Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-03-21T18:14:57Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) maria_cristina_venancio_silva.pdf: 1041740 bytes, checksum: 3e04a8ae2594c1f94e9142d0ffe33d05 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-04-20T15:01:15Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) maria_cristina_venancio_silva.pdf: 1041740 bytes, checksum: 3e04a8ae2594c1f94e9142d0ffe33d05 (MD5) / Made available in DSpace on 2017-04-20T15:01:15Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) maria_cristina_venancio_silva.pdf: 1041740 bytes, checksum: 3e04a8ae2594c1f94e9142d0ffe33d05 (MD5) Previous issue date: 2016 / O objetivo deste estudo foi analisar, de acordo com as propostas norteadoras do Minist?rio da Educa??o e do Minist?rio da Sa?de, a maneira como o princ?pio da integralidade, estabelecido pelo SUS, est? contemplado nos Projetos Pol?tico-Pedag?gico dos cursos de gradua??o em Enfermagem e em Medicina na Universidade Federal dos Vales do Jequitinhonha e Mucuri?UFVJM, campus Diamantina-MG. Trata-se de um estudo descritivo, explorat?rio, de enfoque qualitativo, em que se adotou o delineamento de pesquisa bibliogr?fica e documental, com a an?lise do Projeto Pol?tico Pedag?gico (PPP), das Matrizes Curriculares e dos Planos de Ensino das disciplinas dos referidos cursos. Foram analisados os PPP?s dos cursos de Enfermagem e de Medicina. As categorias analisadas foram objetivo do curso, perfil do egresso e organiza??o curricular. Os resultados apontam que os curr?culos seguem as orienta??es das pol?ticas p?blicas quanto ? import?ncia do ensino em sa?de pautado no cuidado integral, especialmente no que se referem ?s categorias objetivo do curso e perfil do egresso. Quanto ? organiza??o curricular, tem se verificado, atrav?s da an?lise das ementas e dos planos de ensino, que o ensino em sa?de tem possibilitado a abordagem da integralidade da assist?ncia durante o transcorrer do curso. Conclui-se assim, que tal princ?pio se faz presente nos curr?culos, apesar de, em alguns momentos, apresentar-se de maneira impl?cita. Compreende-se que as disposi??es das disciplinas, quanto aos aspectos biol?gicos, ?ticos, humanos e sociais t?m possibilitado uma articula??o interdisciplinar, o que remete a um ensino mais comprometido com a assist?ncia integral. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2016. / The aim of this study was to analyze, according to the guiding proposals of the Ministry of Education and the Ministry of Health, the way that the principle of comprehensiveness established by SUS, is included in the political-pedagogical projects of undergraduate courses in Nursing and Medical courses at Federal University of the Jequitinhonha and Mucuri Valleys?UFVJM, campus at Diamantina-MG. This is a study of descriptive, exploratory and qualitative approach, in which it was adopted the bibliographic and documentary design, with analysis of the Pedagogic Political Project (PPP), Curriculum Matrix and teaching plans of the subjects of these courses. PPP's of Nursing and Medical courses were analyzed. The categories analyzed were the objective of the course, graduate profile and curricular organization. The results show that the curriculums follow the guidelines of public policies on the importance of health education based on integral health care, especially as regards the aim categories of the course and egress profile. Regarding the curriculum organization, it has been found by the analysis of menus and teaching plans that health education has enabled the approach to integrality of health care during the course. It follows therefore that this principle is present in the curriculum, although, at times, it presents implicitly. It is understood that the provisions of the disciplines in which they relate to biological, ethical, social and human aspects have allowed an interdisciplinary joint, which leads to an education more committed to integral care.