There is considerable concern regarding the adequacy of rural health services in New Zealand, with much attention having been paid to issues of recruitment and retention of rural general practitioners. Rhetoric of 'crisis' is often utilised to raise political awareness of the problematic, but in fact, rural general practitioner recruitment and retention has been documented for about a hundred years. For about the same length of time nurses have been providing primary health care services in rural and remote places, often working alone. Using the notion of nurses as a 'stop-gap' in the provision of rural primary health care until problems with recruitment and retention of rural general practitioners are addressed, is a rhetorical device that facilitates the under analysis of the role nurses play and the contribution that they make. The longstanding practice of rural primary care nursing in its various guises over the last century challenges the notion of nursing as a stop-gap.Any investigation of health care in the contemporary moment needs to take account of the influence of biomedical dominance, an increasingly litigious mentality in relation to health care, a shifting focus towards primary rather than secondary health care, and the positioning and re-positioning of health professionals within the neo-liberal state. The very existence of nurses working as the first point of contact in the health care system, with success over time in so far as they do not provoke undue litigation, and appear to deliver an appropriate service must raise questions about who can claim the right to be a primary health care provider. Based on qualitative research conducted in New Zealand and the Western Isles with rural primary care nurses and Family Health Nurses respectively, this thesis explores the ways that nurses construct flexible generalist professional identities that challenge traditional inter and intra-professional boundaries. In the New Zealand case, rural primary care nurses negotiate the boundaries between nursing and medicine, those within nursing itself, and also those between nursing a paramedic work. Nurses perform this boundary work by negotiating self-governing 'appropriate' and 'safe' professional identities. In the Western Isles case, the introduction of the newly developed role of Family Health Nurse serves to highlight the problematic nature of inserting an ostensibly generalist nursing role beyond the rural.

Violence-exposed children are unintended victims, often an unseen and overlooked victim group in society. It is a societal responsibility that all victims are realized and supported. Through describing the perspective of professionals meeting these children, their status and opportunities in society and legal system can be investigated. To study professionals’ experiences, conceptions, and knowledge about violence-exposed children, a questionnaire was distributed to 63 professionals, representing police, prosecutors, social- and treatment personnel. Qualitative questions about experiences and knowledge were analysed thematically. Additional quantitative statements of held conceptions were analysed with t-tests and regression methods. Findings revealed these children are still overlooked; psychological knowledge about their symptoms, testimonies, and perspective is lacking; professional routines/guidelines are missing; and problems such as children’s legal status as non-victims are hindering effective work to guarantee these children’s care. Results provide information facilitating necessary changes to ensure this group of psychologically abused victims’ recovery and societal rights.

There is considerable concern regarding the adequacy of rural health services in New Zealand, with much attention having been paid to issues of recruitment and retention of rural general practitioners. Rhetoric of 'crisis' is often utilised to raise political awareness of the problematic, but in fact, rural general practitioner recruitment and retention has been documented for about a hundred years. For about the same length of time nurses have been providing primary health care services in rural and remote places, often working alone. Using the notion of nurses as a 'stop-gap' in the provision of rural primary health care until problems with recruitment and retention of rural general practitioners are addressed, is a rhetorical device that facilitates the under analysis of the role nurses play and the contribution that they make. The longstanding practice of rural primary care nursing in its various guises over the last century challenges the notion of nursing as a stop-gap.Any investigation of health care in the contemporary moment needs to take account of the influence of biomedical dominance, an increasingly litigious mentality in relation to health care, a shifting focus towards primary rather than secondary health care, and the positioning and re-positioning of health professionals within the neo-liberal state. The very existence of nurses working as the first point of contact in the health care system, with success over time in so far as they do not provoke undue litigation, and appear to deliver an appropriate service must raise questions about who can claim the right to be a primary health care provider. Based on qualitative research conducted in New Zealand and the Western Isles with rural primary care nurses and Family Health Nurses respectively, this thesis explores the ways that nurses construct flexible generalist professional identities that challenge traditional inter and intra-professional boundaries. In the New Zealand case, rural primary care nurses negotiate the boundaries between nursing and medicine, those within nursing itself, and also those between nursing a paramedic work. Nurses perform this boundary work by negotiating self-governing 'appropriate' and 'safe' professional identities. In the Western Isles case, the introduction of the newly developed role of Family Health Nurse serves to highlight the problematic nature of inserting an ostensibly generalist nursing role beyond the rural.

