passar do tempo, no entanto, esse sonho se tornou pesadelo, na medida em que vivenciavam um contexto de viol?ncia psicol?gica e exig?ncias por alto ritmo de produ??o, o que acabava favorecendo o desenvolvimento de les?es f?sicas. Com isso, o sofrimento mental relacionado ao trabalho foi se intensificando, pois os trabalhadores lesionados eram exclu?dos, humilhados e reinseridos ao trabalho em fun??es incompat?veis. Nesse sentido, no grupo de reflex?o, se discutiu, por meio de rodas de conversa e utiliza??o de materialidades mediadoras, temas como o trabalho no capitalismo, o discurso flex?vel, a culpabiliza??o dos trabalhadores pelo adoecimento, suas hist?rias de vida, novos projetos de vida, a uni?o e a solidariedade entre eles, entre outros exemplos. Pode-se dizer que essa modalidade de grupo auxiliou na promo??o de elementos para o desenvolvimento de reflex?es mais cr?ticas pelos trabalhadores, que encerraram os encontros sentindo-se menos culpados, mais fortalecidos, unidos, solid?rios uns aos outros, mais ativos e respons?veis pela transforma??o social.

Background: The goal of social integration is part of the ideological motivation behind the transition from institutionalised to decentralised psychiatric care. Modern community mental health care considers social integration vital for improving mental health. However, reports suggest that efforts to socially integrate people who suffer from mental health problems have not been as successful as anticipated.Aim: The overall aim of the study was to achieve a deeper understanding of the phenomenon of social integration of people with mental health problems in the community. An additional aim was to develop the healthcare professionals’ insight into this phenomenon by means of co-operative inquiry. The specific research questions were: How have people with mental health problems affected their neighbourhood after re-establishing in the community? How do people with mental health problems experience social integration in the community? How does knowledge of social integration promote practical changes in mental health professionals’ practice?Methods: This study, which comprises four papers, has a hermeneutic design. The data collection methods took the form of interviews with 19 neighbours of group homes for people with mental health problems (Paper I) and focus groups in two separate studies of people with mental health problems, one of which comprised 12 participants in three groups (Paper II) and the other 17 participants in three different multistage focus groups (Paper III), i.e. a total of 14 focus groups. Paper IV utilises findings from Papers I-III by means of a co-operative approach. There were two areas of knowledge development in the research process: dialogue-based teaching and focus groups. The main emphasis of the dialogue-based teaching was to facilitate the articulation of practical and tacit knowledge. Twenty-two healthcare professionals and social workers participated in two different multistage focus groups, a total of 6 focus groups (Paper IV). Data-analysis methods included both the constant comparative process and qualitative content analysis.Findings: The first paper begins with the experiences of neighbours of people who suffer from mental health problems. The neighbours reported frightening behaviours as well as complications in their contact with people who had long-term mental health problems, which led to increased insecurity and fear. The reaction of the neighbourhood was exclusion and segregation in the form of distancing or watching. The next two papers employed a user perspective and revealed that, when meeting people, the participants experienced shame and fear of exclusion due to lack of acceptance and loss of autonomy. Integrity proved a necessary quality for the possibility to be treated as an equal. Lack of work or a meaningful occupation and a low income contributed to a sense of worthlessness and loneliness. Those who had a job or took part in club activities seemed to achieve social companionship, which gave them a sense of being more socially integrated. The co-operative research project enabled co-researchers to gain increased professional knowledge and awareness, as well as providing potential for improvements in clinical practice. Systematic reflection on practice leads to an increased awareness of one’s own attitudes and intervention methods, societal conditions and the community’s attitude to the increased social integration of people with mental health problems. The experiential knowledge gained may contribute to health-promotion strategies such as social integration.Conclusions: Integration difficulties are experienced by both individuals with mental health problems and their neighbouring community. In order