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-03-12T20:18:44Z No. of bitstreams: 1 LayanneCristiniMartinSousa_DISSERT.pdf: 1742028 bytes, checksum: 9edd9252e78cba594579c04e160087da (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-03-16T19:49:44Z (GMT) No. of bitstreams: 1 LayanneCristiniMartinSousa_DISSERT.pdf: 1742028 bytes, checksum: 9edd9252e78cba594579c04e160087da (MD5) / Made available in DSpace on 2018-03-16T19:49:44Z (GMT). No. of bitstreams: 1 LayanneCristiniMartinSousa_DISSERT.pdf: 1742028 bytes, checksum: 9edd9252e78cba594579c04e160087da (MD5) Previous issue date: 2017-12-20 / A Vigil?ncia em Sa?de ? caracterizada como um conjunto articulado de a??es com foco na promo??o da sa?de e preven??o de doen?as, sob a ?tica da integralidade do cuidado. O objetivo deste estudo foi analisar a Vigil?ncia em Sa?de sob a perspectiva de seus trabalhadores, utilizando uma abordagem qualitativa. Foram entrevistados 28 profissionais lotados no n?vel central da Vigil?ncia em Sa?de, dos quais 12 da secretaria de sa?de de Natal e 16 da secretaria de sa?de do Rio Grande do Norte. As entrevistas semi-estruturadas foram realizadas entre novembro e dezembro de 2016. O material produzido foi analisado a luz do referencial te?rico de Bardin, utilizando a t?cnica de An?lise de Conte?do. Emergiram da an?lise quatro categorias tem?ticas: concep??o sobre Vigil?ncia em Sa?de; articula??o intr?nseca e extr?nseca ? Vigil?ncia em Sa?de; potencialidades e desafios. Os resultados mostraram que os trabalhadores t?m uma concep??o ampliada sobre a Vigil?ncia em Sa?de, entretanto a vis?o tecnicista ainda se encontra presente. As a??es desenvolvidas por eles apresentam-se fragmentadas, tanto entre as vigil?ncias como entre estas e os servi?os de sa?de, deixando evidente a desarticula??o entre os processos cotidianos. Os trabalhadores demonstraram satisfa??o e comprometimento no exerc?cio de suas fun??es, configurando-se como potencialidades, no entanto se traduzem em caracter?sticas conflitantes diante do cen?rio de dificuldades e limita??es relatado por eles. Apontaram como desafios a serem superados: maiores investimentos no setor; valoriza??o dos profissionais e maior suporte e apoio por parte da gest?o. Observa-se, portanto, a necessidade de se imprimir novos avan?os na Vigil?ncia em Sa?de, que perpasse, necessariamente, pela redefini??o do modelo de aten??o, e que adote o planejamento coletivo de forma genu?na, a ressignifica??o de processos de trabalho e de forma??o profissional al?m de uma gest?o participativa com controle social, objetivando a efetividade de suas a??es e a integralidade do cuidado. / Health Surveillance is characterized as an articulated set of actions focused on health promotion and disease prevention, from the point of view of integral care. The objective of this study is to analyze the Health Surveillance from the perspective of its workers using a qualitative approach. A total of 28 central-level Health Surveillance professionals were interviewed, of which 12 of the Secretariat of health of Natal and 16 of the Department of health of Rio Grande do Norte. The semi-structured interviews were carried out between November and December 2016. The material produced was analyzed using the Content Analysis technique in light of the theoretical reference of Bardin. Four thematic categories emerged: conception of Surveillance in Health; intrinsic and extrinsic articulation of Health Surveillance; Health Surveillance?s potential; and, conversely, it?s challenges. The results showed that the workers have an expanded concept of Health Surveillance, although the technician?s view is still present. Consequently, their actions developed a fragmented result, both between surveillance and health services, leaving clear the disarticulation between the everyday processes. The workers demonstrated satisfaction and commitment in the performance of their duties, configuring itself as potential, however result in conflicting characteristics before the backdrop of difficulties and limitations reported by them. Pointed as challenges to be overcome: greater investment in the sector; recovery of professionals and greater support on the part of management. There is therefore the need to print new advances in health surveillance, which circulates, necessarily, by redefining the model of attention, and to adopt the collective planning of genuine form, the ressignification of work processes and training Professional plus a participatory management with social control, aiming at the effectiveness of its actions and the completeness of the care.