O presente trabalho objetivou a apreensão dos significados e concepções acerca do adoecimento pelas LER/DORT, para médicos peritos do INSS/SP e portadores de LER/DORT do CEREST/SP. Para tanto, foi empregada metodologia qualitativa, utilizando-se como instrumento de coleta de dados a entrevista em profundidade, com roteiros distintos para médicos peritos e portadores de LER/DORT. Foram entrevistados três médicos peritos, todos do sexo masculino, com idades entre 50 e 65 anos e mais de 10 anos de experiência em perícias médicas e, no outro pólo da investigação, participaram do estudo seis portadores de LER/DORT, pacientes do serviço de atendimento ambulatorial do CEREST/SP, sendo cinco do sexo feminino e um do sexo masculino, com idades entre 35 e 55 anos, todos empregados no setor de serviços e em afastamento pelo INSS. Ao material coletado foi aplicada análise de conteúdo temática da qual foram extraídos três eixos temáticos mais abrangentes: os sujeitos de pesquisa, o trabalho e a relação médico-paciente em contexto de perícia médica. Foi possível apreender que a relação médico-paciente que se estabelece entre peritos e portadores de LER/DORT é peculiar já que, a perícia consiste em ambiente de consulta médica permeado pelo julgamento da lei previdenciária. Nesse contexto, ocorre o embate entre portadores de LER/DORT, que levam ao momento da perícia a expectativa do atendimento direcionado à assistência e do reconhecimento de sua condição, e médicos peritos, cuja atuação está direcionada à determinação da capacidade para o trabalho e limitada por normas institucionais, fator de tolhimento ao exercício de sua autonomia profissional. / The present work has aimed at the comprehension of meanings and conceptions concerning RSI illnesses to INSS/SP medical examiners and RSI patients from CEREST/SP. In order to achieve that, the qualitative methodology was chosen making use of thorough questioning as an instrument of data collection, having distinct scripts to medical examiners and RSI patients. Three medical examiners were interviewed, all male, ranging from 50 to 65 years old, having at least 10 years of experience as professionals in the area. On the other side of the investigation, six patients with RSI from the ambulatory care CEREST/SP were interviewed, 5 female and 1 male, ranging from 35 to 55 years old, all employees to the service sector on leave of absence by the INSS. Thematic content analysis was applied to the collected material, from which three main thematic axes were extracted: the subjects to this study, the work and the doctor-patient relation regarding medical examination. It has been possible to comprehend that the relation doctor-patient established among examiners and patients with RSI is peculiar, since the examination takes place in a doctor\'s office environment permeated by the judgment of the social security law. Within this context, there is a hassle among RSI patients, who take to the moment of their examination their apprehension directed to the assistance and recognition of their condition, and medical examiners, whose expertise is directed to the establishment of the work capability limited by institutional rules, what is a restricting factor in the exercise of their professional autonomy.

Our purpose is to examine the possibilities of Bakhtinian dialogical analysis for understanding students' experiences of medical training. Twenty-three interviews were conducted with eleven British medical students intercalating in psychology. Forty emotionally resonant key moments were identified for analysis. Our analysis illustrates students' use of the professional genre to present their training as emotionally neutral. However, we show how medical training can be framed in more unofficial and affective-laden ways in which threshold moments of crisis are presented as space-time breaches characteristic of the genres of adventure-wonder and adventure-ordeal. This affect was often depotentiated in the narratives through brief allusion to the professional genre. This cycling between genres suggests that the students were searching for an appropriate way in which to frame their experiences, a central dilemma being the extent to which medical training makes sense within an immediate and affect-laden, or future-orientated and affect-neutral, pedagogy. Finally, we identify how consultants are an important aspect of the affective experience of medical training who, at their best, offer inspiring exemplars of flexible movement between official and unofficial ways of being a doctor. In conclusion, we demonstrate the potential of genres to make sense, and to organize the experience, of medical training spatially in terms of moving between personal and impersonal contact, temporally in terms of moving between the extraordinary and routine, and affectively in terms of moving between potent and neutral affect. Learning to use the professional genre is part of enculturation as a doctor and can be helpful in providing a framework restoring coherence and composure through engaging with, and reformulating, difficult experiences. However, it is important to take seriously the resistance many of the students demonstrated to the professional genre as a possible barometer of its acceptability to the general public.

No / Prognosis in COPD is poor and many patients perceive shortcomings in the education they receive about aspects of their condition. This study explores the experiences of patients with COPD, particularly fears surrounding death and dying. Semi-structured interviews were conducted with 21 patients with moderate or severe COPD. Findings revealed that patient understanding of COPD was poor, most patients were unaware of the progressive nature of the condition, and few were aware they could die of COPD. Despite this, patients often expressed concerns that their condition might deteriorate. Patients had particular concerns regarding the manner of their death; the overriding fear was dying of breathlessness or suffocation. None of the patients' had discussed these fears with a health care professional. Improved patient education is needed in order to improve patients understanding of their condition and prognosis. Open communication regarding death, as advocated in a palliative care approach, is also appropriate to alleviate patients fears and to allow them to make decisions regarding the management of their care at the end of life.