to achieve social integration, a person with long-term mental health problems needs to develop adequate social competence. Those working in community mental health care must ensure that people suffering from mental health problems experience a sense of belonging in the community, which can enable them to develop a network and achieve social integration in the planning and development of day-time activities and work, thus promoting social integration. The neighbourhood requires, at the very least, general information when a group home is established. Co-operative inquiry can be beneficial in the public sector, although in order to achieve the best possible result, the whole team must be involved and play an active role in all areas of the research project. If the groups are too large, the participants’ level of engagement may suffer. Multistage focus groups proved to be a powerful method for knowledge acquisition and should be further developed as a means of expanding new knowledg / Bakgrunn: En viktig ideologisk motivasjon for overgang fra institusjonalisert til desentralisert psykisk helsearbeid er målet om sosial integrering. Moderne lokalbasert psykisk helsearbeid anser sosial integrering som avgjørende for å bedre menneskers psykisk helse. Men rapporter viser at mennesker med psykiske problemer ikke har oppnådd tilfredsstillende sosial integrering.Mål: Det overordnede målet for studien var å oppnå en dypere forståelse av fenomenet sosial integrering for mennesker med psykiske problemer i lokalsamfunnet. Et tilleggsmål var å utvikle helse- og sosialarbeideres innsikt i fenomenet med bruk av handlingsorientert forskningssamarbeid. De spesifikke forskningsspørsmålene var: Hvordan har mennesker med psykiske problemer påvirket deres nabolag etter reetablering i lokalsamfunnet? Hvordan erfarte mennesker med psykiske problemer sosial integrering i lokalsamfunnet? Hvordan kan kunnskap om sosial integrering fremme praksisforandringer for psykisk helsearbeidere?Metode: Denne studien, som omfatter fire artikler, har et hermenautisk design. Metodene for datainnsamling var kvalitative intervjuer med 19 naboer til fellesboliger for mennesker med psykiske problemer (Art. I), og fokusgruppeintervjuer, i to separate studier, med mennesker med psykiske problemer. En studie med 12 informanter i 3 fokusgrupper (Art. II) og en studie med 17 informanter i 3 flersteg-fokusgrupper (Art. III), totalt 14 fokusgruppeintervjuer. Art. IV brukte funnene fra Art. I-III i et handlingsorientert forskningssamarbeid. Det var to former for kunnskapsutvikling i forskningsprosessen: Dialogbasert undervisning, som skulle fremme praktisk og taus kunnskap, samt fokusgruppeintervjuer. 22 helse- og sosialarbeidere deltok i 2 flersteg-fokusgrupper, totalt 6 fokusgruppeintervjuer (Art. IV). Datamateriale ble analysert med Grounded Theory og kvalitativ innholdsanalyse.Funn: Naboer til fellesbolig for mennesker med psykiske problemer beskriver i den første studien opplevelser som gav usikkerhet, skremmende adferd og problemer med å få kontakt med menneskene som hadde alvorlige psykiske problemer. Dette ledet til økt usikkerhet og frykt. Nabolaget reagerte med eksklusjon og segregering. De to neste studiene hadde et brukerperspektiv, og viste at informantene opplevde skam og frykt for eksklusjon som en følge av manglende akseptasjon og tap av autonomi i møte med mennesker. Integritet var en nødvendig forutsetning for å bli møtt som likverdig. Mangel på arbeid eller annen meningsfull dagaktivitet, samt lav inntekt, bidro til en følelse av verdiløshet og ensomhet. De som hadde et arbeid eller var aktiv deltager i klubbvirksomhet fikk et sosialt felleskap som gjorde at de kjente seg sosialt integrerte. I siste studie gav handlingsorientert forskningssamarbeid medforskerne økt profesjonell kunnskap og bevissthet, samt potensiale for å forbedre praksis. Systematisk refleksjon på praksis leder til en økt bevissthet for egne holdninger og interveneringsmetoder, sosiale betingelser og lokalsamfunnets holdninger til økt sosial integrasjon for mennesker med psykiske problemer. Økt kunnskapsdannelse i praksis kan bidra til forebyggende helsearbeid som sosial integrering.Konklusjon: Både mennesker med psykiske problemer og deres nabolag erfarte vanskeligheter med integrering. For at mennesker med alvorlige psykiske problemer skal erfare sosial integrering må de ha tilstrekkelig sosial kompetanse. Det må arbeides for at mennesker med psykiske problemer opplever tilhørighet i lokalsamfunnet, noe som kan sette dem i stand til å utvikle nettverk, og få til sosial integrering i planlegging og utvikling av dagaktiviteter og arbeid, og på den måten fremme sosial integrering. Nabolag bør i hvert fall ha generell informasjon når det etableres fellesboliger. Handlings- orientert forskningssamarbeid kan være gunstig i kommunehelsetjenesten. En forutsetning for et best mulig resultat er at hele team blir involvert og deltar i kunnskapsskapningen i praksis. Blir enhetene som deltar for store, blir det ikke noe eierforhold til forskningssamarbeidet. Flersteg-fokusgruppeintervju viste seg å være en god metode for kunnskapsutvikling, og metoden burde utvikles videre.Nøkkelord: Psykisk helsearbeid i kommunehelsetjenesten, sosial integrering, sosialt nettverk, handlingsorientert forskningssamarbeid, kvalitativ metode

