La formation des sociétés fondées sur la connaissance, le progrès de la technologie de communications et un meilleur échange d'informations au niveau mondial permet une meilleure utilisation des connaissances produites lors des décisions prises dans le système de santé. Dans des pays en voie de développement, quelques études sont menées sur des obstacles qui empêchent la prise des décisions fondées sur des preuves (PDFDP) alors que des études similaires dans le monde développé sont vraiment rares. L'Iran est le pays qui a connu la plus forte croissance dans les publications scientifiques au cours de ces dernières années, mais la question qui se pose est la suivante : quels sont les obstacles qui empêchent l'utilisation de ces connaissances de même que celle des données mondiales? Cette étude embrasse trois articles consécutifs. Le but du premier article a été de trouver un modèle pour évaluer l'état de l'utilisation des connaissances dans ces circonstances en Iran à l’aide d'un examen vaste et systématique des sources suivie par une étude qualitative basée sur la méthode de la Grounded Theory. Ensuite au cours du deuxième et troisième article, les obstacles aux décisions fondées sur des preuves en Iran, sont étudiés en interrogeant les directeurs, les décideurs du secteur de la santé et les chercheurs qui travaillent à produire des preuves scientifiques pour la PDFDP en Iran. Après avoir examiné les modèles disponibles existants et la réalisation d'une étude qualitative, le premier article est sorti sous le titre de «Conception d'un modèle d'application des connaissances». Ce premier article sert de cadre pour les deux autres articles qui évaluent les obstacles à «pull» et «push» pour des PDFDP dans le pays. En Iran, en tant que pays en développement, les problèmes se situent dans toutes les étapes du processus de production, de partage et d’utilisation de la preuve dans la prise de décision du système de santé. Les obstacles qui existent à la prise de décision fondée sur des preuves sont divers et cela aux différents niveaux; les solutions multi-dimensionnelles sont nécessaires pour renforcer l'impact de preuves scientifiques sur les prises de décision. Ces solutions devraient entraîner des changements dans la culture et le milieu de la prise de décision afin de valoriser la prise de décisions fondées sur des preuves. Les critères de sélection des gestionnaires et leur nomination inappropriée ainsi que leurs remplaçants rapides et les différences de paiement dans les secteurs public et privé peuvent affaiblir la PDFDP de deux façons : d’une part en influant sur la motivation des décideurs et d'autre part en détruisant la continuité du programme. De même, tandis que la sélection et le remplacement des chercheurs n'est pas comme ceux des gestionnaires, il n'y a aucun critère pour encourager ces deux groupes à soutenir le processus décisionnel fondés sur des preuves dans le secteur de la santé et les changements ultérieurs. La sélection et la promotion des décideurs politiques devraient être basées sur leur performance en matière de la PDFDP et les efforts des universitaires doivent être comptés lors de leurs promotions personnelles et celles du rang de leur institution. Les attitudes et les capacités des décideurs et des chercheurs devraient être encouragés en leur donnant assez de pouvoir et d’habiliter dans les différentes étapes du cycle de décision. Cette étude a révélé que les gestionnaires n'ont pas suffisamment accès à la fois aux preuves nationales et internationales. Réduire l’écart qui sépare les chercheurs des décideurs est une étape cruciale qui doit être réalisée en favorisant la communication réciproque. Cette question est très importante étant donné que l'utilisation des connaissances ne peut être renforcée que par l'étroite collaboration entre les décideurs politiques et le secteur de la recherche. Dans ce but des programmes à long terme doivent être conçus ; la création des réseaux de chercheurs et de décideurs pour le choix du sujet de recherche, le classement des priorités, et le fait de renforcer la confiance réciproque entre les chercheurs et les décideurs politiques semblent être efficace. / The establishment of knowledge based societies, the advancements of communication technologies and the better exchange of information at global level allows better utilization of produced knowledge in the health system’s decision makings. Some studies have been conducted on the barriers to development of evidence-based decision-making (EBDM) in developed