Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-07-30T19:24:15Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ana_paula_campos_barbosa_silva.pdf: 1261920 bytes, checksum: 745fbfc83a27d78f80dd346ad35d219a (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2018-10-05T19:09:52Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ana_paula_campos_barbosa_silva.pdf: 1261920 bytes, checksum: 745fbfc83a27d78f80dd346ad35d219a (MD5) / Made available in DSpace on 2018-10-05T19:09:52Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ana_paula_campos_barbosa_silva.pdf: 1261920 bytes, checksum: 745fbfc83a27d78f80dd346ad35d219a (MD5) Previous issue date: 2017 / O N?cleo de Apoio ? Sa?de da Fam?lia (NASF) foi criado com o objetivo de ampliar as a??es das Estrat?gias de Sa?de da Fam?lia (ESF), atuando de forma interdisciplinar alicer?ado primordialmente no apoio matricial. Por?m, observa-se uma fragilidade na incorpora??o dessa ferramenta no processo de trabalho das equipes da ESF e do NASF do munic?pio de Itamarandiba ? MG. Nesse contexto, a identifica??o das representa??es sociais dos profissionais da Aten??o Prim?ria ? Sa?de (APS) sobre assist?ncia ? sa?de visou ? compreens?o do impacto das mesmas na operacionaliza??o do apoio matricial exercido pelo NASF do munic?pio em quest?o. Para isso, este estudo recorreu ao desenho metodol?gico de estudo de caso, com natureza explorat?ria e abordagem qualitativa. Para o alcance dos dados usou-se an?lise documental, entrevistas semiestruturadas e observa??o do campo. Participaram como sujeitos deste estudo: dois m?dicos, dois enfermeiros, um cirurgi?o dentista, um auxiliar de sa?de bucal, dois Agentes Comunit?rios de Sa?de (ACS), dois t?cnicos em enfermagem, e os tr?s profissionais do NASF, perfazendo um total de treze profissionais, todos pertencentes ? rede de APS do munic?pio de Itamarandiba. O corpus primeiramente foi submetido ? an?lise pelo software IRAMUTEQ (Interface de R pourles Analyses Multidimensionnelles de Textes et de Questionnaires), atrav?s da Classifica??o Hier?rquica Descendente (CHD), com o objetivo de verificar as classes de palavras e sua organiza??o. Na sequ?ncia, submeteu-se o corpus ? an?lise tem?tico-categorial evidenciando os temas ?Assist?ncia? e ?Pr?ticas profissionais?. Como resultados deste estudo, verificou-se a presen?a de conceitos de assist?ncia ? APS tanto convergentes como divergentes com as diretrizes do SUS e normativas ministeriais da APS, j? as pr?ticas revelaram que, em sua maioria, afastavam-se do modelo de promo??o da sa?de, demonstrando, pois, representa??es sociais ancoradas no modelo biom?dico. Al?m disso, a investiga??o dos processos hist?ricos e culturais de organiza??o da APS, em especial do NASF, em Itamarandiba, esclareceu o contexto de produ??o das representa??es sociais, permitindo a compreens?o do quanto o mesmo favorece ? perman?ncia de condutas ancoradas em um modelo de assist?ncia verticalizado, com pr?ticas fragmentadas e isoladas que dificultam a intersetorialidade e se afastam da compreens?o do instrumento apoio matricial. Percebe-se a exist?ncia de pr?ticas pautadas no modelo de promo??o da sa?de, mas que precisam ser fortalecidas. Espera-se que este trabalho fomente reflex?es, entre os profissionais das equipes da APS, os coordenadores e gestores de Itamarandiba, de modo a problematizar o quanto o processo de trabalho e a organiza??o das a??es e servi?os de sa?de do munic?pio precisam ser reavaliados e reconfigurados, visando ao fortalecimento da APS. Com isso, viabilizar a atua??o do NASF em parceria com as equipes de ESF, sob a l?gica do apoio matricial e equipes de refer?ncia, visando ? organiza??o do sistema municipal de sa?de, e, consequentemente, a melhoria da qualidade de vida dos usu?rios. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017. / The Family Health Support Center (NASF) was created with the aim of expanding the actions of the Family Health Strategies (ESF), acting in an interdisciplinary way based primarily on the support of the matrix. However, there is a weakness in the incorporation of this tool in the work process of the ESF and NASF teams of the municipality of Itamarandiba - MG. In this context, the identification of the social representations of Primary Health Care (APS) professionals on health care aimed at understanding the impact of these on the operationalization of the matrix support exercised by the NASF of the municipality in question. For this, this study used the methodological design of case study, with exploratory nature and qualitative approach. For data coverage, we used document analysis, semi-structured interviews and field observation. Two physicians, two nurses, one dental surgeon, one oral health assistant, two community health agents (ACS), two nursing technicians, and the three NASF professionals, comprising a total of thirteen professionals, all belonging to the APS network of the municipality of Itamarandiba. The corpus was first submitted to analysis by the software IRAMUTEQ (Interface of Multidimensional Analyzes of Textes et de Questionnaires), by the method of Classification Hierarchical Descending (CHD), with the objective of verifying word classes and their organization. Subsequently, the corpus was submitted to the thematic - categorial analysis highlighting the themes "Assistance" and "Professional Practices". As results of this study, was verifyed the presence of concepts of PHC assistance both convergent and divergent with SUS guidelines and mini-ministerial PHC regulations, but the data revealed practices that, for the most part, deviated from the health promotion model, thus evidencing, social representations anchored in the biomedical model. In addition, the investigation of the historical and cultural processes of organization of the APS, especially the NASF in Itamarandiba, clarified the context of production of the social representations, allowing the understanding of how much the same favors the permanence of anchored ducts in a model of assistance vertical, with fragmented and isolated practices that hinder the intersectoriality and distance themselves from the understanding of the instrument matrix support. It is noticed the existence of practices based on the model of health promotion, but that need to be strengthened. It is hoped that this work will foster reflections among the professionals of the PHC teams, the coordinators and managers of Itamarandiba, in order to problematize how much the work process and the organization of the actions and health services of the municipality need to be re-evaluated and reconfigured aimed at strengthening PHC. With this, to enable NASF to act in partnership with the ESF teams, under the logic of matrix support and reference teams, aiming at the organization of the municipal health system, and, consequently, improving the quality of life of users.

