Made available in DSpace on 2014-12-17T14:46:56Z (GMT). No. of bitstreams: 1 RaionaraCAS_TESE.pdf: 4380050 bytes, checksum: 699be89473c23f85e800ba02351475dc (MD5) Previous issue date: 2014-01-31 / A assist?ncia psiqui?trica e as pol?ticas de aten??o ? sa?de mental passaram por diversas transforma??es, marcadas ora por avan?os, ora por retrocessos centrados no estigma, desinteresse e preconceito que ainda permeiam a sociedade e o senso comum. Este estudo objetivou analisar o processo de reforma psiqui?trica e a pol?tica de sa?de mental do Munic?pio de Natal/RN a partir dos pap?is e fun??es dos profissionais de n?vel superior dos servi?os substitutivos em sa?de mental. Trata-se de uma pesquisa anal?tica, transversal, com dados quantitativos e qualitativos, realizada nos sete servi?os substitutivos de sa?de mental de Natal, entre os meses de mar?o a agosto de 2013, ap?s aprova??o do estudo pelo Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte, Parecer n? 217.808, CAAE: 10650612.8.1001.5537, em 01 de mar?o de 2013. A amostra por conveni?ncia comp?s-se por 65 profissionais de n?vel superior das equipes de sa?de mental. Utilizou-se um question?rio com quest?es fechadas e semiabertas sobre o perfil socioecon?mico, as pol?ticas, as pr?ticas e a forma??o em sa?de mental. Tabularam-se e submeteram-se as respostas das quest?es fechadas do question?rio no programa estat?stico SPSS vers?o 20.0, analisando-os por meio de estat?stica descritiva, com a formula??o de gr?ficos e tabelas. Para verificar o n?vel de signific?ncia, adotando-se p-valor<0,05, optou-se pela aplica??o dos testes qui-quadrado e exato de Fisher. Submeteram-se os dados das quest?es semiabertas ao software ALCESTE e ? luz da an?lise de conte?do de Bardin. O perfil dos participantes caracterizou-se por maioria do sexo feminino (79%), faixa et?ria de 36 a 55 anos (52%), m?dia de 42 anos, carga hor?ria de 40 horas semanais (62%), tempo de conclus?o da gradua??o de 6 a 15 anos (57%), trabalhavam na ?rea de sa?de mental h? menos de 10 anos (72%) e na institui??o pesquisada h? 5 anos ou menos (52%). Da amostra estudada, 86% atendiam grupos de usu?rios, 97% realizavam atendimento individual, 94% observavam o comportamento do paciente, 92% realizavam atendimento familiar, utilizando, principalmente, a abordagem cognitiva (28%). Os dados qualitativos originaram cinco categorias: Forma??o acad?mica e atua??o em sa?de mental; Aus?ncia de capacita??o e supervis?o em sa?de mental; Dificuldades da pr?tica profissional nos servi?os substitutivos de sa?de mental; Trabalho em equipe: entre acertos e conflitos; Pol?tica Nacional de Sa?de Mental: uma realidade ainda distante. Detectou-se adequabilidade dos pap?is e fun??es dos profissionais quanto ao tempo de trabalho na sa?de mental e na institui??o pesquisada; no atendimento e atividades individuais; na promo??o de a??es visando ? autonomia do paciente; no atendimento em grupo de pacientes; e, em parte, ? fam?lia/familiar dos portadores de transtorno mental, havendo inadequa??o quanto ao atendimento aos grupos de familiares (52.3%), ? forma??o especializada em sa?de mental (69.2%; p=0,02) e ?s dificuldades de trabalho nos servi?os (87.7%). Evidenciou-se adequa??o nos pap?is e nas fun??es d esenvolvidas pelos profissionais nos servi?os substitutivos em sa?de mental de Natal, embora convivendo em seu cotidiano com in?meras dificuldades encontradas no desenvolvimento de suas pr?ticas profissiona is frente ?s condi??es de trabalho

