Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-05-30T23:30:21Z No. of bitstreams: 1 MariaJacquelineAbrantesGadelha_TESE.pdf: 6588612 bytes, checksum: ddc48ea47fcdd306616eb67e82362d43 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-06-02T20:26:23Z (GMT) No. of bitstreams: 1 MariaJacquelineAbrantesGadelha_TESE.pdf: 6588612 bytes, checksum: ddc48ea47fcdd306616eb67e82362d43 (MD5) / Made available in DSpace on 2016-06-02T20:26:23Z (GMT). No. of bitstreams: 1 MariaJacquelineAbrantesGadelha_TESE.pdf: 6588612 bytes, checksum: ddc48ea47fcdd306616eb67e82362d43 (MD5) Previous issue date: 2015-04-30 / A pesquisa explora uma pr?tica n?o convencional, inventiva, de cuidado na Aten??o B?sica ? a Tenda do Conto ? onde trabalhadores e usu?rios do Sistema ?nico de Sa?de revelam atitudes que apontam para abertura de possibilidades de outros modos de produ??o de sa?de, em dire??o ? constru??o de novas modalidades de v?nculos institucionais e sociais. Produ??o de afetos e processos de subjetiva??o ganham relev?ncia nesse enfoque. A pesquisa-interven??o, na qual saberes do cotidiano e saberes acad?micos se entrela?am est? circunscrita na referida experimenta??o em que usu?rios e trabalhadores compartilham sentidos de vida, pela circula??o de relatos de experi?ncias comuns. No percurso da pesquisa acompanhamos os movimentos micropol?ticos produzidos nos lugares onde a pr?tica vem sendo experimentada por meio da viv?ncia em ato, atrav?s de entrevistas e junto aos participantes da Rede HumanizaSUS (rede colaborativa de pessoas envolvidas na humaniza??o da gest?o e aten??o do SUS), de modo a compreender como essas experimenta??es se desdobram em meio ?s conting?ncias do modelo institu?do homogeneizador e medicalizante das pr?ticas em sa?de. Procuramos, assim, identificar tanto os limites impostos quanto as capacidades de promo??o de micro transforma??es no processo de trabalho, evidenciando as linhas de tens?es que afetam tanto o plano objetivo das pr?ticas institucionais como o plano subjetivo dos usu?rios e trabalhadores. Concebendo como arte ? o fazer, o contar e o inventar ? o estudo explora os percursos da experimenta??o Tenda do Conto no per?odo de 2008 a 2014, destacando que a escuta de narrativas de vida reverte figuras an?nimas de desejo de reconhecimento em figuras de reconhecimento do (seu) desejo. Pelo recurso narrativo, nota-se a tentativa de, por um lado, alcan?ar-se a almejada amplia??o do di?logo entre saberes de diferentes registros e, por outro, conseguir o necess?rio deslocamento de olhares sobre a sa?de em dire??o a uma partilha de sentidos, tendo a vida e a afetividade como ingredientes primordiais. / This research explores an innovative and non-conventional Basic Attention caring practice ? Tenda do Conto (Tale Tent) ? where workers and users of the Sistema ?nico de Sa?de (Brazilian Public Healthcare System) reveal attitudes that point to new possibilities of making healthcare promotion towards the building of new social and institutional bonds. Creating affections and subjectivity processes gain importance in this focus. The research-intervention, in which daily and academic knowledge intertwine, is outlined in the referred experimentation where users and workers share life senses through facts and common experiences. During this research, we followed the micropolitical movements produced in the places where the practice has been experimented through act in experience, interviews and along with the Rede HumanizaSUS members (a collaborative network of people involved in SUS?s management and care humanization), in a way to understand how those experimentations unfold through the limitations of a standardizing and medicalizing healthcare model. Thus, we look forward to identify the limits imposed and the promotion capabilities of micro transactions in the work processes, highlighting tension lines that affect both the institutional practice objective plan and subjective plan of workers and users. Conceived as art ? doing, telling, inventing ? the study explores the paths of the Tenda do Conto, from 2007 to 2014, showing that listening to life narratives turns anonymous characters into recognized ones. Through narrative source, we are able to notice the attempt to reach the desired expansion of dialogue between different records and, on the other side, achieve the look displacement in health towards sharing senses, having life and affection as primordial ingredients.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-04-03T23:50:31Z No. of bitstreams: 1 JoseaneDaRochaDantasCavalcanti_DISSERT.pdf: 2930362 bytes, checksum: 34e772aa1eb2ca5ff06d2876b8c69aad (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-04-12T18:53:25Z (GMT) No. of bitstreams: 1 JoseaneDaRochaDantasCavalcanti_DISSERT.pdf: 2930362 bytes, checksum: 34e772aa1eb2ca5ff06d2876b8c69aad (MD5) / Made available in DSpace on 2017-04-12T18:53:25Z (GMT). No. of bitstreams: 1 JoseaneDaRochaDantasCavalcanti_DISSERT.pdf: 2930362 bytes, checksum: 34e772aa1eb2ca5ff06d2876b8c69aad (MD5) Previous issue date: 2016-12-05 / A pretensa invulnerabilidade masculina v?m se constituindo em fator de vulnerabiliza??o ao adoecimento, acrescido ao fato da invisibilidade de suas demandas pelos servi?os de sa?de, no que diz respeito a organiza??o dos servi?os e as cren?as em rela??o a masculinidade significar sin?nimo de n?o cuidado. Temos nesse contexto, a necessidade de cria??o e intensifica??o de estrat?gias na aten??o b?sica que contemple de maneira singular os homens. Diante desse cen?rio, realizamos uma pesquisa qualitativa de car?ter interventivo visando compreender se a pr?tica inventiva da Tenda do Conto pode se configurar como um espa?o de cuidado humanizado e integral para a sa?de dos homens usu?rios da Estrat?gia Sa?de da Fam?lia. O estudo foi realizado com nove homens em uma Unidade de Sa?de da Fam?lia, no munic?pio de Cuit?