Made available in DSpace on 2014-12-17T15:04:54Z (GMT). No. of bitstreams: 1 MariaRVMR_DISSERT.pdf: 1639634 bytes, checksum: 470f12cf771e43fc03026d077c8a66ea (MD5) Previous issue date: 2010-05-06 / Discussions over the topic of inclusion of handicapped people at school are considered recent, but they have become more and more frequent within the national and international scenario. Such discussion has also being inserted in the speeches and actions of the school institution and with the formation of educators. This investigation is made necessary as a way to collect elements to reconsider the actions for the inclusion of the special education need youth. In special the visually handicapped ones, at Instituto Federal de Educa??o, Ci?ncia e Tecnologia do Rio Grande do Norte (IFRN). The creation of a support unit functions as main vehicle for the actions of the institution. It is intended to know what young people with limitations have to say regarding their experiences as a way to signal paths to be and not to be followed by the support unit. Therefore, the experience which these young boys and girls have is of crucial importance. In order to accomplish the task, it was decided to use methodological elements based upon elements supported by the life reports of two deficient students here called Borges and St?fano. Their reports are from childhood to their arrival at IFRN. From their reports, categories appeared: childhood and the role of family; school life and, finally, related to the actions of the support unit of IFRN, being divided in inclusive actions and obstacles. The first one takes a second look at the actions of the family within the learning-teaching process of these students. The second category presents the moment in which students started to receive formal education per se. The last category constitutes the cornerstone of the investigation, for it analyses the process of inclusion in the institution, according to the perception of the students with visual limitations. The results signaled the need for shared intervention between students with Special Education Needs and school professionals in the elaboration of the Educational Planning, which guarantees the defense of the rights to an efficient teaching practice and effective in the process of inclusion of these students / As discuss?es sobre inclus?o de pessoas com necessidades especiais na escola s?o relativamente recentes, mas toma corpo no ?mbito internacional e nacional. Por outro lado, tal discuss?o aos poucos vem se incorporando nos discursos e a??es na institui??o escolar e, mais ainda na forma??o dos docentes. Esta investiga??o parte da necessidade de levantar elementos para (re)pensar as a??es propostas para inclus?o de jovens com necessidade educativa especial, neste particular com defici?ncia visual (DV), no Instituto Federal de Educa??o, Ci?ncia e Tecnologia do Rio Grande do Norte (IFRN). Como apoio principal para as a??es da institui??o encontra-se a cria??o do n?cleo de apoio. Intenciona-se conhecer a voz de jovens com DV para que as suas experi?ncias possam sinalizar os caminhos e descaminhos tomados pelo n?cleo de apoio. Assim, neste relato a experi?ncia vivenciada por estes jovens ? de fundamental import?ncia. Para tanto, optou-se por utilizar elementos metodol?gicos apoiados na hist?ria de vida de dois alunos com DV, aqui chamados de aluno (A1) e aluno (A2), desde a inf?ncia at? a entrada no IFRN. Deste relato emergiram como categorias: a inf?ncia e o papel da fam?lia; a trajet?ria escolar e, por fim, relativas ?s a??es do n?cleo de apoio do IFRN, dividindo-se em atitudes inclusivas e obst?culos. A primeira resgata as a??es da fam?lia no processo de ensino e aprendizagem destes alunos. A segunda categoria apresenta o momento em que os alunos come?aram a receberem a educa??o formal, propriamente dita. A ?ltima categoria constitui o ponto fundamental da investiga??o, pois analisa o processo de inclus?o na institui??o, na percep??o dos pr?prios estudantes com defici?ncia visual. Os resultados sinalizam para a necessidade de a??es partilhadas entre alunos com NEE e profissionais da escola na elabora??o do Plano Educacional, que garantam a defesa dos direitos a uma pr?tica pedag?gica eficiente e eficaz no processo de inclus?o desses alunos