Syftet med denna studie har varit att undersöka de konsekvenser som uppstår när lagändringar påverkar socialarbetares förutsättningar och yrkesidentitet i arbetet med ensamkommande unga. Då flera lagändringar har skett i kontakt med det sociala arbetet har jag valt SFS 2016:752. Med lagen så infördes tidsbegränsade uppehållstillstånd och begränsade möjligheter för familjeåterförening med anhöriginvandring samtidigt skärptes försörjningskraven för anhöriga. Studien har genomförts med kvalitativa semistrukturerade intervjuer med åtta socialarbetare som varit arbetsverksamma med målgruppen ensamkommande unga innan och efter lagändringen. Intervjuerna har sedan utgjort det material som analyserats med hjälp av en teoretisk referensram som bygger på socialarbetarens yrkesidentitet, yrkesroll och profession samt tidigare forskning. Studiens resultat visar att förutsättningarna som förändrades skapade konsekvenser som påverkar socialarbetarnas arbetssituation både internt inom verksamheten och externt mot andra instanser samt mellan socialarbetare och hjälpsökande ungdom. Respondenterna påverkades även i sitt privatliv. Resultatet och analysen visar att yrkesrollen och yrkesidentiteten separeras när yrkesrollen förändras med SFS 2016:752. Yrkesidentiteten ställs på sin spets och socialarbetarens egna etiska kompass avgör hur det sociala arbetet ska genomföras. Med förändringarna av lagen försvinner också resurser från socialarbetarnas arbete och kompensatoriska strategier skapas. Socialarbetarna påverkas i olika grad på en hälsonivå av de konsekvenser som uppstår i situationen, vilket enligt studiens resultat hör ihop med handledning, hantering av empati och känslokontroll. / The Purpose of this studie has been to investigate how the socialworkers professional identity in relation with unaccompanied refugee children, has been effected by amendments of the law. Since several amendments of the law has been in contact with the social work I have chosen SFS 2016:750. With this amendment timelimted residence permits was initiated which limited possibilities for family reuinons with a relative background, in the midst of this the sustention demands was hardened. Eight social workers has been interviewed in a qualitative, semi-structured manner. These social workers has been involved professionally with the target group constisting of unaccompanied refugee children, both prior and after that the amendment of the law was made. The Interviews has then been the foundation of the material that has been analysed with the help of a theorecital frame of reference that is the foundation of the socialworkers professional identity and role, previously conducted research has also been accounted for. The results of the studie concludes that when the prerequesites are changed it also changes the social workers profesional situation, both internally and externally, in regards of the relation between the social worker and the refugee children. Also the private life of the respondends were effected. The result and analysis show that the Professional identity and role got separated when the professional role are changed when SFS 2016:752 was amended. The Professional identity is put to the test and the social workers own ethical compas decides how the social work itself should be performed. Amendments of the law also reflects on the social workers professional work and compensatory strategies are made. The social workers are affected on different levels of health by the consequences that appear in the sitiation, the results of the studie shows that this relates to guidance, empathy managemant and emotional control.