-PB. Como estrat?gia metodol?gica, utilizamos a entrevista e a participa??o dos homens na Tenda do Conto, mediada pela pesquisadora; e o di?rio de campo da pesquisadora e sua assistente. A Tenda do Conto se configura como um espa?o aberto, atrav?s de encontros onde usu?rios e profissionais de sa?de partilham sabedorias e experi?ncias de vida, estimulando a co-responsabilidade na busca de solu??es e supera??o dos desafios, constituindo uma estrat?gia de otimiza??o no acolhimento e estabelecimento de v?nculo alicer?ado no princ?pio de humaniza??o. Para a an?lise e interpreta??o das narrativas recorremos ? Hermen?utica Gadameriana. A partir do di?logo com as narrativas dos homens nas tendas e entrevistas obtivemos alguns eixos tem?ticos: 1) Ser homem ? dar conta de tudo! Nesse eixo constatamos a responsabilidade para com tudo e a centralidade do trabalho na constru??o das masculinidades, o ter car?ter configurando a for?a do ser homem e ? Ser normal, ? n?o ser machista ao falarem em respeito ?s diferen?as como algo que deveria ser normal na constitui??o do masculino. 2) Concep??es sobre sa?de: viver bem e n?o sentir nada. Eles partiam da aus?ncia de doen?a, indo ao bem estar, com destaque no decorrer das tendas para a presen?a da m?sica, do lazer, e da conviv?ncia entre eles como aliados em sua sa?de. 3) Concep??es sobre bom atendimento: a busca pela resolutividade surgem ao lado do acolhimento. 4) Os homens na/da Tenda, carecem de que?: Demandas de sa?de masculinas: os carecimentos expl?citos - observamos hipertens?o arterial, gastrite, problemas de pr?stata, dor f?sica e ansiedade. Revelando necessidades: eles carecem de que? Eles (re)conhecem a necessidade de dar visibilidade e cuidado as suas quest?es emocionais. 5) A tenda do Conto para homens e a produ??o de vida! Neste eixo, da timidez inicial ao (re)conhecimento do outro e a alegria de poder falar o que vem de dentro do cora??o, evidenciam os ganhos obtidos com a Tenda para a express?o de suas singularidades e subjetividades. / The alleged male invulnerability has become a factor of vulnerability to illness, added to the fact of the invisibility of their demands by the health services, regarding the organization of services and beliefs regarding masculinity signify synonymous with non-care. In this context, we have the need to create and intensify strategies in basic care that contemplate men in a unique way. In view of this scenario, we conducted a qualitative research of an interventional character in order to understand if the Tale Tent inventive practice can be configured as a space of humanized and integral care for the health of men who use the Family Health Strategy. The study was carried out with nine men in a Family Health Unit, in the city of Cuit?-PB. As a methodological strategy, we used the interview, and the men's participation in the Tale Tent, mediated by the researcher; and the researcher's field diary and her assistant. The Tale Tent is an open space, through meetings where users and health professionals share wisdom and life experiences, stimulating co-responsibility in the search for solutions and overcoming challenges, constituting a strategy of optimization in the reception and establishment Based on the principle of humanization. For the analysis and interpretation of the narratives, we turn to the Gadamerian Hermeneutics. From the dialogue with the narratives of the men in the tents and interviews, we obtained some thematic axes: 1) To be man is to give account of everything! In this axis, we find the centrality of work in the construction of masculinities, and the responsibility towards everything and character having the force of being man; 2) Conceptions about health: living well and feeling nothing. They started from the absence of illness, going to well-being, with emphasis in the course of the tents for the presence of music, leisure, and coexistence among them allies in their health. 3) Conceptions about good service: the search for resolution and access arise alongside the reception and quality of communication. 4) Health demands and the tent: revealing needs. Of the demands, we observe hypertension, gastritis, prostate problems, physical pain and anxiety. They highlight their needs for resorting to health services and (re-) know the need to give visibility and care to their emotional issues. 5) The Tale Tent and the recognition of the other by the word. In this axis, from the initial shyness to (re) knowledge and the joy of being able to speak, evidence the gains obtained with the Tent for the expression of its singularities and subjectivities. Through the account of these men, their stories of joys and pains, we verified how much it was possible to take care of the masculine health besides the illness and the instrumental care. By enhancing and welcoming the dimensions of masculine subjectivity, protagonism in health, and promoting a dialogical encounter, the Tent of Tale has exercised a place of humanized and integral care for these men within the scope of the ESF and can continue to inspire more practices that Favor the reception of existential pains and the reunion with the power of encounters, because these needs are too human.