countries, but similar studies in developing are very rare. Iran is a country that has had the greatest growth in its scientific publications in recent years, but the question was what barriers are there to the utilization of this knowledge and also of global evidence. This study consists of three consecutive papers. The purpose of the first paper study was to find a model for assessing the status of knowledge utilization in Iran’s circumstances through an extensive systematic review followed by a qualitative study of grounded theory nature. Then, in the second and third papers the barriers to evidence based decision making in Iran asked through the qualitative study on the health sector’s directors and policy makers and also the researchers working to produce scientific evidence for EBDM. Upon reviewing the available existing models and conducting a qualitative study the first paper came out entitled 'Design of a Knowledge Translation Model' as the framework of two other papers that assess the push and pull side barriers of EBDM in Iran. As a developing country, in Iran the problems lie in all the stages of the process of producing, sharing and using evidence in health system decision making. There are various barriers to evidence-based decision making at different levels, and multi-dimensional solutions are required to strengthen the impact of scientific evidence on decision makings. These solutions should result in changes in culture and the decision making environment’s value system for the purpose of valuing evidence-based decision making. Unsuitable selection and appointment criteria of managers, their rapid replacements and payment differences in public and private sectors can weaken EBDM through two channels, one is through affecting decision makers' incentives and the other is by destroying program continuity. In the similar situation, while selection and replacement of researchers is not same as the managers, there is no criterion for encouraging them to support decision making in the health sector and subsequent changes. The selection and promotion of policy makers should be based on their performance regarding EBDM and the efforts of academicians for strengthening EBDM should be accounted in their personal promotion and institutional ranks. The attitudes and capabilities of both decision makers and researchers should be promoted through their empowerment regarding different components of the decision making cycle. The study revealed that the managers do not have enough access to both domestic and international evidence. Shortening the gap between researchers and decision makers is a crucial milestone which should be dealt through providing communications between the two sides. This issue is very crucial since the utilization of knowledge can be strengthened only with the close cooperation of policy makers and the research sector, and long-term programs need to be designed with this objective. Establishing networks for researchers and decision makers in choosing the research topic, priority setting, and building trust among researchers and policy makers seem effective.

Submitted by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2013-10-07T19:52:03Z No. of bitstreams: 1 Diss MP. PatriciaFreitas 2013.pdf: 1300546 bytes, checksum: 25ffe46fe68afa3da83ceb7580071b42 (MD5) / Approved for entry into archive by Maria Creuza Silva(mariakreuza@yahoo.com.br) on 2013-10-07T19:52:15Z (GMT) No. of bitstreams: 1 Diss MP. PatriciaFreitas 2013.pdf: 1300546 bytes, checksum: 25ffe46fe68afa3da83ceb7580071b42 (MD5) / Made available in DSpace on 2013-10-07T19:52:15Z (GMT). No. of bitstreams: 1 Diss MP. PatriciaFreitas 2013.pdf: 1300546 bytes, checksum: 25ffe46fe68afa3da83ceb7580071b42 (MD5) Previous issue date: 2013 / A assistência farmacêutica enquanto componente do sistema de saúde é determinante para a efetividade da atenção e dos serviços de saúde, pois tem importante papel na prevenção de doenças e na recuperação de grande parte das enfermidades. Os poucos estudos sobre o assunto têm mostrado, entretanto, que o setor da assistência farmacêutica é ineficiente, com gasto de recurso crescente e pouca qualidade na prestação do serviço. A instituição do monitoramento e avaliação no setor pode auxiliar na melhoria da qualidade dos serviços prestados e na implementação das políticas farmacêuticas, ao assegurar o acompanhamento das ações realizadas e a adoção de medidas para enfrentamento das dificuldades e problemas, porém, ainda hoje, não há nenhum instrumento voltado especificamente