Submitted by Fabiana Gonçalves Pinto (benf@ndc.uff.br) on 2016-10-19T16:38:30Z No. of bitstreams: 1 Fabiola Chaves Fernandes.pdf: 2730839 bytes, checksum: 872dea61b78bd3c0c9f0a417967fb354 (MD5) / Made available in DSpace on 2016-10-19T16:38:30Z (GMT). No. of bitstreams: 1 Fabiola Chaves Fernandes.pdf: 2730839 bytes, checksum: 872dea61b78bd3c0c9f0a417967fb354 (MD5) Previous issue date: 2016 / Mestrado Profissional Ensino na Saúde / O presente trabalho tem como objeto de estudo a educação permanente como estratégia de reorganização do processo de trabalho, no serviço de emergência de um pronto socorro. Seu objetivo geral foi utilizar a educação permanente como reorganizadora do processo de trabalho no serviço de emergência de um pronto socorro tendo como objetivos específicos: Identificar as dificuldades dos funcionários do pronto socorro no seu processo de trabalho quanto ao encaminhamento de usuários ao serviço de emergência odontológica; Descrever a compreensão dos funcionários acerca do papel do odontólogo no serviço de emergência; Analisar estratégias ou formas de colaboração para atingir a integralidade da assistência e; Elaborar produtos que colaborem na educação permanente dos funcionários envolvidos no atendimento ao paciente, de acordo com a legislação específica, em prol da integridade da assistência. A metodologia utilizada foi a pesquisa convergente assistencial, tipo de pesquisa-ação na qual o pesquisador está envolvido em ações de assistência enquanto pesquisa. O cenário da pesquisa foi o setor de emergência de um pronto socorro localizado em São Gonçalo, cidade do Estado do Rio de Janeiro. A pesquisa contou com três etapas e os instrumentos de coleta de dados utilizados foram: Na primeira etapa, observação participante, na segunda etapa, questionário semi-estruturado e na terceira etapa, grupos educativos; Na primeira etapa, foi construído um fluxo de encaminhamento ao setor de emergência odontológica. Na segunda etapa, construíram-se quatro categorias, após análise de conteúdo de Bardin. São elas: 1) O modelo biomédico ainda refletido no pensar e no agir, evidenciado, diante da análise das respostas, que parte dos funcionários não compreenderem trabalho em equipe multidisciplinar e ainda fazerem alusão ao modelo biomédico; 2) A odontologia do dente por dente: Código de Hamurabi e Tiradentes, revelando que a maioria dos trabalhadores atribui significado bucal ao atendimento odontológico; 3) O que estou fazendo aqui? Construindo a identidade do odontólogo. Demonstrou-se que muitos dos participantes não compreendem o papel do dentista no processo de trabalho em emergência, ao atribuírem significado fora do contexto odontológico a ele, ou mesmo não responderem admitindo não sabê-lo; 4) Construindo pontes para a integralidade, apontando que poucos participantes compreendem os conceitos da EP e sua capacidade de transformar as situações problemas no cotidiano de sua vida profissional. Na terceira etapa, os participantes foram convidados aos grupos educativos, local de diálogo, reflexão e elaboração de hipóteses de soluções, seguindo a proposta da metodologia da problematização. Nesses grupos, discutiu-se a legislação acerca do serviço de emergência, refletiu-se sobre as dificuldades em cumpri-la no serviço e construiu-se o rol de procedimentos eleitos como de urgência /emergência no pronto socorro. Concluiu-se que pouco conhecimento se tinha acerca da legislação vigente sobre o assunto e que o desconhecimento do sentido pleno de educação permanente limitava às tomadas de decisões. Porém, as soluções encontradas pelo grupo, mesmo que este não tenha se constituído uniformemente ao longo dos encontros, foram um somatório de experiências reunidas, o que proporcionou o que Agostinho chama de sabedoria à pesquisa convergente assistencial, de despertar do pensamento crítico e à política nacional de educação permanente em saúde de empoderamento. / The object of study of this paper is the continuing education as a strategy to reorganize the work process in the emergency room at emergency department. The general aims of this study was to use the permanent education as a strategy to reorganize the work process in the emergency room at emergency department. The specifics aims were: to identify the difficulties faced by the staff workers of the emergency settings related to the process of guiding patients to the emergency dental service ; to describe the understanding of the staff workers about the dentist's role in na emergency service; to analyze strategies or manners of collaboration for achieving comprehensive care and; to develop products