Nous cherchions à explorer les compétences que les intervenants du service des urgences (SU), des médecins et des infirmières travaillant en équipe dans des rôles complémentaires, ont développées dans la divulgation d‘un décès, pour éclairer l‘apprentissage de cette compétence de « Communicateur ». Nous avons utilisé des entrevues semi-dirigées et un échantillonnage non probabiliste de 8 intervenants. Nous avons analysé les entrevues à l‘aide de méthodes qualitatives reconnues. Le nombre total de présences de nos intervenants à une divulgation est estimé supérieur à 2000. Notre analyse a démontré qu‘ils utilisent une structure de divulgation uniforme. Néanmoins, ils repoussaient l‘utilisation d‘un protocole, parce que jugé trop rigide. La flexibilité et l‘empathie se sont révélées des qualités essentielles pour les intervenants. Nous représentons la visite de la famille comme un épisode de désorganisation/dysfonction qui se résorbe partiellement durant le séjour au SU. Nous proposons un modèle pédagogique qui est basé sur nos résultats. / We explored the competencies that Emergency Department (ED) healthcare providers (HPs), physicians and nurses working as team members with complementary roles, have developed through notifications of death, to inform the teaching of this ‘Communicator‘ competency. We used semi-structured interviews on a non-probabilistic sample of 8 HPs. We analyzed the interviews using recognized qualitative methods. The total self-estimated number of death notifications attended by our HPs is superior to 2000. Analysis showed that experienced HPs use a uniform structure to death notification in ED. In spite of this, the use of a protocol for notification was considered inappropriate because it was deemed too rigid. Flexibility and empathy emerged as essential qualities for HPs. We submit that the family‘s ED visit is an episode of disorganization/dysfunction that gets partially resolved during their stay. Based on our results, we propose an educational model for teaching delivery of news of death in the ED.

<p>Uvod: U svakodnevnom kliničkom radu anesteziologa, postoperativna vizita anesteziologa na odelјenjima rutinski se ne izvodi, niti su ustanovlјeni jasni kriterijumi i stavovi o njenom značaju na zadovolјstvo bolesnika anestezijom. Cilј ovog istraživanja je bio konstrukcija i psihometrijska provera instrumenta koji može rutinski da se koristi za procenu zadovolјstva bolesnika anestezijom u svakodnevnom kliničkom radu anesteziologa na na&scaron;im prostorima, kao i da se ispita uticaj postoperativne vizite anesteziolioga na zadovolјstvo bolesnika anestezijom podvrgnutih rekonstrukciji prednjeg ukr&scaron;tenog ligamenta kolena. Materil i metode rada: U istraživanje je bilo uklјučeno 218 ispitanika, starijih od 18 godina, koji dobro govore i pi&scaron;u srpski jezik, koji su ASA I i ASA II statusa i koji su bili operisani u op&scaron;toj anesteziji. Ispitanici su podelјeni u tri grupe: prvu grupu čini 74 bolesnika, koje je postoperativno na odelјenju obi&scaron;ao anesteziolog koji je davao anesteziju, drugu grupu čini 70 bolesnika, koje je posle operacije obi&scaron;ao medicinski tehničar na anesteziji, koji nije učestvovao u anesteziji i treću grupu čini 74 bolesnika, koji nisu imali postoperativnu vizitu. U prvoj fazi iztraživanja prikuplјali su se osnovni sociodemografski podaci i bolesnicima su usmeno postavlјena pitanja. U drugoj fazi istraživanja svim bolesnicima je data op&scaron;ta balansirana anestezija. U trećoj fazi istraživanja, sprovedena je prva postoperativna vizita anesteziologa za bolesnike prve grupe i prva postoperativna poseta medicinskog tehničara na anesteziji za bolesnike druge grupe. Treća, kontrolna grupa bolesnika nije imala postoperativnu vizitu. U okviru ove vizite procenjivalo se objektivno (PAS skor) i subjektivno stanje bolesnika. Druga postoperativna vizita sprovedena je prvog postoperativnog dana. Drugog postoperativnog dana bolesnicima je odelјenska medicinska sestra, koja nije učestvovala u perioperativnom periodu bolesnika, davala upitnik za merenje zadovolјstva bolesnika anestezijom. Rezultati: Upitnik zadovolјstva bolesnika anestezijom je konstruisan za potrebe istraživanja. Prve metrijske provere upitnika su utvrđene u pilot studiji na 100 ispitanika, na osnovu kojih je neizmenjen upitnik primenjen na celom uzorku. Na osnovu teorijskih okvira formulisana je 21 stavka. Upitnik se sastoji od četiri faktora: prvi faktor je Zadovolјstvo odnosom anesteziologa prema bolesniku, drugi faktor Perianestezijski komfor, treći faktor Nezadovolјstvo postoperativnom brigom i četvrti faktor Strah od anestezije Mera pouzdanosti upitnika na ovom uzorku izražena Kronbahovom alfom iznosi 0.889. Kada se uzmu u obzir sve stavke mera pouzdanosti izražena Kronbahovom alfom celog upitnika iznosi 0.845, &scaron;to ukazuje na visoku pouzdanost skale u celini. Kako bi se proverila konstruktna validnost upitnika, sprovedena je faktorska analiza na uzorku od 218 pacijenata. Bartletov test (p&lt;.01) i KMO vrednosti (KMO=0.880) ukazuju da je sprovođenje faktorske analize na ovom upitniku statistički opravdano. Srednje vrednosti interkorelacija faktora pokazuju da &scaron;to je odnos između anesteziologa i bolesnika bolјi, da će bolesnik imati manji strah od anestezije, biti zadovolјniji postoperativnom brigom i imati veći nivo komfora. Rezultati jednosmerne analize varijanse pokazuju da postoji