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-06T20:41:26Z No. of bitstreams: 1 LaviniaUchoaAzevedoDeAraujo_TESE.pdf: 2450919 bytes, checksum: 94c4f792424be39705ea324972c6e965 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-07-08T18:17:43Z (GMT) No. of bitstreams: 1 LaviniaUchoaAzevedoDeAraujo_TESE.pdf: 2450919 bytes, checksum: 94c4f792424be39705ea324972c6e965 (MD5) / Made available in DSpace on 2016-07-08T18:17:43Z (GMT). No. of bitstreams: 1 LaviniaUchoaAzevedoDeAraujo_TESE.pdf: 2450919 bytes, checksum: 94c4f792424be39705ea324972c6e965 (MD5) Previous issue date: 2015-10-29 / A despeito das in?meras iniciativas governamentais com vistas ? reorganiza??o e qualifica??o da aten??o obst?trica e neonatal no Brasil, essa aten??o permanece problem?tica, com repercuss?es sobre a mortalidade materna e neonatal e sobre a humaniza??o do cuidado ? mulher e ? crian?a. Este estudo teve como objetivo geral analisar a produ??o do cuidado ? mulher no per?odo grav?dico-puerperal, a partir de relatos de usu?rias de servi?os p?blicos de sa?de sobre suas experi?ncias de gestar e parir, tomando por refer?ncia a integralidade e a humaniza??o. O estudo ? de abordagem qualitativa e teve como estrat?gia metodol?gica escutar as mulheres para, a partir dos sentidos e significados de suas falas sobre suas experi?ncias com os servi?os de sa?de, identificar continuidades e descontinuidades do cuidado no per?odo grav?dico puerperal. As usu?rias participantes do estudo s?o mulheres que tiveram seus filhos em uma maternidade p?blica municipal, residiam em bairros de Natal e que estavam, no momento da entrevista, com mais de dez dias e at? 42 dias de p?s-parto. Foram entrevistadas sete mulheres que relataram suas experi?ncias de gestar e parir acompanhadas pelos servi?os p?blicos. ? medida que foram sendo realizadas as entrevistas e a observa??o, tamb?m foi sendo analisado o material produzido, buscando-se articula??o simult?nea entre produ??o e an?lise de dados. A partir da sistematiza??o foi estabelecido o di?logo entre as falas das mulheres e a produ??o no campo da Sa?de Coletiva, relativa a conceitos e discuss?es sobre a aten??o obst?trica e neonatal e ?s elabora??es sobre Integralidade e Humaniza??o do cuidado. Ressaltaram-se aspectos das falas relacionados com o cuidado pr?-natal, desde a gravidez e suas repercuss?es nos cuidados pr?-natais, bem como o acompanhamento pr?-natal pelos servi?os de sa?de; aspectos relativos ao cuidado no parto e nascimento, abordando as quest?es diretamente relacionadas ao trabalho de parto e ao parto e aspectos das falas relativos ao p?s-parto na maternidade, tanto no que se refere aos cuidados com o beb? quanto com a m?e/mulher; e por ?ltimo, os cuidados relacionados ao puerp?rio, ap?s a alta da maternidade. Na an?lise dos resultados, buscou-se identificar linhas de continuidade e descontinuidade na integralidade e humaniza??o do cuidado. A partir dessas linhas e a t?tulo de contribui??es finais do estudo, foram tra?adas pistas para buscar integralidade e humaniza??o da produ??o do cuidado ? mulher no per?odo grav?dico puerperal: pista 1- Repensar a gest?o do cuidado na rede de aten??o ? sa?de materno-infantil, tendo como perspectiva a integralidade no sentido de responder ? necessidade de garantia de acesso aos diversos servi?os e recursos tecnol?gicos dispon?veis para melhorar a sa?de e a vida. Pista 2- Reorganizar os processos de trabalho com vistas ao alcance da integralidade e da humaniza??o na aten??o ?s mulheres no per?odo grav?dico-puerperal. Pista 3 - Qualificar a rela??o profissional-usu?ria na gest?o do cuidado no per?odo grav?dico-puerperal. Pista 4 - Investir na qualifica??o dos processos comunicacionais nas diversas dimens?es da gest?o do cuidado no per?odo grav?dico-puerperal. / Despite numerous government projects aimed at reorganizing and qualifying obstetric and neonatal care in Brazil, it remains problematic, with repercussions for maternal and newborn mortality and