Background: Today, most of the sex education takes place in school. Studies shows shortcomings in this education and that students experience shortage of the knowledge wanted regarding this subject. Research has also shown that young people prefer to accomplish sex education with someone who feels comfortable and has good knowledge of the subject. The main subject of midwifery is sexual and reproductive health and rights. However, there is a limited amount of studies conducted regarding midwives involvement in sex education in schools. Purpose: The aim of this study was to highlight the role of the midwife in health-promoting public health work with sex education for adolescents in school. Method: Semi-structured telephone interviews were conducted with four teachers who taught sex education at high school and five midwives with experience of sex education. The collected material was analyzed according to Malterud's systematic text condensation. Result: The result showed that the midwife's health promotion work in school was conducted in a few different ways. Partly through lectures and partly by students visiting the youth health center (ungdomsmottagning). The way in which the work was done was due partly to the school's demand and partly to the availability of the midwife. The average time that the midwife was teaching students were between 30-120 minutes, which were distributed on one and the same occasion. The midwife's role in school was described as being proficient, competent and comfortable talking about sex. The fact that the midwife was unacquainted meant that the students felt comfortable and it was easier to ask questions about sensitive subjects. Conclusion: The conclusion of the study is that there is a need for midwifery skills at school and that, in spite of this, there is no clear and obvious role of the midwife in school education. Clinical applicability: This study can be used to support the midwife's work in sexual education in school. The study can also be used as a basis for establishing cooperation between midwife and school. / Bakgrund: Idag sker den övervägande delen av sex- och samlevnadsundervisningen i skolan och undersökningar visar på brister i denna undervisning samt att elever inte upplever sig få de kunskaper de önskar inom ämnet från skolan. Forskning har också visat att ungdomar föredrar att prata om sex och samlevnad med någon som känner sig bekväm och besitter goda kunskaper i ämnet. Barnmorskans huvudämne är sexuell och reproduktiv hälsa och rättigheter. Det finns dock begränsat med studier gjorda på hur barnmorskan involveras i skolans sex- och samlevnadsundervisning. Syfte: Syftet med den här studien var att belysa barnmorskans roll i det hälsofrämjande folkhälsoarbetet med sex och samlevnadsundervisning för ungdomar i skolan. Metod: Semistrukturerade telefonintervjuer gjordes med fyra lärare som undervisade i sex och samlevnad på högstadiet och fem barnmorskor med erfarenhet av sex och samlevnadsundervisning. Det insamlade materialet analyserades enligt Malteruds systematiska textkondensering. Resultat: Resultatet visade att barnmorskans hälsofrämjande arbete i skolan genomfördes på lite olika sätt. Dels genom föreläsningar och dels genom att elever kom på besök till ungdomsmottagningen. Hur arbetet var upplagt berodde dels på skolans efterfrågan och dels på hur tillgången till barnmorskan såg ut. Tiden som barnmorskan lade på att undervisa elever var i genomsnitt mellan 30-120 minuter som låg fördelat på ett och samma tillfälle. Barnmorskan beskrevs som kunnig och hade spetskompetens inom sitt område samt kände sig bekväm att prata om sex och samlevnad. Att barnmorskan var utomstående gjorde att eleverna också kände sig bekväma och hade lättare att ställa frågor angående känsliga ämnen. Slutsats: Slutsatsen av studien är att det finns ett behov av barnmorskans kompetens i skolan men att det inte finns någon tydlig och självklar roll för barnmorskan i skolans sexualundervisning. Klinisk tillämpbarhet: Denna studie kan användas som stöd för att främja barnmorskans insatser i skolans sex- och samlevnadsundervisning. Studien kan också användas som underlag vid upprättande av samarbetsformer mellan barnmorska och skola.