Orientador: Nayara Hakime Dutra Oliveira / Resumo: Esta pesquisa busca conhecer o trabalho social realizado pelos assistentes sociais das duas unidades do Centro de Referência Especializado de Assistência Social (CREAS) do município de Franca/SP que atendem a famílias sob o risco de terem o poder familiar destituído. O método de análise eleito foi o materialismo históricodialético, que permite a apreensão das contradições do movimento do real e busca enxergar além do que se vê de imediato na essência das coisas. A pesquisa foi do tipo documental, bibliográfica e de campo, com a realização de grupo focal com as profissionais assistentes sociais do CREAS Centro e do CREAS Moema, para a obtenção dos dados. O capítulo I traz uma caracterização da cidade onde a pesquisa se realizou, os detalhes da coleta de dados, o perfil das participantes e a metodologia adotada. No capítulo II, a pesquisa discorre sobre a origem do termo poder familiar, substituto do antigo pátrio poder, expondo o caminho percorrido no tempo histórico desde 450 a.C. Também faz referência ao que se entende por famílias abandonadas e às principais expressões da questão social por elas vivenciadas, como insegurança habitacional e alimentar, desemprego, doenças, violência intrafamiliar e estrutural. Por fim, apresenta os dados coletados no grupo focal sobre o trabalho profissional com essas famílias, explicitando as falas das participantes da pesquisa e realizando breves análises. No capítulo III, são apresentados os resultados desta investigação, indicativos de qu... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: This research seeks to know the social work carried out by the social workers of the two units of the Specialized Referral Center for Social Assistance (CREAS), in the city of Franca / SP, which serve families who are in the process of having their family power destitute. The method of analysis chosen was historical-dialectical materialism, which allows the apprehension of the contradictions of the movement of the real and seeks to see beyond what is immediately seen, in the essence of things. The research was documentary, bibliographical and field with the accomplishment of a focal group with the social assistants of CREAS Centro and CREAS Moema, to obtain the data. Chapter I, presents a characterization of the city where the research was carried out, the details of the data collection, the profile of the participants and the methodology adopted. In chapter II, the research discusses the origin of the term family power, substitute of the old patria power, counting the way traveled in historical time from 450 BC Also makes reference to what is meant by abandoned families and the main expressions of the social question by them such as housing and food insecurity, unemployment, diseases, intrafamily and structural violence, and finally presents the data collected in the focus group on the professional work with these families, exposing the participants' speeches and conducting brief analyzes. In chapter III, the results of this investigation are presented which indicate that th... (Complete abstract click electronic access below) / Mestre

Orientador: Andréia Aparecida Reis de Carvalho Liporoni / Resumo: O presente estudo busca analisar a dimensão educativa no trabalho do assistente social na proteção social básica na perspectiva da cidadania, tendo como lócus de investigação o município de Cerqueira Cesar, cidade do interior do Estado de São Paulo com 18.716 habitantes. O estudo ocorreu por meio de pesquisa bibliográfica, documental e pesquisa de campo, com uma base teórica pautada no materialismo histórico dialético. A abordagem utilizada é a qualitativa, utilizando-se também a técnica do grupo focal, seguindo um roteiro de entrevistas com a participação de 8 (oito) profissionais do Serviço Social, trabalhadores da Política de Assistência Social no município, o que permitiu aos participantes utilizar linguagem própria e emitir opiniões. O trabalho contempla algumas reflexões sobre o trabalho do assistente social e a dimensão educativa da profissão, a Política de Assistência Social, seu contexto histórico, a organização do SUAS e a proteção social básica. Traz a análise dos dados a partir das categorias de análise: a) a Política Municipal de Assistência Social no Município de Cerqueira Cesar; b) a dimensão educativa na ótica dos assistentes sociais; c) a dimensão educativa realizada pelo Serviço Social nos Centros de Referência de Assistência Social – CRAS e d) a materialização da dimensão educativa na perspectiva da emancipação. Observa-se que há conhecimento da dimensão educativa, mas dificuldades na conceituação e insegurança na análise se a dimensão educativa é realizada... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: This study aims to analyze the educational dimension in the work of the social worker in basic social protection from the perspective of citizenship, having as its research locus the municipality of Cerqueira Cesar, a city in the interior of the state of São Paulo with 18,716 inhabitants. The study took place through bibliographic, documentary and field research, with a theoretical base based on dialectical historical materialism. The approach used is qualitative, also using the focus group technique, following a script of interviews with the participation of 8 (eight) Social Work professionals, workers of the Social Assistance Policy in the municipality, which allowed participants to use own language and express opinions. The work contemplates some reflections on the work of the social worker and the educational dimension of the profession, the Social Assistance Policy, its historical context, the organization of SUAS and the basic social protection. It brings the analysis of the data from the categories of analysis: a) the Municipal Policy of Social Assistance in the Municipality of Cerqueira Cesar; b) the educational dimension from the perspective of social workers; c) the educational dimension carried out by the Social Work in the Reference Centers for Social Assistance - CRAS and d) the materialization of the educational dimension in the perspective of emancipation. It is observed that there is knowledge of the educational dimension, but difficulties in conceptualization... (Complete abstract click electronic access below) / Mestre

Submitted by Tatiane Campos Fernandes (tatianesocial@gmail.com) on 2019-01-31T11:57:23Z No. of bitstreams: 1 DISSERTAÇÃO MESTRADO.pdf: 2297769 bytes, checksum: 8ddaf29e0419c8d55b0735be99d5cef0 (MD5) / Approved for entry into archive by Jacqueline de Almeida null (jacquie@franca.unesp.br) on 2019-02-01T15:12:19Z (GMT) No. of bitstreams: 1 Fernandes_TC_me_fran.pdf: 2297769 bytes, checksum: 8ddaf29e0419c8d55b0735be99d5cef0 (MD5) / Made available in DSpace on 2019-02-01T15:12:19Z (GMT). No. of bitstreams: 1 Fernandes_TC_me_fran.pdf: 2297769 bytes, checksum: 8ddaf29e0419c8d55b0735be99d5cef0 (MD5) Previous issue date: 2018-06-14 / A pesquisa sobre o trabalho da/o assistente social no cenário contemporâneo, objeto de estudo, busca uma aproximação com a realidade concreta vivenciada pelo Serviço Social como profissão da saúde. A partir de um referencial crítico para a apreensão da crise estrutural do capitalismo e dos impactos na política de saúde, que nas últimas décadas tem rebatimentos significativos na privatização e na desconstrução da saúde como direito constitucional, tem como recorte as demandas sociais e as respostas profissionais para a efetivação do direito à saúde. O estudo tem como objetivo geral analisar o trabalho da/o assistente social e as respostas profissionais às demandas apresentadas no Hospital de Clínicas da Universidade Federal do Triângulo Mineiro (HC-UFTM); e, como objetivos específicos: refletir os impactos da crise estrutural do capitalismo na política de saúde; conhecer como está organizado o trabalho da/o assistente social no HC-UFTM e, identificar as estratégias adotadas pelos/as assistentes sociais para atender as demandas face a efetivação do direito ao acesso à saúde. A pesquisa qualitativa realizada através de estudo bibliográfico, documental e coleta de dados em campo, optou pela entrevista com 5 assistentes sociais do hospital. A análise a partir das categorias – trabalho da/o assistente social, crise do capital, expressões da questão social e respostas profissionais, demonstra o aprofundamento das