that can collaborate in continuing education of staff workers involved in patient care, according to the specific laws related to the intregrity of care. The methodology used was the the kind of research which the researcher get involved in the assistance activities while observe. The setting of the study was the emergency department of an emergency room located in Sao Goncalo, State of Rio de Janeiro city. It had three stages and the data collection instruments used were: the first stage was a participatory observation, the second stage was a semi-structured questionnaire and the third stage was na educational focal groups. In the first stage was built a forwarded flow to the dental emergency section. On the second stage, after analysis of contente according to Bardin, it was built four following classes: 1) The biomedical model still reflected on the thinking and action, evidenced on the analysis of the responses, which the employees do not understand working in a multidisciplinary team and also mentioned the biomedical model; 2) Tooth for a tooth: The Code of Hammurabi and Tiradentes, revealing that most workers assign meaning to oral dental care; 3) What am I doing here? Building the identity of the dentist. The study reveals that many of the participants do not understand the dentist's role in emergency work process and they do not respond admitting not knowing it when asked for assign a meaning outside the dental contexto.4) Building up bridges for completeness, noting that few participants understood the concepts of the continuing education and its ability to transform problems situations in their daily professional life. In the third stage, the participants were invited to educational groups, opened for dialogue, reflection and solutions, following the proposal of the problematization methodology. Theese groups discussed the legislations about emergency service, reflected on the difficulties of fulfilling the laws during work and, built up the list of procedures elected as urgent / emergency in the emergency room. In conclusion that little knowledge about the current legislation on the topic and the lack of the full understanding about continuing education can limit the process of decision making. However, the solutions found by the group were a combination and summation of gathered experiences which provided what Augustine calls wisdom of convergent care research awakening the critical thinking and politics national continuing education in health empowerment.

No description available.

The diploma thesis focuses on the concept of social work in the social and legal protection of children and social workers perception of the prestige this profession. The diploma thesis defines terms such as self-worth, self-realization, motivation and prestige, while the emphasis is mainly on meeting expectations that were formed before studying at university, or higher professional school. The work also focuses on the professional and systemic limits that social workers at OSPOD encounter, but also on the assumptions that are an integral part of the professional performance of social work at OSPOD. The empirical part of the thesis is focused on qualitative research, where semi-structured interviews were used and the respondents were selected on the basis of the reference selection. This thesis also looks into the problem and identification of critical areas, which are connected with the performance of social work on OSPOD, mainly in the context of perception of prestige of this profession.

The aim of this study was to investigate and analyze how counsellors in palliative care view their role as a counsellor and how they are affected by the emotional labor. The study is based on qualitative interviews with six counsellors that work in palliative care and a thematic analysis was used to analyze the interviews. The study is conducted in order to gain an understanding of how the counsellors view their professional role in the advanced healthcare at the home in palliative care as well as the impact the work has on the counsellors and what methods and support is available. Role theory and Hochschild's theory of emotional labor was used to analyze the result. The result shows that counsellors are secure in their role as a counsellor and that they find support in their colleagues and management. They handle their emotions by separating their personal selves from their professional selves. A big workload was among the things that was seen as a challenge. The things that the counsellors found giving with their work were satisfaction and excitement.