statistički značajna razlika između grupa kada su u pitanju Zadovolјstvo odnosom anesteziologa prema bolesniku, Strah od anestezije i Nezadovolјstvo postoperativnom brigom. Grupe se statistički značajno ne razlikuju u Perianestezijskom komforu Kada je u pitanju faktor Zadovolјstvo odnosom anesteziologa prema bolesniku, eksperimentalna grupa koja je imala postoperativnu vizitu od strane anesteziologa je bila zadovolјnija ovim aspektom i od eksperimentalne grupe koja je imala postoperativnu vizitu od strane medicinskog tehničara koji nije učestvovao u davanju anestezije i od kontrolne grupe. Grupe se međusobno nisu statistički značajno razlikovale u proceni Perianestezijskog komfora. Kada je u pitanju Nezadovolјstvo postoperativnom brigom, kontrolna grupa se statistički značajno razlikuje u odnosu na obe eksperimentalne grupe. Bolesnici u kontrolnoj grupi su imali izraženiji Strah od anestezije u odnosu na eksperimentalnu grupu gde je postoperativnu posetu obavio anesteziolog. Zaklјučak: U ovom istraživanju konstruisan je visoko pouzdan upitnik koji može rutinski da se koristi za procenu zadovolјstva bolesnika anestezijom u svakodnevnom kliničkom radu anesteziologa na na&scaron;im prostorima. Postoji statistički značajna razlika u zadovolјstvu bolesnika anestezijom podvrgnutih rekonstrukciji prednjeg ukr&scaron;tenog ligamenta kolena između bolesnika koji su imali postoperativnu vizitu anesteziologa i onih koji je nisu imali u korist bolesnika koji su imali postoperativnu vizitu anesteziologa. Postoji statistički značajna razlika u zadovolјstvu bolesnika anestezijom podvrgnutih rekonstrukciji prednjeg ukr&scaron;tenog ligamenta kolena između onih koje je postoperativno obi&scaron;ao anesteziolog i onih koje je postoperativno obi&scaron;ao medicinski tehničar na anesteziji koji nije učestvovao u anesteziji.</p> / <p>Uvod: U svakodnevnom kliničkom radu anesteziologa, postoperativna vizita anesteziologa na odeljenjima rutinski se ne izvodi, niti su ustanovljeni jasni kriterijumi i stavovi o njenom značaju na zadovoljstvo bolesnika anestezijom. Cilj ovog istraživanja je bio konstrukcija i psihometrijska provera instrumenta koji može rutinski da se koristi za procenu zadovoljstva bolesnika anestezijom u svakodnevnom kliničkom radu anesteziologa na na&scaron;im prostorima, kao i da se ispita uticaj postoperativne vizite anesteziolioga na zadovoljstvo bolesnika anestezijom podvrgnutih rekonstrukciji prednjeg ukr&scaron;tenog ligamenta kolena. Materil i metode rada: U istraživanje je bilo uključeno 218 ispitanika, starijih od 18 godina, koji dobro govore i pi&scaron;u srpski jezik, koji su ASA I i ASA II statusa i koji su bili operisani u op&scaron;toj anesteziji. Ispitanici su podeljeni u tri grupe: prvu grupu čini 74 bolesnika, koje je postoperativno na odeljenju obi&scaron;ao anesteziolog koji je davao anesteziju, drugu grupu čini 70 bolesnika, koje je posle operacije obi&scaron;ao medicinski tehničar na anesteziji, koji nije učestvovao u anesteziji i treću grupu čini 74 bolesnika, koji nisu imali postoperativnu vizitu. U prvoj fazi iztraživanja prikupljali su se osnovni sociodemografski podaci i bolesnicima su usmeno postavljena pitanja. U drugoj fazi istraživanja svim bolesnicima je data op&scaron;ta balansirana anestezija. U trećoj fazi istraživanja, sprovedena je prva postoperativna vizita anesteziologa za bolesnike prve grupe i prva postoperativna poseta medicinskog tehničara na anesteziji za bolesnike druge grupe. Treća, kontrolna grupa bolesnika nije imala postoperativnu vizitu. U okviru ove vizite procenjivalo se objektivno (PAS skor) i subjektivno stanje bolesnika. Druga postoperativna vizita sprovedena je prvog postoperativnog dana. Drugog postoperativnog dana bolesnicima je odeljenska medicinska sestra, koja nije učestvovala u perioperativnom periodu bolesnika, davala upitnik za merenje zadovoljstva bolesnika anestezijom. Rezultati: Upitnik zadovoljstva bolesnika anestezijom je konstruisan za potrebe istraživanja. Prve metrijske provere upitnika su utvrđene u pilot studiji na 100 ispitanika, na osnovu kojih je neizmenjen upitnik primenjen na celom uzorku. Na osnovu teorijskih okvira formulisana je 21 stavka. Upitnik se sastoji od četiri faktora: prvi faktor je Zadovoljstvo odnosom anesteziologa prema bolesniku, drugi faktor Perianestezijski komfor, treći faktor Nezadovoljstvo postoperativnom brigom i četvrti faktor Strah od anestezije Mera pouzdanosti upitnika na ovom uzorku izražena Kronbahovom alfom iznosi 0.889. Kada se uzmu u obzir sve stavke mera pouzdanosti izražena Kronbahovom alfom celog upitnika iznosi 0.845, &scaron;to ukazuje na visoku pouzdanost skale u celini. Kako bi se proverila konstruktna validnost upitnika, sprovedena je faktorska analiza na uzorku od 218 pacijenata. Bartletov test (p&lt;.01) i KMO vrednosti (KMO=0.880) ukazuju da je sprovođenje faktorske analize na ovom upitniku statistički opravdano. Srednje vrednosti interkorelacija faktora pokazuju da &scaron;to je odnos između anesteziologa i bolesnika bolji, da će bolesnik imati manji strah od anestezije, biti zadovoljniji postoperativnom brigom i imati veći nivo komfora. Rezultati jednosmerne analize varijanse pokazuju da postoji statistički značajna razlika između grupa kada su u pitanju Zadovoljstvo odnosom anesteziologa prema bolesniku, Strah od anestezije i Nezadovoljstvo postoperativnom brigom. Grupe se statistički značajno ne razlikuju u