contradições, dificuldades e desigualdades que estão submetidos as/os usuários da saúde, do mesmo modo, os resultados do trabalho profissional na direção do Projeto Ético-Político Profissional do Serviço Social. Considera-se que a pesquisa revela a importância da profissão neste espaço de trabalho e demonstra que a análise, a reflexão e o debate crítico e qualificado é fundamental para a defesa do Sistema Único de Saúde e o Projeto da Reforma Sanitária brasileira. / The research about the social service work in contemporary setting, study object, seeks an approximation with the concrete reality experienced by the Social Work as a profession of health. From a critical referential for the apprehension of the structural crisis of the capitalism and the impacts on health policy, that in recent decades have significant repercussions in privatization and in the deconstruction of health as constitutional law, it has as focus the social demands and the professional responses to the realization of the right to health. The general objective of the study is to analyze the work of the social worker and the professional responses to the demands presented at the Clinical Hospital of the Federal University of the Triângulo Mineiro (HC-UFTM); and, as specific objectives: to reflect the impacts of the structural crisis of capitalism on health policy; to know how the work of the social worker is organized at HC – UFTM and identify the strategies adopted by social workers to meet the demands of the realization of the right to access to health. The qualitative research carried out through bibliographical, documentary and field data collection, opted for the interview with 5 social workers of the hospital. The analysis from the categories - social worker's work, capital crisis, expressions of the social question and professional responses - demonstrates the deepening of the contradictions, difficulties and inequalities that are submitted to the health users, in the same way, the results of the work the Professional Ethical-Political Project of Social Work. It considers that the research reveals the importance of the profession in this work space and demonstrates that analysis, reflection, critical and qualified debate is fundamental for the defense of the Unified Health System and the Brazilian Health Reform Project.

Syftet med arbetet är att få en djupare förståelse för hur personal med utbildning inom beteendevetenskap tillämpar lek och vilken betydelse leken har i arbetet med barn i kris och sorg. Arbetets frågeställningar undersöker hur personal som i sitt yrke möter barn i kris och sorg använder lek som ett verktyg för att hjälpa barnet. Arbetet studerar även huruvida personalen anser att leken bidrar till barnets förståelse för det inträffade samt om personalen anser att leken påverkar barnets självbild och självkänsla. Arbetet tillämpar en kvalitativ metod och antar en hermeneutisk anstats för att förklara och förstå ämnet. Datan samlades in genom semistrukturerade intervjuer. Resultaten av undersökning visar att leken används för att underlätta kommunikation, delge och mottaga information, skapa förståelse och tydlighet. Leken ses som det viktigaste verktyget vid bearbetning, läkning och bekräftelse i arbetet med barn. / The aim of this work is to gain a deeper understanding of how staffs trained in behavior science apply play in their work and the impact this may have on children in crisis and grief. The essay examines how staff in their professional work with children in crisis and grief uses play as a tool to help the child. The essay also studies whether staff believes that play contributes to the child's understanding of the event and if the staff believes that play affects the child's self-image and self-esteem. The work applies a qualitative approach and adopts a hermeneutical approach to explain and understand the subject. The data was collected through semi-structured interviews. The results of the survey show that play is used to facilitate communication, to transmit and receive information, create understanding and clarity. Playing is seen as the most important tool in the processing, healing and confirmation in the work of children.