humanized care of both the mother and child. The objective of this study was to analyze the care provided to women during the pregnancy-puerperium cycle, based on reports of public health service users regarding their pregnancy and delivery experiences, using comprehensiveness and humanization as reference. The study applied a qualitative approach and the methodological strategy consisted of listening to the women, in order to identify, based on the meanings of their discourse concerning their experiences with health services, continuities and discontinuities of care during the pregnancy-puerperium cycle. Study participants were women who gave birth at a municipal public maternity, residents of Natal, Brazil, who at the time of the interviews, were between 10 and 42 days postpartum. Seven women reported their pregnancy and delivery experiences at public services. As interviews and observation took place, the material produced was also analyzed, in order to achieve simultaneous production and data analysis. Using systematization, a dialogue was established between the women?s discourses and production in the field of Collective Health, with respect to concepts and discussion about obstetric and neonatal care as well as the Comprehensiveness and Humanization of such care. Participant discourses underscored aspects related to prenatal care starting at pregnancy and its repercussions as well as prenatal monitoring by health services; aspects associated with care during labor and delivery, as well as those involved in postpartum in the maternity, both with respect to newborn and maternal care? and lastly, puerperium care after discharge from the maternity. Analysis of results sought to identify lines of continuity and discontinuity in the comprehensiveness and humanization of care. Based on these lines and as final contributions of the study, the following paths were proposed to achieve comprehensive and humanized production of health care for women during the pregnancy-puerperium cycle: Path 1- Reassess care in the maternal and newborn health network, aimed at comprehensiveness in terms of guaranteeing access to the various services and technological resources available to enhance health and life. Path 2- Reorganize work processes in order to attain comprehensive and humanized care for women in the pregnancy-puerperium cycle. Path 3 ? Qualify the professional-user relationship in care management during the pregnancy-puerperium cycle. Path 4 ? Invest in the qualification of communication processes in the different dimensions of care during the pregnancy-puerperium cycle.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-04-01T20:00:18Z No. of bitstreams: 1 ElaineCristinaAlves_DISSERT.pdf: 1400791 bytes, checksum: 733a0735d7cf09c94748695b815cb1a5 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-04-07T23:12:22Z (GMT) No. of bitstreams: 1 ElaineCristinaAlves_DISSERT.pdf: 1400791 bytes, checksum: 733a0735d7cf09c94748695b815cb1a5 (MD5) / Made available in DSpace on 2016-04-07T23:12:22Z (GMT). No. of bitstreams: 1 ElaineCristinaAlves_DISSERT.pdf: 1400791 bytes, checksum: 733a0735d7cf09c94748695b815cb1a5 (MD5) Previous issue date: 2015-04-29 / Os Programas de Resid?ncia Multiprofissional em Sa?de da Universidade Federal do Rio Grande do Norte (PRMS/UFRN) tem como pilares orientadores o processo de aprendizagem do ensino em servi?o, o trabalho multiprofissional interdisciplinar e seguir os princ?pios e diretrizes do Sistema ?nico de Sa?de (SUS). Embora os PRMS/UFRN tenham sido idealizados com foco na aten??o hospitalar, o processo de forma??o na inser??o dos residentes na Aten??o Prim?ria ? Sa?de (APS) ocupa importante papel, pois esses necessitam vivenciar todos os n?veis de aten??o, j? que o processo de educa??o pelo trabalho a que se prop?e a Resid?ncia ? baseado na integralidade da aten??o ? sa?de. Diante disso, a presente pesquisa buscou elucidar a inser??o desses residentes nos servi?os de APS, atrav?s de uma abordagem qualitativa de estudo de caso, onde a coleta dos dados foi realizada em dois momentos distintos: no primeiro momento, foi realizado um question?rio, mediante um roteiro semiestruturado, com