Perianestezijskom komforu Kada je u pitanju faktor Zadovoljstvo odnosom anesteziologa prema bolesniku, eksperimentalna grupa koja je imala postoperativnu vizitu od strane anesteziologa je bila zadovoljnija ovim aspektom i od eksperimentalne grupe koja je imala postoperativnu vizitu od strane medicinskog tehničara koji nije učestvovao u davanju anestezije i od kontrolne grupe. Grupe se međusobno nisu statistički značajno razlikovale u proceni Perianestezijskog komfora. Kada je u pitanju Nezadovoljstvo postoperativnom brigom, kontrolna grupa se statistički značajno razlikuje u odnosu na obe eksperimentalne grupe. Bolesnici u kontrolnoj grupi su imali izraženiji Strah od anestezije u odnosu na eksperimentalnu grupu gde je postoperativnu posetu obavio anesteziolog. Zaključak: U ovom istraživanju konstruisan je visoko pouzdan upitnik koji može rutinski da se koristi za procenu zadovoljstva bolesnika anestezijom u svakodnevnom kliničkom radu anesteziologa na na&scaron;im prostorima. Postoji statistički značajna razlika u zadovoljstvu bolesnika anestezijom podvrgnutih rekonstrukciji prednjeg ukr&scaron;tenog ligamenta kolena između bolesnika koji su imali postoperativnu vizitu anesteziologa i onih koji je nisu imali u korist bolesnika koji su imali postoperativnu vizitu anesteziologa. Postoji statistički značajna razlika u zadovoljstvu bolesnika anestezijom podvrgnutih rekonstrukciji prednjeg ukr&scaron;tenog ligamenta kolena između onih koje je postoperativno obi&scaron;ao anesteziolog i onih koje je postoperativno obi&scaron;ao medicinski tehničar na anesteziji koji nije učestvovao u anesteziji.</p> / <p>Introduction: In daily clinical practice the anesthesiologist, anesthesiologist postoperative rounds on the wards routine is not performed, not have established clear criteria and attitudes about its importance to the satisfaction of patients anesthesia. The aim of this study was to design and psychometric instrument checks that can routinely be used to assess patient satisfaction with anesthesia in everyday clinical practice anesthesiologist in our region, as well as to investigate the influence of post-operative rounds of anesthesiologisr to the satisfaction of patients undergoing anesthesia reconstruction of the anterior cruciate ligament. Matera and methods: The study included 218 patients, aged 18 years, who speak and write the Serbian language, which are ASA I and ASA II status and who were operated under general anesthesia. Subjects were divided into three groups: the first group consists of 74 patients, which is postoperatively in the department visited the anesthesiologist who gave the anesthesia, the second group consists of 70 patients, which is postoperatively visited the medical technician to anesthesia, who was not involved in the anesthesia and the third group makes 74 patients who had postoperative rounds. In the first phase Researches were collected basic socio-demographic data and patients are oral questions. In the second phase of the study all patients received general balanced anesthesia. In the third phase of the study, conducted the first post-operative rounds anesthesiologist for patients of the first group and the first post-operative visit a medical technician in anesthesia for patients other groups. The third, control group patients had postoperative rounds. Within these rounds judged objectively (PAS score) and subjective state of patients. The second post-operative rounds conducted the first postoperative day. On the second postoperative day, the patients underwent Classroom nurse, who did not participate in the perioperative period, patients given a questionnaire to measure satisfaction with anesthesia. Results: The questionnaire satisfaction with anesthesia was designed for research purposes. The first metric verification of the questionnaire were determined in a pilot study on 100 subjects, on which it is unchanged from the questionnaire applied to the whole sample. Based on the theoretical framework formulated in paragraph 21. The questionnaire consists of four factors: the first factor is the ratio of pleasure anesthesiologist to the patient, another factor perianesthesian comfort, the third factor Dissatisfaction postoperative care and the fourth factor, fear of anesthesia questionnaire to measure the reliability of the sample expressed Cronbach alpha is 0.889. When taking into account all items measure expressed by Cronbach alpha reliability of the whole questionnaire is 0.845, which indicates the high reliability of the scale as a whole. In order to test the construct validity of the questionnaire, factor analysis was conducted on a sample of 218 patients. Bartlett&#39;s test (p &lt;.01) and the KMO value (KMO = 0.880) indicate that the implementation of factor analysis on the questionnaire statistically significant. Mean values Intercorrelation factors show that the relationship between the anesthesiologist and patient better, the patient will have less fear of anesthesia, be satisfied with the postoperative care and have a higher level of comfort. Results-way analysis of variance show that there is a statistically significant difference between the groups in terms of their satisfaction with the anesthesiologist to the patient, and the fear of anesthesia and postoperative care Dissatisfaction. The groups do not differ significantly in perianesthesia comfort when it comes to sexual satisfaction