The purpose of this prospective, descriptive, cross-sectional, correlational study was to explore the relationship between staff nurses' perceptions of first line manager coaching behaviors and nursing work environment characteristics, professional work satisfaction, job satisfaction, and intent to stay. Staff nurses perceived managers as engaging in certain coaching behaviors more frequently than others. Behaviors that established a mutually trusting and supportive relationship were reported as the most frequently occurring behaviors. Behaviors that supported the development of a mutually trusting and respectful relationship were reported as the most frequently occuring behaviors. Behaviors that supported one-on-one interactions focusing on individual development occurred less frequently. Managerial coaching behaviors were positively correlated with eight work environment characteristics which comprise professional work satisfaction, with medium to large effect sizes noted. Coaching behaviors also demonstrated positive relationships with job satisfaction and intent to stay. Correlational analyses and regression analyses illuminated the relationships between the variables. Mediation analysis of managerial coaching and the eight work environment characteristics defining professional work satisfaction provided more complete understanding of the relationship in prediction of intent to stay. The eight characteristics acted as either total or partial mediators of managerial coaching when predicting intent to stay. Demographic characteristics, managerial coaching and professional work satisfaction explained 41.4% of the variance in job satisfaction. Demographic characteristics, managerial coaching, professional work satisfaction, and job satisfaction explained 37% of the variance in intent to stay. / text

Made available in DSpace on 2014-12-17T15:46:20Z (GMT). No. of bitstreams: 1 ErikaSM_DISSERT.pdf: 1440315 bytes, checksum: 5697be22f2bb929332541669d3861e07 (MD5) Previous issue date: 2010-03-29 / This paper presents the survey results: PROCEDURE FOR WORK IN HEALTH: an analysis of working conditions of social workers in hospitals. Analyzes the inclusion of social workers in work processes in healthcare, specifically in the public hospital, from the objective conditions of work, according to which materializes professional action. The aim is to understand them from the point of view of its relationship with users and other health professionals through the privatization of health, which prevents the Unified Health System (SUS), limiting the operation of the services and the guarantee of rights. The approach to the reality studied was through theoretical and methodological procedures based on the qualitative and quantitative research, focusing on documentary research, observation, semi-structured interview and the theoretical foundation. It is observed that the inclusion of social workers in this context arises from the demands derived from expressions of social issues, "raw material" of professional work, and the gaps resulting from contradictions in the process of rationalization / reorganization of the SUS, meaning that the needs the population are confronted with the content and form of organization of services. At the hospital, the professional actions are developed through the shift, space contradictory clash between the collective and individual, in which individual activities are prioritized and ad hoc unplanned and reduced to the solution of "problems" of users, through actions assistance in an emergency and bureaucratic. These findings emphasize the inadequacy of space and lack of minimum conditions of service to users, which undertakes the professional with regard to ethical and political principles of the profession, since it is the responsibility and duty of the social guarantee the secrecy and privacy of users what is revealed during the process of professional intervention. The professional social workers is permeated by the diversity of skills and competence; lack of planning activities, by incorporating the institutional discourse at the expense of professional goals, by knowing the Code of Professional Ethics, for small number of professionals, the increasing number informality; by poor working conditions and wages; by discouraging research and participation in social policy councils, as well as professional training / Este trabalho apresenta os resultados da pesquisa: PROCESSO DE TRABALHO EM SA?DE: uma an?lise das condi??es de trabalho dos assistentes sociais no ?mbito hospitalar. Analisa a inser??o dos assistentes sociais nos processos de trabalho em sa?de, especificamente no ?mbito p?blico hospitalar, a partir das condi??es objetivas de trabalho, segundo as quais se materializa a a??o profissional. O intuito ? entend?