Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-05-30T20:01:31Z No. of bitstreams: 1 IanaVasconcelosMoreiraRosado_TESE.pdf: 1298071 bytes, checksum: 5d17f8124c28a42de1d32bc4a4975ee7 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-05-31T22:54:40Z (GMT) No. of bitstreams: 1 IanaVasconcelosMoreiraRosado_TESE.pdf: 1298071 bytes, checksum: 5d17f8124c28a42de1d32bc4a4975ee7 (MD5) / Made available in DSpace on 2016-05-31T22:54:40Z (GMT). No. of bitstreams: 1 IanaVasconcelosMoreiraRosado_TESE.pdf: 1298071 bytes, checksum: 5d17f8124c28a42de1d32bc4a4975ee7 (MD5) Previous issue date: 2014-12-01 / A sa?de resulta da intera??o de fatores biol?gicos, sociais, econ?micos, pol?ticos e culturais. Nessa perspectiva, objetivou-se analisar a rela??o entre o trabalho nos hospitais p?blicos de urg?ncia e emerg?ncia e o processo de sa?de-adoecimento dos profissionais que o executam. Trata-se de uma pesquisa de natureza quantiqualitativa, na qual foram aplicados question?rios com 240 profissionais (m?dicos, enfermeiros, assistentes sociais, psic?logos, dentistas, nutricionistas, fonoaudi?logos, fisioterapeutas e terapeutas ocupacionais). Os resultados demonstraram que os sujeitos reconhecem a import?ncia do trabalho para garantia de condi??es favor?veis ? sa?de. Entretanto, destacam seus efeitos no desgaste f?sico e ps?quico dos trabalhadores, por impulsionar estresse, aus?ncia de h?bitos saud?veis, hipertens?o arterial, dist?rbios do sono, osteomusculares e gastrintestinais. Torna-se premente enfrentar esta realidade, para potencializar a sa?de dos profissionais e, por conseguinte, a qualidade da assist?ncia ao usu?rio, visto que o adoecimento dos trabalhadores de sa?de est? fortemente relacionado com o modelo de sa?de existente na sociedade. / Health results from the interaction of biological, social, economic, political and cultural factors. Under this perspective, we aim to analyze the relationship among working in public emergency hospitals and the health-sickness of the professionals who work there. We are based in a quantitative and qualitative research, in which 240 health professionals (doctors, nurses, social workers, psychologists, dentists, nutritionists, audiologists, physiotherapists and occupational therapists) answered a survey. All of them recognize the importance of work to guarantee favorable conditions to good health. However, they highlight its physical and mental wear effects on workers like stress, absence of a healthy life-style, high blood pressure, musculoskeletal, gastrointestinal and sleep disorders. It becomes urgent to face this reality, to enhance professionals' health and, consequently, the quality of user?s assistance, since the illness of health workers is strongly correlated with the existing health model in society.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-06-06T22:41:00Z No. of bitstreams: 1 MonicaDeCassiaFernandesBertin_DISSERT.pdf: 1403089 bytes, checksum: a2d9a10079b31748f34f597d619d8837 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-06-09T21:08:05Z (GMT) No. of bitstreams: 1 MonicaDeCassiaFernandesBertin_DISSERT.pdf: 1403089 bytes, checksum: a2d9a10079b31748f34f597d619d8837 (MD5) / Made available in DSpace on 2016-06-09T21:08:05Z (GMT). No. of bitstreams: 1 MonicaDeCassiaFernandesBertin_DISSERT.pdf: 1403089 bytes, checksum: a2d9a10079b31748f34f597d619d8837 (MD5) Previous issue date: 2015-08-28 / O objetivo deste estudo foi identificar as poss?veis causas de diferen?as de resultados alcan?ados na implanta??o de um Sistema de Gest?o Informatizado (SGI) em um Hospital Universit?rio Federal localizado no nordeste do Brasil e compreender os motivos que influenciaram os resultados em diferentes grupos quando fora utilizada a mesma metodologia de implanta??o de sistemas. Considerando a implica??o dos gestores, profissionais de sa?de, outros profissionais envolvidos e a estrutura organizacional vigente no per?odo em que se deu a implanta??o, buscou-se conhecer como essas pessoas perceberam a evolu??o da implanta??o no seu grupo ou setor e tamb?m na organiza??o. Partindo de uma abordagem qualitativa, utilizou-se como instrumento de pesquisa a entrevista semiestruturada, mais especificamente a entrevista epis?dica, por ser mais focada na narrativa sobre a experi?ncia vivida pelos participantes ao longo do processo de implanta??o do SGI no