Made available in DSpace on 2014-12-17T14:13:27Z (GMT). No. of bitstreams: 1 LucianaCBO_texto_completo.pdf: 9696567 bytes, checksum: d49f53dc6179e052feaec6aa13aac92a (MD5) Previous issue date: 2008-12-18 / It is noticeable that pressure, tension and overwork are frequent in health professionals routine. The work related to the ward area demands deep attention and surveillance. Because of that, it is essential to have a specific look at the humanization directed at health professionals, considering that taking care of other human beings is the essence of their job. This study has analyzed the psychic health levels, as well as the stress health professionals are submitted to, providing a debate about the humanization in 06 public hospitals (03 of them awarded by actions of humanization, and 03 not awarded) in Rio Grande do Norte state, Brazil. A study with 126 active health professionals (doctors, nurses, psychologists, nutritionists and social workers) in ward areas in their respective institutions was carried out. The thesis presented, with multi-disciplinary characteristic, counted on the support of statisticians (to calculate samples and data analysis), psychologists, social workers and administrators (linked to the human resources sector in each hospital). A cross-sectional study was performed, taking into consideration both quantitative and qualitative factors. The tools used for that were a semistructured questionnaire with socio-demographic characteristics, work and humanization; Lipp's Stress Symptoms Inventory for Adults (ISSL), and the Goldberg s General Health Questionnaire (QSG). The workers are predominantly women (84,9%), married (54,8%), between 46 and 55 years old (40,5%), working in the same institution for more than 20 years (22,2%), and between 16 and 20 years (20,6%), respectively. They work 40 hours a week (71,4%) and have multiple jobs (61,9%). Although most of these individuals global psychic health is in a good level, there are a significant number of people that is gradually getting worse concerning psychic stress (F1) showed by QSG (54,7%), and stress showed by ISSL(42,1%). Observing the categories, nurses (41,5%). Nutritionists (20,8%), doctors and social workers (18,9%), were among the most affected. About general health (F6), 63% of the awarded hospitals and 70% of the not awarded ones, presented good health levels (ranging from 5 to 50%). It was also noticed that, in the groups mentioned above, 25 and 20% respectively, were inserted in scores between 55 to 90%, what means that they are in worsening phase. The fact that the hospital is awarded or well recognized doesn t interfere in health professionals stress level and in their psychic health. Through what was heard from these individuals, it was possible to verify that they know little about humanization, once few of them identify or know that the service they offer is in an adoption process by Ministerial Policies. It was also detected the necessity of developing actions aimed at worker s health. Such results showed the importance of have more investments in programs that are directed to workers well-being, because they deal with other people s health and it is known that it is difficult for them to offer high-quality assistance if there are not suitable physical, psychological and material conditions to help them develop their jobs. As a warning, it is fair to say that investments in actions that provide humanized care to health professionals, mainly concerning preventive care for their health and life quality in their work / Observa-se que press?o, tens?o e sobrecarga de trabalho s?o uma constante na rotina dos profissionais de sa?de. O trabalho vinculado ao setor de enfermaria exige aten??o e vigil?ncia. Neste sentido, torna-se pertinente um olhar espec?fico ? humaniza??o direcionada ao profissional de sa?de, j? que este tem em seu of?cio o cuidar do outro. Este estudo analisou os n?veis de sa?de ps?quica e stress dos profissionais de sa?de abrindo um debate sobre a humaniza??o em 06 hospitais p?blicos (03 premidos pelas a??es de Humaniza??o e 03 n?o premiados) no Estado do Rio Grande do Norte, Brasil. Foi realizado um estudo com 126 profissionais de sa?de (m?dicos, enfermeiros, psic?logos, nutricionistas e assistente sociais), atuantes no setor de enfermaria nas respectivas institui??es. A Tese apresentada de car?ter multidisciplinar contou com o apoio de estat?sticos (para o c?lculo amostral e an?lise dos dados), psic?logos, assistente social e administradores (vinculados ao setor de pessoal de cada hospital). Foi efetivado um estudo de delineamento transversal, de natureza quantitativa e qualitativa. Como instrumentos, foram utilizados: um question?rio semi-aberto constando caracter?sticas s?cio-demogr?ficas, de trabalho e humaniza??o; o Invent?rio de Sintomas de Stress para Adultos de LIPP (ISSL), e; o Question?rio de Sa?de Geral de Goldberg (QSG). Os trabalhadores s?o predominantemente mulheres (84,9%), casados (54,8%), apresentando idades de 46 a 55 anos (40,5%), cujo tempo de servi?o na institui??o permeia entre acima de 20 anos (22,2%) e 16 a 20 anos (20,6%) respectivamente. Contam com uma carga hor?ria de trabalho de 40 horas semanais (71,4%), al?m de apresentar m?ltiplos v?nculos de trabalho (61,9%). A sa?de ps?quica global dos sujeitos encontra-se em um n?vel bom, no entanto, tamb?m h? indiv?duos em n?mero significativo de processo de agravamento tanto no stress ps?quico (F1) apresentado pelo QSG (54,7%) quanto pelo stress demonstrado pelo ISSL (42,1%). Ao observar as categorias, os enfermeiros (41,5%), nutricionistas (20,8%), m?dicos e assistentes sociais (18,9%) estiveram entre os mais atingidos. Analisando os grupos de hospitais que apresentaram uma boa sa?de geral - F6, (com escores entre 5 a 50%) estavam 63% do grupo de hospitais premiados e 70% do grupo de hospitais n?o premiados. Percebe-se que o fato do hospital ser premiado, ou reconhecido n?o interfere no n?vel de stress e na sa?de ps?quica do profissional de sa?de. Quanto aos discursos dos sujeitos foi poss?vel constatar um baixo conhecimento sobre o tema da humaniza??o, de modo que poucos identificam ou sabem que o servi?o ao qual assiste est? em processo de ado??o a uma Pol?tica Ministerial. Detectou-se tamb?m a necessidade de a??es voltadas a sa?de do trabalhador. Tais resultados apontaram para a necessidade de se investir mais em programas direcionados ao bem-estar dos profissionais que lidam diretamente com a sa?de das outras pessoas, visto que se torna muito dif?cil a estes sujeitos oferecer um atendimento de qualidade quando n?o se disp?e de condi??es f?sicas, psicol?gicas e materiais para o desempenho de suas fun??es. Cabe o alerta para investimentos em a??es que busquem um cuidado humanizado ao profissional de sa?de principalmente quanto ao enfoque preventivo para sua sa?de e qualidades de vida no trabalho