para a assistência farmacêutica no país. Visando preencher esta lacuna, este trabalho apresenta uma proposta metodológica para o monitoramento e para avaliação da assistência farmacêutica básica municipal. Para o desenvolvimento da proposta, foi construído um modelo teórico-lógico tendo por componentes as ações estratégicas que compõem o ciclo da assistência farmacêutica, além do componente transversal "institucionalização". Na matriz de dimensões e critérios do modelo, foram definidos vários critérios e padrões para cada componente, organizados nas dimensões "gestão" e "práticas". A construção do modelo baseou-se na análise de documentos relacionados à execução do programa de assistência farmacêutica na atenção básica, manuais e normas técnicas do Ministério da Saúde, legislação sanitária relacionada e legislação que regulamenta o exercício da profissão farmacêutica. A matriz foi submetida à consulta com especialistas, reformulada, sendo, então, elaborado o protocolo de aplicação da proposta. / Salvador

Made available in DSpace on 2014-06-11T19:33:29Z (GMT). No. of bitstreams: 0 Previous issue date: 2006-02-22Bitstream added on 2014-06-13T21:06:16Z : No. of bitstreams: 1 ribeiro_ds_dr_mar.pdf: 708570 bytes, checksum: 84b141805049d23845ae500e0924ff82 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O trabalho toma como fontes documentais os livros Ensaio de uma teoria da Administração Escolar, de José Querino Ribeiro, e Organização e Administração Escolar, de Manoel Bergström Lourenço Filho. Através dessas fontes, analisa-se a teoria de Administração Escolar produzida no Brasil, entre 1952 e 1963, objeto de estudo da pesquisa. A partir das datas de publicação dos livros referidos, o recorte histórico é delimitado entre 1930 e 1960. As três referências bibliográficas da área de Administração Escolar, comuns em ambos os livros, possibilitaram a investigação das raízes de modelos teóricos (racional/burocrático, de sistema social, político e anárquico) apresentados na obra A Escola como Organização e a Participação na Organização Escolar, de Licínio C. Lima, utilizada como referência teórica. Os três trabalhos identificados, escritos em língua inglesa, foram: Public School Administration, de Ellwood Cubberley; School Administration. Its Development, Principles and Function in the United States, de Arthur B. Moehlman; e The Nature of the Administrative Process. With Special Reference to Public School Administration, de Jesse B. Sears. A partir desse referencial teórico e metodológico, a pesquisa ensaiou uma abordagem sociológica na análise dos dados, apontando para a necessidade de um aprofundamento na área da Sociologia da Ciência. A tese defendida é a de que havia, nos anos de 1930, uma concepção de ciência que possibilitou a constituição inicial do campo de estudos da Administração Escolar. Nos anos de 1950, condições e processos de produção científicos diferenciados permitiram identificar as raízes dos modelos teóricos, constituindo-se como instrumentos analíticos. / The doctoral dissertation has as sources the books Ensaio de uma teoria da Administração Escolar, by José Querino Ribeiro and Organização e Administração Escolar, by Manoel Bergström Lourenço Filho. Through those sources the school administration theory produced in Brazil between 1952 and 1963, the study object of the research, is analyzed. From the referred books publishing dates the research historical period of analysis is limited between 1930 and 1960. The three bibliographical references on school administration, common in both books, made it possible to investigate the roots of potential theoretical models (rational/bureaucratic, social system, political and anarchical) presented in the book A Escola como Organização e a Participação na Organização Escolar, by Licínio C. Lima, used as theoretical reference on the subject. The three pieces of work identified, written in English, were: Public School Administration, by Ellwood Cubberley; School Administration. Its Development, Principles and Function in the United States, by Arthur B. Moehlman; and The Nature of the Administrative Process. With Special Reference to Public School Administration, by Jesse B. Sears. The thesis defended is that there was, in the 1930's, a conception of science that permitted the initial constitution for School Administration studies. In the 1950's scientifically differentiated production conditions and processes made it possible to identify the roots of the theoretical models getting shaped as analytical instruments.