factor anesthesiologist to the patient, the experimental group had post-operative rounds by the anesthesiologist was pleased with this aspect of the experimental group had post-operative rounds by medical technicians who did not participated in giving anesthesia and the control group. Groups each other not statistically significant in assessing perianesthesia comfort. When it comes to the dissatisfaction of postoperative care, the control group was significantly different from both experimental groups. Patients in the control group had a pronounced fear of anesthesia compared to the experimental group in which the postoperative visit carried anesthesiologist. Conclusion: In this study constructed a highly reliable questionnaire that can be routinely used to assess patient satisfaction with anesthesia in everyday clinical practice anesthesiologist in our region. There was a statistically significant difference in the satisfaction of patients undergoing anesthesia reconstruction of the anterior cruciate ligament between the patients who had postoperative rounds anesthesiologist and those who did not have the benefit of patients who had postoperative rounds anesthesiologist. There was a statistically significant difference in the satisfaction of patients undergoing anesthesia reconstruction of the anterior cruciate ligament between those postoperatively visited the anesthesiologist and those he visited postoperative medical technician in anesthesia who was not involved in anesthesia.</p>

O profissional de saúde ao visualizar a gravidez na adolescência como um problema de saúde a ser corrigido, torna invisível o paciente como sujeito de direitos e necessidades de cuidado. Há percepções de que as práticas no campo da Medicina estão descoladas da realidade e não atendem, ao que parece, às demandas dos usuários como sujeitos de direitos das ações em saúde. Os conhecimentos adquiridos, construídos e compartilhados foram incorporados à realidade da prática médica, porém a grande questão é saber e entender em que medida e de que forma acontece esse processo e como se relaciona com os demais envolvidos, ou seja, qual a percepção e o que prevalece ou torna-se invisível o sujeito paciente na abordagem médica às questões complexas da saúde dos indivíduos. Os objetivos desse trabalho foram desvelar as invisibilidades do sujeito paciente na questão da gravidez na adolescência sob os olhares do profissional da saúde e, consequentemente, caracterizar especificidades dos olhares do profissional da saúde na prática da assistência aos adolescentes com experiência de gravidez que os tornam invisíveis ao profissional. Para esse fim, foi adotado como procedimento metodológico a investigação cientifica da pesquisa descritiva de abordagem qualitativa, por meio da análise de conteúdo des entrevistas semi estruturadas, de aspecto geral sobre assuntos relacionados ao tema central gravidez na adolescência e a assistência médica, com perguntas comuns e consensuais que envolviam significados, ensino, a prática cotidiana e saúde pública com profissionais de saúde médicos, que trabalham com adolescentes grávidas, nos serviços da rede de saúde pública em município da Grande São Paulo, com vinculação acadêmica a Instituição de Ensino Superior. Desvelaram-se que as invisibilidades do sujeito paciente na questão da gravidez na adolescência são resultados da produção médica no cuidado ao paciente, nos valores e representações da lógica médica. Caracterizaram-se como especificidades dos olhares do profissional de saúde que invisibiliza o sujeito adolescente na prática assistencial a produção da ciência médica fundamentada na percepção de mundo para esses profissionais que conflitam com as percepções de mundo do adolescente na experiência da gravidez. A ciência médica voltada ao modelo biomédico e organicista, baseada numa tradição positivista, torna a arte médica um lugar de pouca reflexão estrutural e privilegia-se o saber instituído em detrimento de novas possibilidades do cuidado médico, onde as questões que envolvem dimensões humanas têm difícil inserção. O outro eixo está fundamentado nas percepções de modelo social de estrutura familiar tradicional e no poder em manter a ordem que a sociedade atribui ao médico. / The health professional to show teenage pregnancy as a health problem to be corrected, makes invisible the patient as a subject of rights and care needs. There are perceptions that the practices in the medical field are detached from reality and does not meet, it seems, the demands of the users as subjects of rights of health actions. The knowledge acquired, built and shared were incorporated to the reality of medical practice, but the big question is to know and understand to what extent and in what way does this process and how it relates to others involved, therefore, what the perception and what prevails or becomes invisible subject patient in medical approach to the complex issues of the health of individuals. Among the most common health guidelines, some are eligible to potentially reach a greater degree of complexity to the care and become provocative assistance gaps, which in this study called the invisibility of the subject, and one of the staves, we work with teenage pregnancy, and the invisibility of this teenager in this important moment of your life that need care and support of the health professional. The objectives of this study