Sex-education in Canada has predominantly been informed by an abstinence-based content, leaving the sexual literacy of adolescents hanging in the balance. As public health statistics indicate, sexually transmitted infection, early and unwanted pregnancy, and rates of HIV/ AIDS are staggeringly high. At the center of these statistics is the young Black female, as they are disproportionately over-represented in negative public health statistics. Many factors have been theorized to be the cause; from socioeconomic factors to educational limitations, it has been historically concluded that the individual failings and class issues of Black women are the root cause of sexual decision making that causes negative health implications. However, adopting a critical perspective may lead to a different conclusion. This qualitative study sought to explore if the lack of comprehensive, racially attentive, and reflective sex-education as well as the influential societal discourse that shapes Black women and their sexuality in stereotypical lights, may have an impact on the sexual decision making of Black women. Through centering and highlighting the lived experiences, perspectives, and insights of a diverse pool of Black women, the stereotypes and scripts of Black femininity and sexuality, their root causes, and the impacts on young Black girl’s sexual decision making were captured to collaboratively redefine and reclaim Black femininity and sexuality while capturing what would be helpful to include in sex-education, specific to Black girls and women. This study’s theoretical underpinnings are Black Feminist Theory, Critical Race Theory, and Hip-Hop Feminism, which has been coined by me as “the trifecta”. A focus group with Black female-identified participants was conducted and facilitated through open-ended question and discussion based processes. Thematic analysis was adopted to explore themes, meanings and to gain a better understanding of the participant’s collective perspectives regarding sex-education and Black femininity and sexuality. The main finding of this study, based in the lived experiences and insights of the participants, were that harmful societal scripts and stereotypes about Black femininity and sexuality historically and as they are presented in popular media, coupled with inconsistent and bare sex education, has the ability to affect the sexual decision making of young Black girls in a way that feeds participation in unsafe sexual practices. This study fills gaps in literature because it contributes to the limited critical body of research that paramount the voices and insight of Black women in regards to sexual practice. This study also fills gaps by extending the conversation of Black women and sexual decision making, by suggesting tangible solutions of how the participant’s insights can be injected into larger policy and practice as well as social work research. The information supplied by the participants of this study will help social workers, policy makers, and educators create racially attentive, comprehensive, and accessible sex-education. / Thesis / Master of Social Work (MSW) / Sex-education in Canada has predominantly been informed by an abstinence-based content, leaving the sexual literacy of adolescents hanging in the balance. As public health statistics indicate, sexually transmitted infection, early and unwanted pregnancy, and rates of HIV/ AIDS are staggeringly high. At the center of these statistics is the young Black female, as they are disproportionately over-represented in negative public health statistics. Many factors have been theorized to be the cause; from socioeconomic factors to educational limitations, it has been historically concluded that the individual failings and class issues of Black women are the root cause of sexual decision making that causes negative health implications. However, adopting a critical perspective may lead to a different conclusion. This qualitative study sought to explore if the lack of comprehensive, racially attentive, and reflective sex-education as well as the influential societal discourse that shapes Black women and their sexuality in stereotypical lights, may have an impact on the sexual decision making of Black women. Through centering and highlighting the lived experiences, perspectives, and insights of a diverse pool of Black women, the stereotypes and scripts of Black femininity and sexuality, their root causes, and the impacts on young Black girl’s sexual decision making were captured to collaboratively redefine and reclaim Black femininity and sexuality while capturing what would be helpful to include in sex-education, specific to Black girls and women. This study’s theoretical underpinnings are Black Feminist Theory, Critical Race Theory, and Hip-Hop Feminism, which has been coined by me as “the trifecta”. A focus group with Black female-identified participants was conducted and facilitated through open-ended question and discussion based processes. Thematic analysis was adopted to explore themes, meanings and to gain a better understanding of the participant’s collective perspectives regarding sex-education and Black femininity and sexuality. The main finding of this study, based in the lived experiences and insights of the participants, were that harmful societal scripts and stereotypes about Black femininity and sexuality historically and as they are presented in popular media, coupled with inconsistent and bare sex education, has the ability to affect the sexual decision making of young Black girls in a way that feeds participation in unsafe sexual practices. This study fills gaps in literature because it contributes to the limited critical body of research that paramount the voices and insight of Black women in regards to sexual practice. This study also fills gaps by extending the conversation of Black women and sexual decision making, by suggesting tangible solutions of how the participant’s insights can be injected into larger policy and practice as well as social work research. The information supplied by the participants of this study will help social workers, policy makers, and educators create racially attentive, comprehensive, and accessible sex-education.