Made available in DSpace on 2011-05-04T12:42:05Z (GMT). No. of bitstreams: 0 Previous issue date: 2009 / O Programa Saúde da Família (PSF) foi implantado no Brasil em 1994, sendo creditada a ele a possibilidade de transformar o modelo assistencial, hopitalocêntrico e curativo. Desafio que é marcado pela influência da racionalidade biomédica nas práticas, valores e saberes dos trabalhadores, e os limites que ela impõe a essa proposta. O objetivo deste estudo foi co-analisar, a partir do arcabouço conceitual da ergonomia da atividade,ergologia e clínica da atividade, a atividade desenvolvida por trabalhadores do PSF, buscando compreender as condições e as formas de organização do trabalho em que amesma acontece, bem como a produção de normas, saberes e valores na atividade. Para isso, optamos por utilizar uma adaptação de duas propostas metodológicas: a instruçãoao sósia e a auto-confrontação cruzada. A pesquisa foi realizada junto a médicos enfermeiros e agentes comunitários de saúde de uma unidade básica de saúde no município de Vitória, ES. Percebemos que os trabalhadores de saúde do PSF têm que lidar todo o tempo com o debate de normas e valores referentes ao modelo tradicional biomédico e ao novo modelo proposto pelo SUS. O trabalho no PSF carrega o desafio de romper com práticas sedimentadas, ainda hegemônicas na formação e nos serviços. A aproximação da realidade dos usuários, inseridos em seu território, inerentes ao trabalho no PSF, faz com que as questões sócio-econômicas tomem de assalto os encontros entre os trabalhadores e usuários, expondo as limitações das práticas tradicionais e convocando à produção de novos modos de agir. Essa dimensão dramática dos usos de si no trabalho é potencializada diante das contradições e inconsistências desse período de transição modelar. Ao final, consideramos que poucos subsídios materiais e / ou simbólicos são disponibilizados aos trabalhadores para a inclusão destas multiplicidades e a produção do cuidado, que a fragilidade dos instrumentos e do patrimônio para agir em congruência com o novo modelo exige dos trabalhadores uma mobilização intensa para realizar as atividades sem recorrer às práticas referentes ao modelo biomédico. Por outro lado, constatamos também a produção incessante de saberes pelos trabalhadores para lidarem com essas novas situações de trabalho e a potencialidade das mesmas para produzir rupturas e inflexões nos serviços, assim como para contribuir com a construção de novas estratégias de formação. / The PSF (Family Health Program) was implanted in 1994. It was believed that it was able to change the healing hospital centered care model. This challenge is highlighted by the biomedical rationality influence in the practice, values and workers’ knowledge. It can also be mentioned the limits imposed by the proposal. This study aimed coanalyze PSF how the workers developed their activities according to the perspective of activity ergonomic, ergology and Activity Clinic. It seeks for information on how the program works analyzing the conditions and the work organization. It also pursues the production of rules, knowledge and activity values. In order to be successful, we used two methodological proposals, but adapted to our needs: The instructions for the double approach and the crossed self-confrontation. The research was developed with physicians, nurses and also with community health agents, all of them from a basic health unit in Vitória, ES Brazil. We noticed that PSF workers must deal with rules and values presented in the previous biomedical model and also with the ones present in the latest model. The PSF worker is challenged into breaking this old practice, still present in the training and in the services. As close as it gets to the reality of the PSF users, the social economical issues make the limitations more visible. That is why new ways of dealing with the situation are needed. This self use dramatic reality becomes more apparent through the contradictions and inconsistencies of this changing period. We concluded that few aids are available to the PSF workers in order to include this multiplicity. An intense mobilization is necessary in order to make the practice working not following the biomedical model. On the other hand, we noticed that these new working conditions led the PSF workers into new formation strategies.