-las sob o ponto de vista da sua rela??o com os usu?rios e demais profissionais de sa?de, mediante a privatiza??o da sa?de, que inviabiliza o Sistema ?nico de Sa?de (SUS), limitando a operacionaliza??o dos servi?os e a garantia dos direitos. A aproxima??o com a realidade pesquisada se deu atrav?s de procedimentos te?rico-metodol?gicos fundamentados na pesquisa quali-quantitativa, privilegiando-se a pesquisa documental, a observa??o, a entrevista semi-estruturada e a fundamenta??o te?rica. Observa-se que a inser??o dos assistentes sociais neste contexto decorre das demandas derivadas das express?es da quest?o social, mat?ria-prima do trabalho profissional, e das lacunas decorrentes das contradi??es presentes no processo de racionaliza??o/reorganiza??o do SUS, significando que as necessidades da popula??o se confrontam com o conte?do e a forma de organiza??o dos servi?os. No ?mbito hospitalar, as a??es profissionais s?o desenvolvidas atrav?s do plant?o, espa?o contradit?rio de embate entre as pr?ticas coletivas e individualistas, pelas quais s?o priorizadas atividades individuais e pontuais, n?o-planejadas e reduzidas ? solu??o dos problemas dos usu?rios, atrav?s das a??es assistenciais, de car?ter emergencial e burocr?tico. ? not?ria a inadequa??o do espa?o f?sico e a falta de condi??es m?nimas de atendimento aos usu?rios, o que compromete o exerc?cio profissional no tocante aos princ?pios ?ticopol?ticos da profiss?o, visto que ? responsabilidade e dever do assistente social garantir o sigilo profissional e a privacidade dos usu?rios naquilo que for revelado durante o processo de interven??o profissional. O exerc?cio profissional dos assistentes sociais ? perpassado pela diversidade de compet?ncias e atribui??es; pela falta de planejamento das atividades; pela incorpora??o do discurso institucional em detrimento dos objetivos profissionais; pelo desconhecimento do C?digo de ?tica profissional, por reduzido n?mero de profissionais; pelo n?mero crescente de informalidade; pelas prec?rias condi??es de trabalho e sal?rio; pelo desest?mulo ? pesquisa e ? participa??o em conselhos de pol?ticas sociais, bem como de capacita??o profissional

Esta dissertação discute o entendimento dos assistentes sociais que atuam nos centros de referência especializados de assistência social de três coordenadorias de desenvolvimento social do município do Rio de Janeiro sobre o tema das drogas, com o objetivo de analisar se as ações profissionais são dirigidas a uma perspectiva crítica, desconsiderando valores conservadores na sua intervenção, e se, durante seu trabalho profissional, buscam contribuir criticamente para a garantia dos direitos dos usuários. Para tal, realizamos entrevista com os assistentes sociais inseridos nesses centros, e através das respostas apresentadas, analisamos como o tema das drogas é abordado pelos profissionais de serviço social. A contribuição para a garantia de direitos requer do profissional de Serviço Social a possibilidade de realizar mediações entre as políticas e a contextualidade do usuário, considerando, também, as possibilidades e limites no percurso histórico que atravessa o uso das drogas. Cabe inclusive situar a compreensão das drogas e sua relação com o desenvolvimento do capital, em que a estratégia proibicionista responde aos interesses de um determinado bloco do poder. Dessa forma esse estudo resgata a construção histórica da profissão de Serviço Social no Brasil, destacando os processos que marcaram uma possibilidade de ruptura com o conservantismo profissional e, por conseguinte, suscitavam uma perspectiva profissional mais crítica e densa teoricamente. Apresenta uma análise do desenvolvimento capitalista, destacando as tendências e estratégias atuais para o enfrentamento da questão social, sob o contexto neoliberal. E por fim, acrescido da pesquisa empírica realizadanos CREAS o estudo buscou identificar se os profissionais de serviço social conseguem fortalecer o projeto ético-político da profissão, ou se as marcas deixadas pela herança conservadora, que gestaram a profissão são resgatadas e utilizadas no trabalho profissional. / This dissertation discusses the understanding of social workers who work in specialized reference centers for social assistance three social development coordinators in the city of Rio de Janeiro on the subject of drugs, in order to examine whether the professional actions are directed to a perspective criticism, disregarding conservative values in his speech, and during his professional work, seek to contribute critically to guarantee the rights of users. To this end, we conducted interviews with social workers inserted in the centers, and through their responses, we analyze how the issue of drugs is covered by social work professionals. The contribution to the guarantee of rights requires the professional social work the possibility of conducting mediations between the political and the contextuality user, also considering the possibilities and limits the historical path that runs through the use of drugs. It even place the understanding of drugs and their relation to the development of the capital, where the prohibitionist strategy responds to the interests of a particular power bloc. Thus this study will delineate the historical construction of social workers in Brazil, highlighting the processes that marked a break with the possibility of professional conservatism and therefore raised a professional perspective more critical and theoretically dense. Presents an analysis of capitalist development, highlighting current trends and strategies for confronting social issues, under the neoliberal context. And finally, plus realizadanos empirical research CREAS the study sought to identify whether social work professionals can strengthen the ethical-political project of the profession, or the marks left by the conservative Heritage, who gave birth to the profession are redeemed and used in professional work.