O presente estudo qualitativo teve como objetivo descrever e compreender o cuidado das crianças no processo saúde-doença sob a perspectiva das famílias de uma comunidade nativa do Peru. O Modelo para Competência Cultural de Purnell foi a base teórica que deu sustentação ao estudo. O método etnográfico com ênfase na etnoenfermagem, utilizando as técnicas da observação participante e da entrevista etnográfica, com cinco famílias durante um período de convivência de quatro meses em uma comunidade nativa; permitiu a compreensão da perspectiva dos informantes sobre o cuidado das crianças. Emergiram três temas culturais do conjunto dos dados: A estrutura sociocultural da comunidade Kabano e seu cotidiano, na qual a função desempenhada por cada membro representa um papel preponderante na estrutura sociocultural e no cotidiano da cultura. A promoção e preservação da saúde na comunidade Kabano é caracterizada por um cotidiano de limitações e dificuldades. Os papéis dos membros da família nuclear, da família ampliada, e do curandeiro e da parteira, referentes às atividades de cuidado cotidianas, visam à promoção da saúde e a vida do coletivo. As práticas no adoecimento das crianças são permeadas por grandes dificuldades apesar do suporte da rede social. As dificuldades são de natureza econômica e provêm das falhas no relacionamento e na comunicação do profissional de saúde com os membros da cultura e os déficits estruturais do estabelecimento de saúde. A assistência à saúde na cultura Kabano se encontra nas etapas iniciais do Modelo para Competência Cultural de Purnell, ou seja, um cuidado caracterizado pela inconsciência incompetente. Os resultados descritos neste estudo, se considerados, podem levar os profissionais a se aproximarem da competência inconsciente para o cuidado cultural da pessoa, da família e da comunidade. / This qualitative study aimed to describe and understand the care of children in the health-illness process from the perspective of the families of a native community in Peru. The Purnell Model for Cultural Competence was the theoretical framework that had supported the study. The ethnographic method with emphasis in the ethnonursing using the participant observation and ethnographic interview techniques with five families, during four months of coexistence in a native community; allowed to understand the informants perspective about the care of children. Three cultural themes emerged from the data set: The socio-cultural structure of Kabano\'s community and their everyday, in which the role played by each member represents a preponderant role in the socio-cultural structure and in the everyday of the culture. The promotion and preservation of health in Kabanos community is characterized by daily limitations and difficulties. The roles of the members of the nuclear family, extended family, and the healer and midwife, regarding the daily care activities, aim at promoting health and life of the collective. Practices in childrens illness are permeated by great difficulties despite the support of social network. The difficulties are of economic kind and come from failures in the relationship and communication between the health professional and the members of the culture and from the structural deficits of the health center. The health care in the Kabano culture is in the early stages of the Purnell Model for Cultural Competence, and characterized by a careful unconscious incompetent. The results described in this study, if they can bring to the professional approach the unconscious competence for cultural care of the person, family and community.

Apesar do aconselhamento no campo das DST/aids ser considerado, em diferentes regiões do mundo, como uma das principais estratégias para prevenção primária, secundária e terciária, implantada nos serviços da rede de atendimento às DST/aids e em serviços da rede básica de saúde, tanto estudos nacionais como internacionais mostram que esta prática ainda concentra uma dose significativa de fragilidades e problemas.Estes estão relacionados principalmente à falta de uma reflexão e clareza sobre a definição, conceituação, estrutura e forma de atuação do aconselhamento, bem como sobre seus limites e possibilidades. Este estudo se propôs a resgatar as origens históricas e conceituais do aconselhamento em DST/aids, e identificar e analisar criticamente a principal concepção teórica indicada como fundamento dos materiais de referência sobre o aconselhamento em DST/aids, apontando suas contribuições, limites e possibilidades de aplicação. Trata-se, portanto, de um estudo de natureza qualitativa, baseado na análise de documentos sobre o aconselhamento em geral, o aconselhamento em DST/aids, e sobre a principal corrente teórica identificada nesses materiais: a Abordagem Centrada na Pessoa, de Carl Rogers. Além de identificar a origem histórica da imprecisão do conceito de aconselhamento enquanto prática social, este estudo colocou em evidência tanto as potencialidades e fragilidades da Abordagem Centrada na Pessoa para lidar com a complexidade de facetas presentes nessa epidemia, como a existência de alguns desacordos e contrastes entre a prática de ajuda proposta por esse referencial teórico e a estrutura de aconselhamento proposta pelos manuais, bem como, algumas contradições e ambigüidades existentes na própria proposta desenhada para o aconselhamento no campo da aids. Sustenta-se que, para fazer um uso consistente da Abordagem Centrada na Pessoa no aconselhamento em DST/aids, algumas mudanças de concepção, expectativa, enfoque e posicionamento se fazem necessárias. Primeiramente é imperioso que se veja o aconselhamento como um espaço onde a ação está voltada às necessidades e características do cliente, e não voltado para resolver a múltiplas demandas da política de prevenção e assistência, pois ele nunca deve ser visto como uma ação isolada, mas deve sempre estar inserido em uma estratégia mais ampla aonde se somam outros tipos de intervenção.