were to reveal the invisibilities of fellow patient on the issue of teen pregnancy in the looks of the healthcare professional and, consequently, characterize specificities of the looks of the health professionals in the practice of assistance to adolescents with pregnancy experience that makes them invisible to the professional. For this purpose, was adopted as methodological procedure scientific research of qualitative research, through the analysis of semi structured interviews, General aspect on subjects related to the central theme teen pregnancy and medical assistance, with common questions and consensual involving meanings, teaching, daily practice and public health with medical health professionals, who work with pregnant adolescents services public health network in municipality of greater São Paulo, academic affiliation with the Medical Education Institution. Was unveiled that the invisibility of the subject patient issue of teenage pregnancy are the result of medical production in patient care, values and representations of medical logic. Were characterized as specific looks of the health professional that the adolescent subject rather invisible in healthcare practice the production of medical science based on the perception of the world for these professionals that conflict with the perceptions of the world of the adolescent experience of pregnancy. The focused on biomedical and medical science organicist model, based on a positivist tradition, makes the medical art a place of reflection and little structural knowledge is privileged at the expense of established new possibilities of medical care, where issues involving human dimensions are difficult insertion. The other axis is based on the perceptions of the social model of traditional family structure and power \"in maintaining order\" that society attaches to the doctor.

O profissional de saúde ao visualizar a gravidez na adolescência como um problema de saúde a ser corrigido, torna invisível o paciente como sujeito de direitos e necessidades de cuidado. Há percepções de que as práticas no campo da Medicina estão descoladas da realidade e não atendem, ao que parece, às demandas dos usuários como sujeitos de direitos das ações em saúde. Os conhecimentos adquiridos, construídos e compartilhados foram incorporados à realidade da prática médica, porém a grande questão é saber e entender em que medida e de que forma acontece esse processo e como se relaciona com os demais envolvidos, ou seja, qual a percepção e o que prevalece ou torna-se invisível o sujeito paciente na abordagem médica às questões complexas da saúde dos indivíduos. Os objetivos desse trabalho foram desvelar as invisibilidades do sujeito paciente na questão da gravidez na adolescência sob os olhares do profissional da saúde e, consequentemente, caracterizar especificidades dos olhares do profissional da saúde na prática da assistência aos adolescentes com experiência de gravidez que os tornam invisíveis ao profissional. Para esse fim, foi adotado como procedimento metodológico a investigação cientifica da pesquisa descritiva de abordagem qualitativa, por meio da análise de conteúdo des entrevistas semi estruturadas, de aspecto geral sobre assuntos relacionados ao tema central gravidez na adolescência e a assistência médica, com perguntas comuns e consensuais que envolviam significados, ensino, a prática cotidiana e saúde pública com profissionais de saúde médicos, que trabalham com adolescentes grávidas, nos serviços da rede de saúde pública em município da Grande São Paulo, com vinculação acadêmica a Instituição de Ensino Superior. Desvelaram-se que as invisibilidades do sujeito paciente na questão da gravidez na adolescência são resultados da produção médica no cuidado ao paciente, nos valores e representações da lógica médica. Caracterizaram-se como especificidades dos olhares do profissional de saúde que invisibiliza o sujeito adolescente na prática assistencial a produção da ciência médica fundamentada na percepção de mundo para esses profissionais que conflitam com as percepções de mundo do adolescente na experiência da gravidez. A ciência médica voltada ao modelo biomédico e organicista, baseada numa tradição positivista, torna a arte médica um lugar de pouca reflexão estrutural e privilegia-se o saber instituído em detrimento de novas possibilidades do cuidado médico, onde as questões que envolvem dimensões humanas têm difícil inserção. O outro eixo está fundamentado nas percepções de modelo social de estrutura familiar tradicional e no poder em manter a ordem que a sociedade atribui ao médico. / The health professional to show teenage pregnancy as a health problem to be corrected, makes invisible the patient as a subject of rights and care needs. There are perceptions that the practices in the medical field are detached from reality and does not meet, it seems, the demands of the users as subjects of rights of health actions. The knowledge acquired, built and shared were incorporated to the reality of medical practice, but the big question is to know and understand to what extent and in what way does this process and how it relates to others involved, therefore, what the perception and what prevails or becomes invisible subject patient in medical approach to the complex issues of the health of individuals. Among the most common health guidelines, some are eligible to potentially reach a