os residentes dos PRMS/UFRN, Campus Natal; na segunda etapa, foi realizada a t?cnica de grupo focal com um grupo de nove residentes, e os dados foram analisados a partir da an?lise de conte?do tem?tica categorial. A partir do processo de categoriza??o emp?rica, emergiram categorias e subcategorias, dentre as quais, os aspectos positivos e as potencialidades da inser??o dos residentes na APS. Foi detectada a articula??o de a??es de promo??o, preven??o e recupera??o da sa?de; forma??o na integralidade do cuidado ? sa?de, atividades multiprofissionais e de integra??o ensino-servi?o-comunidade. Em rela??o ?s dificuldades encontradas nessa viv?ncia, nos deparamos com a organiza??o e o planejamento das atividades do rod?zio, a preceptoria, o processo de trabalho encontrado nas Unidades B?sicas de Sa?de (UBS), al?m de fatores externos ? pr?tica educacional, como a quest?o da seguran?a nessas comunidades. Assim, com esse diagn?stico situacional, foi poss?vel perceber que os residentes identificaram a import?ncia deste rod?zio para a sua forma??o profissional, j? que esses est?o inseridos em programas de p?s-gradua??o na aten??o hospitalar. Como produto imediato deste estudo, ser? apresentado um relat?rio que promover? um espa?o para a discuss?o e avalia??o deste rod?zio pelas coordena??es dos PRMS/UFRN, em busca de adequa??es organizacionais e pedag?gicas, al?m da proposi??o de capacita??es para os atores envolvidos com esse processo, visando ? implanta??o de melhorias no rod?zio da APS, em prol da forma??o qualificada de profissionais para o SUS. / The Health Multiprofessional Residency Program of the Federal University of Rio Grande do Norte (PRMS/UFRN) adopts as guiding keystones the learning process of in-service teaching, the interdisciplinary multiprofessional work and the compliance with the principles and guidelines of the Brazilian Unified Health System (SUS). Although PRMS/UFRN have been idealized with a focus on hospital care, the training process in the insertion of residents in the Primary Health Care (PHC) has an important role because they need to experience all levels of care, taking into account that the educational process through work proposed by the Residence is based on the comprehensiveness of health care. In light of the foregoing, the present research has sought to elucidate the insertion of these residents in PHC services, through a qualitative approach of case study, where data collection was held in two different moments: firstly, a questionnaire was accomplished, through an semi-structured script, with the residents of PRMS/UFRN, Natal Campus; subsequently, the focus group technique was accomplished with a group of nine residents, and data were analyzed from the categorical thematic content analysis. From the process of empirical categorization, categories and subcategories were raised, among which, the positive aspects and potentialities of insertion of residents in PHC. We detected the articulation of actions for promoting, preventing and recovering health; training in comprehensiveness of health care, multiprofessional activities and activities aimed at doing the integration among teaching-service-community. Regarding the difficulties found in this experience, we dealt with the organization and planning of rotation activities, the preceptorship, the process of work found in the Basic Health Units (BHU), in addition to factors external to educational practice, such as the issue of safety within these communities. Accordingly, with this situational diagnosis, we became able to realize that residents have identified the importance of this rotation for their vocational training, since these are inserted in post-graduate programs in hospital care. As an immediate product of this study, we will present a report that will provide a space for discussion and assessment of this rotation by the coordination bodies of PRMS/UFRN, in order to seek organizational and pedagogical adaptations, besides the proposition of qualification courses for the actors involved with this process, aiming the implementation of improvements in the rotation of PHC toward the qualified training of professionals for SUS.