É importante que se reveja a idéia de objetivos, conteúdos e resultados fechados e pré-determinados, possibilitando que sejam centrados na pessoa do cliente e, portanto mais abertos, flexíveis ou construídos conjuntamente. Finalmente, é importante para uma maior qualificação e efetividade dessa prática, utilizar-se de outros quadros teóricos e conceituais, que discutem outras dimensões e aspectos do universo individual, não abordados por essa linha teórica. / In spite of the fact that in different regions of the world counseling in the field of STD/aids is considered as one of the main strategies for the primary, secondary and tertiary prevention techniques applied in the services available to STD/aids and in basic health services, studies done nationally and internationally show that this practice still concentrates a significant amount of weaknesses and problems. These relate mainly to the lack of a clear expression and thought on the definition, conceptualization, structure and format for the role of counseling, as well as its limitations and possibilities. This study proposes to rescue the historical and conceptual origins of counseling in STD/aids, and to identify and critically analyze the main theoretical concept used as the basis for the reference material on counseling in STD/aids, pointing out its contributions, limitations and possibilities of application. It is, therefore, a qualitative study by nature, based on the analysis of documents on counseling in general, counseling in STD/aids, and on the main theoretical current identified in the material: the Client Centered Therapy, by Carl Rogers. In addition to identifying the historical origin of the imprecision in the concept of counseling as a social practice, this study makes clear the potentialities and weaknesses of the Client Centered Therapy to deal with the complexity of facets present in this epidemic, such as the existence of some differences and contrasts between the help practice proposed by this theoretical reference and the structure of counseling proposed by manuals, as well as some contradictions and ambiguities present in the proposal itself, designed for the counseling in the field of aids. One supports the idea that in order to make a consistent use of the Client Centered Therapy in the counseling for STD/aids, some changes in the concept, expectation, focus and positioning are necessary. First of all it is imperative to see counseling as a space where action is oriented towards the needs and characteristics of the client, and not to solve the multiple demands of the policy for the prevention and assistance, as it should never be seen as an isolated action, but it must always be inserted in a wider strategy where other kinds of interventions are added. It is important to revisit the idea of objectives, content, closed and predetermined results, enabling them to be centered on the person, the client, and therefore, to be more open, flexible or constructed jointly. Finally, it is important for a wider qualification and effectiveness of this practice, to use other theoretical and conceptual frameworks, which discuss other dimensions and aspects of the individual universe, not dealt with in this theoretical line.

Submitted by Anelise Milech (anelisemilech@gmail.com) on 2017-02-14T12:55:03Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Luiza Isnardi Cardoso Ricardo.pdf: 1277418 bytes, checksum: 5c9e0d73291b0823ee600a406d23a1af (MD5) / Approved for entry into archive by Aline Batista (alinehb.ufpel@gmail.com) on 2017-02-16T20:43:19Z (GMT) No. of bitstreams: 2 Luiza Isnardi Cardoso Ricardo.pdf: 1277418 bytes, checksum: 5c9e0d73291b0823ee600a406d23a1af (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Aline Batista (alinehb.ufpel@gmail.com) on 2017-02-16T20:44:39Z (GMT) No. of bitstreams: 2 Luiza Isnardi Cardoso Ricardo.pdf: 1277418 bytes, checksum: 5c9e0d73291b0823ee600a406d23a1af (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2017-02-16T20:44:52Z (GMT). No. of bitstreams: 2 Luiza Isnardi Cardoso Ricardo.pdf: 1277418 bytes, checksum: 5c9e0d73291b0823ee600a406d23a1af (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2014-11-11 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / O presente estudo teve como objetivo avaliar os Estágios de Mudança de Comportamento (EMC) para atividade física após dois anos de aplicação e uma intervenção em atividade física e saúde com enfoque educacional. Foi conduzido um estudo transversal com uma amostra de 8071 studantes com idade média de 13,9 (DP± 2,36) anos. A prevalência de tudantes em EMC ativos foi elevada, sendo que 21,8% e 41,6% dos