Specialpedagogens uppdrag och yrkesroll har i många år uppmärksammats i forskningen, främst i förhållande till speciallärarens uppdrag och yrkesroll för att belysa likheter och skillnader. Denna studie har en ambition att bidra till att belysa vad som påverkar utformningen av en specialpedagogs uppdrag och yrkesroll. Studien är kvalitativ och utgår ifrån Karen Barads teori om agentisk realism där både mänskliga och icke-mänskliga kroppar (performativa agenter) påverkar föreställningar kring t.ex. specialpedagogens uppdrag och yrkesroll. Materia så som t.ex. styrdokument, utbildning mm och språk är starkt sammankopplade i den verklighet som specialpedagogen verkar i och därför bygger studien på en materiell-diskursiv analys. Syftet med denna studie är att åskådliggöra och identifiera vilka performativa agenter som påverkar hur specialpedagogens uppdrag och yrkesroll utformas i grundskolorna i ett skolområde. Metoddelen bygger på en brevmetod samt semistrukturerade intervjuer med speciallärare, specialpedagoger, rektorer och en skolområdeschef i ett skolområde. För att tydliggöra vilka performativa agenter som äger agens i bearbetningen har ett analysschema skapats utifrån uppdrag respektive yrkesroll. I analysschemat för uppdraget har de performativa agenterna kategoriserats utifrån en figur som jag har skapat för att tydliggöra uppdraget. Resultatdelen visar på hur uppdrag respektive yrkesroll presenteras av specialpedagoger, speciallärare, rektorer samt skolområdeschef och pekar på att det förekommer ett stort antal performativa agenter varav rektorns kompetens, rektorns beslut, verksamhetens behov och specialpedagogens kunskap och kompetens har stor betydelse i utformningen av specialpedagogens uppdrag och yrkesroll. Avslutningsvis diskuteras vilken betydelse de performativa agenterna har för utformningen av specialpedagogens uppdrag och yrkesroll samt hur det specialpedagogiska stödet utformas i en organisation. Men även hur figuren som använts kan vara en tydlig modell att använda för att analysera specialpedagogens uppdrag i förhållande till elevhälsoteamets hälsofrämjande, förebyggande och åtgärdande arbete i skolorganisationen d.v.s. som en del i skolutveckling. / The special educator´s mission and professional role have for many years been noticed in the research, mainly in relation to the special teacher´s mission and professional role to highlight similarities and differences. This study has an ambition to help illuminate what influences the design of a special educator´s mission and professional role. The study is qualitative and is based on Karen Barad´s theory of agentic realism where both human and non-human bodies (performative agents) influence perceptions about, for example the special educator´s mission and professional role. Matter and language are strongly interconnected in the reality in which the special educator works and therefore the study is based on a material-discursive analysis. The purpose of the study is to illustrate and identify which performative agents influence how the special educator´s assignments and professional role are designed in primary school in a school district. The method part is based on a letter method and semistructured interviews with specialist teachers, special educators, principals and a school district manager in a school district. In order to clarify which performative agents own agents in the processing, an analysis scheme has been created based on assignments and professional role. In the analysis schedule for the assignment, the performative agents have been categorized on the basis of a figure that I created to clarify the assignment. The results section shows how assignments and professional roles are presented by special educators, special teachers, principals and a school district manager, and points to the fact that there are a large number of performative agents, of which the principals competence, the decision of the principal, the needs of the organization and the knowledge and competence of the special educator are of great importance in the design of the special educator´s assignment and profession. Finally, we discuss the importance of the performative agents for the design of the special educator´s mission and professional role and how the special educational support is designed in an organization. But also how the figure used can be a clear model to use to analyze the special educator´s assignment in relation to the student health team´s health promotion, prevention and corrective work in the school organization, i.e. as part of school development.

Bakgrund: Under ett kirurgiskt ingrepp är patienten många gånger sövd och täckt av draperingsmaterial. Operationssjuksköterskan har spetskompetens gällande omvårdnaden kring patienten i samband med kirurgiska ingrepp. I den högteknologiska operationsmiljön blir operationssjuksköterskans arbete fokuserat till det kirurgiska såret under operationen. I denna situation riskerar patienten att uppfattas som ett objekt och inte som en unik människa. Syfte: Studiens syfte var att undersöka operationssjuksköterskans förhållningssätt till hela människan under arbetet i operationssåret. Metod: Studien genomfördes som en kvalitativ intervjustudie med induktiv ansats och elva operationssjuksköterskor från två olika sjukhus i södra Sverige intervjuades med semistrukturerade intervjufrågor. Datamaterialet analyserades med latent innehållsanalys i enlighet med Erlingsson och Brysiewicz (2017). Resultat: Det genomgående temat i resultatet var Se människan under