hospital. Foram entrevistados tr?s grupos de profissionais e um grupo de gestores, todos com forma??o de n?vel superior em suas profiss?es e que participaram do processo de implanta??o desde o in?cio. Seguiu-se a metodologia de Bardim (2009) em todas as fases de tratamento e interpreta??o dos dados. A partir da analise empreendida, despontaram tr?s categorias: O pensamento e o conhecimento; As pr?ticas e mudan?as; Resultados obtidos. Da categoria ?pensamento e o conhecimento?, emergiram tr?s subcategorias: O administrativo, O institucional e O conhecimento em TI. Da categoria ?As pr?ticas e mudan?as?, emergiram tr?s subcategorias: Realidade anterior ao SGI; O projeto de TI e a implanta??o do SGI e Impactos da implanta??o do SGI. Da categoria ?Resultados obtidos? emergiram tr?s subcategorias: Benef?cios promovidos pelo SGI, Insatisfa??es observadas e N?vel de utiliza??o e compreens?o do SGI. Observou-se que a falta de integra??o dos setores foi um problema determinante na implanta??o do SGI, que o projeto de implanta??o do SGI n?o foi bem dimensionado e divulgado na institui??o e, ainda, que diferentes modelos de lideran?as e de objetivos dos setores influenciaram no andamento do processo de implanta??o do SGI. Muitas outras quest?es foram registradas nas conclus?es, mas em resumo, pode-se mencionar que um SGI deve ser uma ferramenta de consolida??o de pr?ticas organizacionais j? institucionalizadas e de integra??o entre setores e n?o de apoio a pr?ticas isoladas e personalistas de algumas esferas da institui??o. / The object of this study was motivated by the need to know the possible causes of differences in results achieved in the implementation of a Computerised Management System (CMS) in a Federal University Hospital, located in northeastern Brazil, to understand the factors that influenced the results in different groups when was used the same systems implementation methodologies. Considering the implication of managers, health professionals, other professionals involved and the existing organizational structure in the period when implantation occurred, aimed to know the perception of these people about the development of CMS in the deployment process in your group or sector and also in the organization.The methodology used in this study was the content analysis which provides a rich set of methodological tools for evaluating speeches,enabling us to discourse from the unknown analysis and subjectivity, but with scientific rigor, allowing, at the end, to understand the disparity in results in the implementation of CMS.It was used as a research tool, a semi-structured interview, which exploits a qualitative approach, as suggested by the authors. It was used the approach of the episodic interview, to be more narrative about the experiences of the interview participants in their practical experience along the CMS deployment process in the hospital.Were interviewed three groups of professional and a group of managers, all with higher education in their professions and who participated in the entire implementation process from the beginning.It followed the Bardin's methodology (2009) in all the phases of treatment and interpretation of data, where emerged three categories: the "Thought and Knowledge"; the "Practices and Changes"; the "Obtained Results". From the category "Thought and Knowledge"emerged three subcategories: the "Administrative", the "Institutional" and the "IT Knowledge". From the category "Practices and Changes" emerged three subcategories: "Reality Prior to CMS"; "The IT Project and the implementation of CMS" and "Impacts of the CMS Implementation". From the category "Results Obtained" emerged three subcategories: "Benefits Promoted by CMS", "Dissatisfaction Observed" and "Level of Use and Understanding CMS ". It was observed that the lack of integration of the sectors was a determinant problem in the implementation of CMS. The CMS implementation project was not well dimensioned and divulged in the institution. Different models of leaderships and of objectives of the sectors influenced in the course of the CMS implementation process. We can mention that an CMS should be a consolidation of organizational practices tool already institutionalized and of integration amongthe sectors and not supporting to isolated practices and personalistsfrom sectors of the institution.