Människan tillbringar ungefär en tredjedel av dygnet på sin arbetsplats, därför är en god arbetsmiljö av stor vikt. Det finns faktorer i arbetsmiljön som påverkar den enskilda individen i olika utsträckning. Friskfaktorer är en sådan faktor som kan beskrivas med orden hälsa och frisk, som tyder på en frånvaro av sjukdomssymptom, medan hälsofaktorer beskriver de delar av arbetsmiljön som är positiva och hälsofrämjande. Den aktuella studien fokuserar på American Family Association insurance´s (AFA-försäkring) friskfaktorer. Arbetsmiljön i bemanningsbranschen kan i sin tur karaktäriseras som ett triangelledarskap, vilket kännetecknar branschen. Syftet med studien var att undersöka hur ett bemanningsföretag tillämpar AFA-försäkrings friskfaktorer. Metoden utfördes genom en kvalitativ intervjustudie med tolkande utformning. Det intervjuades totalt nio personer i de tre olika yrkeskategorierna, verksamhetschefer, konsultchef och konsulter på fältet. Den insamlade datan analyserades med hjälp av en kvalitativ innehållsanalys och med en deduktiv ansats. Resultatet visade på att virtuellt ledarskap, socialt stöd och möjliga utbildningsinvesteringar var tre av sex friskfaktorer som var påverkbara på bemanningsföretaget. Ledarskapet uppehölls i sin tur genom kommunikationsteknik samt en fysisk träff i veckan. Upplevelsen av ledarskapet var bra trots förutsättningarna, men mer fysisk närvaro och kommunikation önskades. En faktor som påverkade det sociala stödet var konstruktiv feedback. Det erbjöds utbildningsmöjligheter, utnyttjandet av erbjudandet var inte så stort då en tidsbrist rådde. Slutsats, resultatet visade på att bibehålla en kontinuerlig kommunikation försvåras vid ett fysiskt frånvarande ledarskap och en god relation kan därmed vara svår att skapa. Det sociala stödet påverkades genom feedback, vid en minskad feedback reducerades känslan av det sociala stödet. Arbetsplatsen ansåg att investeringar i utbildning är väsentligt för kompetensutvecklingen hos personalen. / People spend about one third of the day at their workplace, therefore are a favourable working environment of great importance. There are factors in the working environment that affect the individual in different extents. Health factors are such a factor and can be described by the words, health and well-being, which indicates an absence of disease symptoms. While health promotion factors describe the parts of the working environment that are positive and health promoting. The current study focuses on American Family Association insurance (AFA-insurance) health factors. The work environment in the staffing company can be characterized as a triangular leadership, which characterizes the industry. The aim of the study was to investigate how a staffing company applies AFA insurance's health factors. Method, the study was performed by a qualitative interview study with a interpretive configuration. Nine people were interviewed in the three different job types, businessmanagers, consultant and consultants in the field. The collected data was then analyzed by using a qualitative content analysis and with a deductive approach. The result showed that the virtual leadership, socialsupport and possible educational investment were three of six health factors which were influential at the company. Leadership was held by communication technology as well as a physical session per week. The experience of the leadership works well given the conditions, but more physical presence and communication were desired. One factor that affected social support was constructive feedback. Education opportunities were offered, the utilization of the offer was poorly due to a shortage of time. Conclusion, the result showed that social support was influenced by feedback, reduced feedback decreased the sense of social support. The workplace considered that investment in education was essential and important for the competence development among the employees. Maintaining continuous communication was complicated when the leadership was physically absent.