greater degree of complexity to the care and become provocative assistance gaps, which in this study called the invisibility of the subject, and one of the staves, we work with teenage pregnancy, and the invisibility of this teenager in this important moment of your life that need care and support of the health professional. The objectives of this study were to reveal the invisibilities of fellow patient on the issue of teen pregnancy in the looks of the healthcare professional and, consequently, characterize specificities of the looks of the health professionals in the practice of assistance to adolescents with pregnancy experience that makes them invisible to the professional. For this purpose, was adopted as methodological procedure scientific research of qualitative research, through the analysis of semi structured interviews, General aspect on subjects related to the central theme teen pregnancy and medical assistance, with common questions and consensual involving meanings, teaching, daily practice and public health with medical health professionals, who work with pregnant adolescents services public health network in municipality of greater São Paulo, academic affiliation with the Medical Education Institution. Was unveiled that the invisibility of the subject patient issue of teenage pregnancy are the result of medical production in patient care, values and representations of medical logic. Were characterized as specific looks of the health professional that the adolescent subject rather invisible in healthcare practice the production of medical science based on the perception of the world for these professionals that conflict with the perceptions of the world of the adolescent experience of pregnancy. The focused on biomedical and medical science organicist model, based on a positivist tradition, makes the medical art a place of reflection and little structural knowledge is privileged at the expense of established new possibilities of medical care, where issues involving human dimensions are difficult insertion. The other axis is based on the perceptions of the social model of traditional family structure and power \"in maintaining order\" that society attaches to the doctor.

Introdução: Em Reprodução Assistida toda a equipe compartilha com o casal o árduo caminho composto pelas fases do tratamento, porém, o presente estudo deteve-se a experiência do médico. Objetivos: Investigar o Imaginário Coletivo de médicos que atuam em Reprodução Assistida sobre as situações de difícil manejo em sua prática profissional. Métodos: Foram feitas entrevistas únicas individuais, utilizando o Procedimento de Desenho-Estória com Tema como instrumento dialógico. A partir das entrevistas foi criada uma narrativa transferencial ficcional preservando elementos essenciais da dramática humana estudada. Os registros foram interpretados à luz do método psicanalítico buscando a criação/encontro de campos de sentido afetivo-emocional. Resultados: Foram encontrados os seguintes campos: \"Não deu certo!?\", que organiza-se ao redor da ideia de que não alcançar o objetivo pretendido seria o equivalente a fracassar, mesmo diante de situações incertas; \"Engole o choro!\", que organiza-se mediante a crença de que é preciso conter os sentimentos diante de determinadas situações, não deixar-se emocionar; \"Fora do comum\", que organiza-se por meio da crença de que quem está em posição de cuidador é e/ou precisa ser excepcional. Conclusões: Para a formação e à prática médica é preciso incluir, além da visão científica-tecnológica, a abordagem da subjetividade. É necessária a criação de enquadres diferenciados que auxiliem o médico a aproximar-se emocionalmente de seu trabalho, facilitem a superação de dissociações, promovam a saúde mental, contribuindo para que o exercício da profissão seja gratificante e dotado de um sentido genuíno / In Assisted Reproduction the whole team shares with the couple the hard journey through the phases of the treatment, however, this study is about the doctor\'s experience. Objectives: To investigate the Collective Imaginary of doctors working in Assisted Reproduction on some difficult situations in their professional practice. Methods: Individual interviews were conducted using the Thematic Story-Drawing Procedure as dialogical instrument. From the interviews a fictional narrative transference were created preserving essential elements of the human drama studied. The records were interpreted in light of the psychoanalytic method seeking the creation / gathering of affective-emotional sense fields. Results: The following fields were found: \"It did not work!?\", which is organized around the idea that not reaching the target would be equivalent to failing, even due to uncertain situations; \"Swallow your crying!\", Which is organized by the belief that one must contain the feelings before certain situations, not allowing themselves to get emotional; \"Out of the ordinary\", which is organized by the belief that who is in the position caregiver is and / or needs to be exceptional. Conclusions: For the training and medical practice is necessary to include, beyond the scientific-technological view, the approach of subjectivity. It is necessary to create different framings that help the doctor to approach their work emotionally, facilitate the overcoming of dissociations, promote mental health, this way contributing to the exercise of the profession so it can be rewarding and endowed with a genuine sense