draperingen.Operationssjuksköterskorna beskrev att noggrant förarbete och förtroendefullt samarbete med kollegor var en förutsättning för att utföra sitt arbete i operationssåret. De var ständigt vaksamma på förändringar kring patienten och försvarade patienten och den utsatta kroppen under operationen. Även under arbetet i operationssåret var operationssjuksköterskorna medvetna om hela människan som låg under draperingen och operationssjuksköterskans fokus i operationssåret tar avstamp i intresse för patienten och det bästa operationsresultatet. Slutsats: Operationssjuksköterskorna är ständigt medvetna om hela patienten under arbetet i operationssåret. Deras patientfokus och drivkraft att göra det bästa för patienten, även i situationer då de måste ägna operationssåret all uppmärksamhet, genererar en god vård för patienten i samband med operation och ger en positiv bild av operationssjuksköterskans yrke. / Background: During a surgical procedure, the patient is often anesthetized and covered with draping material. The operating theatre nurse has expertise regarding the care of the patient in connection to surgical procedures. In the technological environment, the operating theatre nurse's work is focused on the surgical wound, during the operation. In this situation, there is a risk that the view of the patient will change from being a person into an object, and will not be seen as a human being. Objective:This study aims to investigate the operating theatre nurse’s attitude towards the whole picture of the human being during the work in the surgical wound. Method: The study was conducted with a qualitative interview method with an inductive approach, and eleven operating theatre nurses from two different hospitals in southern Sweden were interviewed with semi-structured interview questions. The data material was analyzed with latent content analysis in accordance with Erlingsson and Brysiewicz (2017). Result: The recurring theme in the result was See the human being beneath the draping. The operating theatre nurses described that careful preparation and trust in colleagues were a prerequisite in performing their work in the surgical wound. They were constantly alert to changes around the patient, and guarded the patient and the exposed body during the operation. Even during the work in the surgical wound, the operating theatre nurses were aware of the patient who was beneath the draping and the focus in the surgical wound was due to the concern of the patient, and the best surgical result. Conclusion: The operating theatre nurses are constantly aware of the whole person when they focus during the work in the surgical wound. Their patient focus is to do what is best for the patient. Even in situations when attention must be paid to the work in the wound, it is always due to the concern of the patient and gives a positive image of the profession of the operating theatre nurse.

The diploma thesis: "Impacts of supervision on resilience of helpline workers" presents the results of case study focused on particular helpline, the case of which is the impact of supervision on workers feeling themselves comfortable with their professional roles on helpline. The theoretical part of the thesis deals with the key concepts of resilience and supervision, and presents the general characteristic of helplines, the method of telephone crisis intervention and the social service of telephone crisis assistance. The empirical part of the thesis explains the context of the particular helpline which was the subject of case study. The main topic of the research is: mastering of helpline workers of their professional roles and the influence of supervision on its changes in time. The research captures the changes of perception of supervision and of its effect on helpline workers dealing with their professional roles.

In 2018, a new welfare law was implemented in Sweden aiming to increase the collaboration between hospital care, primary care and municipalities in cases where patients are in need of continued care and attention after they have been discharged from inpatient care (the Collaboration Act, my translation). The legislation contains instructions on the division of responsibilities between the different actors involved in the collaboration, but also provisions about municipal payment responsibility in cases where patients can´t be discharged from inpatient care at hospital within three days from the day he or she has been assessed as medically finished by the responsible doctor. This study aimed to describe and analyze the significance of the Collaboration Act for care managers in cases where elderly people have been discharged inpatient care. The empirical material was collected through qualitative interviews with six care managers. In order to analyze the empirical material a theoretical framework has been used consisting of Lundquists theory on officials as guardians of democracy and Lipskys theory on street-level bureaucrats. The result indicates that the care managers working methods are unchanged, but that the pace has increased in the care planning process. This means that the same amount of work must be performed as before, but with a more limited time before the municipal payment responsibility arises which has led to a consequence with inadequate investigations and needs assessments for the elderly client. To handle this dilemma, care managers overcompensate the elderly client with care interventions to create a feeling of security when they are dischared from inpatient care.