Made available in DSpace on 2016-06-02T19:51:27Z (GMT). No. of bitstreams: 1 DissLFM.pdf: 513655 bytes, checksum: 950c918317e43b508645211bba44287b (MD5) Previous issue date: 2003-01-01 / Ergonomics changes in the work place interfere in the relation between over operators work and health. This case study had as its objective to analyze the repercussions of a process of changes technical and organizational due to ergonomic projects in a school material plant. Two company sectors were selected which are responsible for the main product external completion. One of the sectors received the full ergonomic intervention and the other had only little adjustments. In order to develop this study, the following procedures were executed: questionnaire applications, observations in order to understand the work activity in both sectors and interviews with the objective of comprehending different actors perception of changes in the in the company. The results indicated that, after the ergonomic intervention, there was a reduction in absenteeism due to RSI/WRMD, changes in physical and cognitive task requests, a differentiated interpretation of results for each social group in the company and na appropriation, by the company, of the results and transformation process started by the ergonomic project for other purposes. This case study revealed the importance of the evaluation process of an ergonomic intervention, because it confirms that a positive result in relation to the demand that originated the intervention, will not always grant future improvements. The analyzed situation points to new problems, whose repercussions are not yet known, but need to be discussed. / As modificações ergonômicas no ambiente de trabalho interferem na relação entre saúde e trabalho. Este estudo de caso teve como objetivo analisar as repercussões do processo de mudanças técnicas e organizacionais decorrentes dos projetos de ergonomia de uma empresa do setor de material escolar sobre o trabalho e a saúde dos operadores. Foram selecionados dois setores responsáveis pela etapa de acabamento externo do principal produto da empresa. Um setor recebeu a intervenção ergonômica e o outro sofreu pequenas modificações. Para o desenvolvimento deste estudo foram realizados os seguintes procedimentos: aplicação de questionários, observações para compreender a atividade de trabalho nos dois setores e entrevistas para percepção das mudanças nos diferentes atores da empresa. Os resultados apontaram que após a intervenção ergonômica houve diminuição dos afastamentos por LER/DORT, modificações nas exigências físicas e cognitivas das tarefas, uma interpretação dos resultados da intervenção diferenciada para cada grupo social da empresa e apropriação pela empresa dos resultados e do processo de transformação do projeto de ergonomia para outros fins. O estudo deste caso revelou a importância do processo de avaliação de uma intervenção ergonômica, porque confirma que um resultado positivo em relação à demanda da intervenção nem sempre irá garantir condições de trabalho satisfatórias. A situação estudada aponta novos problemas cujas repercussões ainda são desconhecidas, mas que necessitam ser discutidas.

Made available in DSpace on 2014-07-29T15:13:35Z (GMT). No. of bitstreams: 1 Cristiane Lopes Simao.pdf: 929984 bytes, checksum: 9acbf826bd7cd38ad7180202a1381847 (MD5) Previous issue date: 2010-09-10 / The research was conducted at the Graduate Program in Education FE / UFG, the line of research "Culture and Educational Processes." The study focused on the analysis of the concept of Permanent Education in Health (EPS) contained in the National Policy on Permanent Education in Health (PNEPS), established by Decree no. 198/GM/MS of 13/02/2004. The question Central was to analyze the fundamentals of Continuing Education in Health (EPS) of the current proposal. The methodology used was the study and analysis ministerial documents of the period from 2003 to 2009, articles by authors involved with the theme from PAHO and documents related to emergence of the idea of EPS. The theoretical was obtained from the authors approach the current Marxist education and work. For the study possible to note that the conception of the EPS in a PNEPS transcends pedagogical significance, responding to a restructuring of services before the new demands of the production model of toyotist neoliberal times and post-modern. Just when the work is increasingly unstable and precarious is that the Ministry of Health invests in innovative management, giving centrality to the issue of EPS. By decentralizing the management of EPS, before the idea of micro live work, the wheel method and constructivist pedagogies, the subjects of the "quadrilateral training" are encouraged to think permanently on creative solutions to overcome the inefficiency of services. The idea is not education, but management permanent. Unlike an instrument of radical change, EPS becomes an ideology that seduces by its appearance of newness teaching. / A pesquisa foi desenvolvida no Programa de Pós-Graduação em Educação FE/ UFG, na linha de pesquisa Cultura e Processos Educacionais". O estudo teve como objetivo a análise da concepção da Educação Permanente em Saúde (EPS) constante da Política Nacional de Educação Permanente em Saúde (PNEPS), implantada pela Portaria nº. 198/GM/MS, de 13/02/2004. A questão central foi analisar os fundamentos da Educação Permanente em Saúde (EPS) da proposta em estudo. A metodologia utilizada foi o estudo e análise de documentos ministeriais do período de 2003 a 2009, artigos de autores envolvidos com a temática e documentos oriundos da OPAS relacionados ao surgimento da idéia da EPS. O referencial teórico foi obtido junto a autores que se aproximam da corrente marxista de educação e trabalho. Pelo estudo foi possível constatar que a concepção da EPS na PNEPS transcende um significado pedagógico, respondendo a um processo de reestruturação dos serviços diante das novas demandas do modelo de produção toyotista dos tempos neoliberais e pós-modernos. Justamente no momento em que o trabalho se encontra cada vez mais instável e precarizado é que o Ministério da Saúde aposta na gestão inovadora, dando centralidade à questão da EPS. Por meio da descentralização da gestão da EPS, perante a idéia da micropolítica do trabalho vivo, do método da roda e das pedagogias construtivistas, os sujeitos do "quadrilátero da formação" são estimulados a pensar permanentemente em soluções criativas para a superação da ineficiência dos serviços. A idéia não é de educação permanente, mas de gerenciamento permanente. Ao contrário de um instrumento de transformação radical, a EPS converte-se em uma ideologia que seduz pela sua aparência de novidade pedagógica.