Introdução: Em Reprodução Assistida toda a equipe compartilha com o casal o árduo caminho composto pelas fases do tratamento, porém, o presente estudo deteve-se a experiência do médico. Objetivos: Investigar o Imaginário Coletivo de médicos que atuam em Reprodução Assistida sobre as situações de difícil manejo em sua prática profissional. Métodos: Foram feitas entrevistas únicas individuais, utilizando o Procedimento de Desenho-Estória com Tema como instrumento dialógico. A partir das entrevistas foi criada uma narrativa transferencial ficcional preservando elementos essenciais da dramática humana estudada. Os registros foram interpretados à luz do método psicanalítico buscando a criação/encontro de campos de sentido afetivo-emocional. Resultados: Foram encontrados os seguintes campos: \"Não deu certo!?\", que organiza-se ao redor da ideia de que não alcançar o objetivo pretendido seria o equivalente a fracassar, mesmo diante de situações incertas; \"Engole o choro!\", que organiza-se mediante a crença de que é preciso conter os sentimentos diante de determinadas situações, não deixar-se emocionar; \"Fora do comum\", que organiza-se por meio da crença de que quem está em posição de cuidador é e/ou precisa ser excepcional. Conclusões: Para a formação e à prática médica é preciso incluir, além da visão científica-tecnológica, a abordagem da subjetividade. É necessária a criação de enquadres diferenciados que auxiliem o médico a aproximar-se emocionalmente de seu trabalho, facilitem a superação de dissociações, promovam a saúde mental, contribuindo para que o exercício da profissão seja gratificante e dotado de um sentido genuíno / In Assisted Reproduction the whole team shares with the couple the hard journey through the phases of the treatment, however, this study is about the doctor\'s experience. Objectives: To investigate the Collective Imaginary of doctors working in Assisted Reproduction on some difficult situations in their professional practice. Methods: Individual interviews were conducted using the Thematic Story-Drawing Procedure as dialogical instrument. From the interviews a fictional narrative transference were created preserving essential elements of the human drama studied. The records were interpreted in light of the psychoanalytic method seeking the creation / gathering of affective-emotional sense fields. Results: The following fields were found: \"It did not work!?\", which is organized around the idea that not reaching the target would be equivalent to failing, even due to uncertain situations; \"Swallow your crying!\", Which is organized by the belief that one must contain the feelings before certain situations, not allowing themselves to get emotional; \"Out of the ordinary\", which is organized by the belief that who is in the position caregiver is and / or needs to be exceptional. Conclusions: For the training and medical practice is necessary to include, beyond the scientific-technological view, the approach of subjectivity. It is necessary to create different framings that help the doctor to approach their work emotionally, facilitate the overcoming of dissociations, promote mental health, this way contributing to the exercise of the profession so it can be rewarding and endowed with a genuine sense

Nous cherchions à explorer les compétences que les intervenants du service des urgences (SU), des médecins et des infirmières travaillant en équipe dans des rôles complémentaires, ont développées dans la divulgation d‘un décès, pour éclairer l‘apprentissage de cette compétence de « Communicateur ». Nous avons utilisé des entrevues semi-dirigées et un échantillonnage non probabiliste de 8 intervenants. Nous avons analysé les entrevues à l‘aide de méthodes qualitatives reconnues. Le nombre total de présences de nos intervenants à une divulgation est estimé supérieur à 2000. Notre analyse a démontré qu‘ils utilisent une structure de divulgation uniforme. Néanmoins, ils repoussaient l‘utilisation d‘un protocole, parce que jugé trop rigide. La flexibilité et l‘empathie se sont révélées des qualités essentielles pour les intervenants. Nous représentons la visite de la famille comme un épisode de désorganisation/dysfonction qui se résorbe partiellement durant le séjour au SU. Nous proposons un modèle pédagogique qui est basé sur nos résultats. / We explored the competencies that Emergency Department (ED) healthcare providers (HPs), physicians and nurses working as team members with complementary roles, have developed through notifications of death, to inform the teaching of this ‘Communicator‘ competency. We used semi-structured interviews on a non-probabilistic sample of 8 HPs. We analyzed the interviews using recognized qualitative methods. The total self-estimated number of death notifications attended by our HPs is superior to 2000. Analysis showed that experienced HPs use a uniform structure to death notification in ED. In spite of this, the use of a protocol for notification was considered inappropriate because it was deemed too rigid. Flexibility and empathy emerged as essential qualities for HPs. We submit that the family‘s ED visit is an episode of disorganization/dysfunction that gets partially resolved during their stay. Based on our results, we propose an educational model for teaching delivery of news of death in the ED.