The Master´s thesis „Stress evaluation, coping and reduction” deals with a very up-to-date subject of employees stress. It analyzes stress types, development, symptoms and influence on health and work results of employees. It also concentrates on factors which evoke the stress, their identification and elimination in corporate environment. The first part of my thesis focuses on theoretical analysis of the above-mentioned issues. Second, practical part deals with the process of finding and evaluting stress factors in a logistic company and its employees. Final part focuses on project of elimination of stress and its factors in the company.

Orientador: Sueli Terezinha Ferrero Martin / Resumo: A pesquisa buscou investigar as condições atuais do trabalho com grupos realizado nos Centros de Atenção Psicossocial (CAPS), serviços estratégicos da política pública de atenção à Saúde Mental. No processo de reforma psiquiátrica brasileira, a transformação da rede assistencial e das práticas em saúde passou a considerar os grupos como um dos principais meios de trabalho dos profissionais em saúde mental. Os diferentes interesses e projetos políticos envolvidos neste processo se atualizam na dimensão particular da disputa entre o modelo biomédico e o modelo de atenção psicossocial, que propõem diferentes arranjos tecnológicos e distintas finalidades para o trabalho com grupos. A fim de apreender as tendências e contratendências desse tipo de atividade, partiu-se das concepções dos profissionais acerca do trabalho que realizam com grupos em suas relações com o processo de trabalho e com os modelos de atenção. Para tanto, conjugou-se a pesquisa teórica em referenciais do campo da Saúde Coletiva e da Reforma Psiquiátrica, com a pesquisa empírica em dois Centros de Atenção Psicossocial da cidade de Curitiba (PR). A análise reuniu dados de observação participante, questionários aplicados para todos os profissionais que realizavam grupos no momento inicial da pesquisa (trinta), três sessões de grupo focal com dez participantes e entrevistas semiestruturadas com sete participantes. Participaram da pesquisa profissionais de diferentes núcleos profissionais, incluindo enfermagem (téc... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: This study aimed to investigate the current conditions of the group work carried out at Psychosocial Care Centers (CAPS), which are strategic services of Public Mental Health Policy. In the course of the Brazilian Psychiatric Reform, the transformation of the assistance network and health practices began to consider groups as one of the primary work methods for mental health professionals. Different interests and political projects involved in this process are updated into the particular dimension of the dispute between a biomedical model and a psychosocial care model, which propose different technological arrangements and distinct goals for group work. In order to apprehend the tendencies and countertendencies for this kind of activity, we initially considered the professionals’ conceptions about their group work practice and their relations with the work process and health care models. Therefore, we combined theoretical research in the fields of Collective Health and Psychiatric Reform with the empirical research in two Psychosocial Care Centers (CAPS) of Curitiba City/PR. The analysis gathered data from participant observation, questionnaires applied to all professionals who were conducting group work at the beginning of the research (thirty), three focus group sessions with ten participants, and semi-structured interviews with seven participants. Professionals from different areas, including nursing (technical and university levels), psychology, social work and occupation... (Complete abstract click electronic access below) / Doutor