estudantes foram classificados nos estágios de Ação e de Manutenção, espectivamente. O tempo de exposição à intervenção não teve ssociação significativa com os EMC. O sexo masculino se mostrou mais associado aos estágios de Ação (RR1,28; IC95% 1,07-1,54; p=0,006) e de Manutenção (RR 3,57; IC95% 3,024,23; p<0,001) em comparação ao sexo feminino. A variável índice de bens obteve uma relação direta com os estágios de Ação e de Manutenção. Entretanto, o principal resultado diz respeito ao conhecimento sobre saúde, o qual foi diretamente relacionado com os EMC. A realização de estudos de intervenção com valiações longitudinais acerca dos EMC poderia ampliar o conhecimento acerca dos efeitos de intervenções de base escolar sobre a prática de atividade física. / The present study aimed to evaluate the Stages of Behavior Change (EMC) for physical activity after two years of application and an intervention in physical activity and health with an educational approach. A cross-sectional study was conducted with a sample of 8071 students with a mean age of 13.9 (SD ± 2.36) years. The prevalence of students in active MCAs was high, with 21.8% and 41.6% of the students being classified in the Action and Maintenance stages, specifically. The time of exposure to the intervention had no significant association with CMEs. The male sex was more associated with the Stages of Action (RR1.28, 95% CI 1.07-1.54, p = 0.006) and Maintenance (RR 3.57, CI95% 3,024.23, p <0.001) in Compared to females. The variable index of goods obtained a direct relation with the Stages of Action and of Maintenance. However, the main outcome relates to health knowledge, which was directly related to CMEs. Conducting interventional studies with longitudinal assessments of CMEs could broaden the knowledge about the effects of school-based interventions on physical activity practice.

La recherche se situe dans le champ de l’éducation pour la santé en périnatalité. Les sages-femmes en sont les acteurs privilégiés, notamment de la préparation à la naissance et à la parentalité (PNP) en période prénatale. Leur formation initiale se fait en alternance entre enseignements théoriques et stages. Elles assurent donc parfois une double mission : éducative auprès des femmes enceintes et formative auprès du stagiaire. Faisant l’hypothèse que les ancrages théoriques des pratiques éducatives et formatives des sages-femmes sont identiques, l’objectif de recherche est d’identifier ces ancrages en situation de PNP et d’encadrement d’un étudiant. La méthode de l’auto-confrontation simple et l’entretien de compréhension ont été utilisés. 14 sages-femmes volontaires ont participé à l’étude. Les données ont été traitées selon la méthode de l’analyse du contenu à partir d’une modélisation combinant des modèles d’éducation, d’apprentissage et de santé. Les principaux résultats valident l’hypothèse, avec cependant quelques exceptions. Les pratiques de transmission des recommandations et savoirs médicaux ou d’activité corporelle s’inscrivent majoritairement dans les combinatoires à la croisée des modèles béhavioristes, de l’éducation centrée sur l’instruction et de la santé biomédicale. Les modèles du développement du sujet ou de la santé biopsychosociale sont ponctuellement présents, alternant avec ceux qui sont prédominants. Les combinatoires basées sur le constructivisme et le modèle de santé du sujet autonome n’apparaissent qu’exceptionnellement. Les mêmes tendances sont retrouvées pour les modélisations éducation/apprentissage sous-jacentes aux pratiques formatives. / Our research lies in the field of perinatal health education in which midwives are key players, most notably for their roles in Childbirth and Parenting Education (CPE) during the prenatal period. Their initial training combines theoretical and vocational training immersion. They therefore are charged with fulfilling a dual mission: an educational one with pregnant women and a formative one with students. Based on the assumption that theoretical backgrounds of health education and of midwives’ training practices are identical, our objective is to identify and examine these models during the CPE and during the supervision of students. We resorted to the method of self-confrontation and to the method of the interview of understanding. To do so, we interviewed 14 volunteer midwives, who agreed to participate in the study, about their general skills. The data was collected and processed using the content analysis methodology based on a framework combining education, learning and health models.With a few exceptions, the main results largely validate our hypothesis: the practices of the transmission of medical knowledge and recommendations, as well as of physical activity, lie at the crossroads of the behaviorist models, of the education-centered instruction and of the biomedical health model. Models such as the development of the subject model and the bio psychosocial health model have been highlighted, along with other prevailing models. The combinatorial theories built upon constructivism and the health model of the autonomous subject have also been exposed, albeit very rarely. The same trends appear in the modeling of education/learning underlying training practices.

No description available.

Made available in DSpace on 2016-04-04T18:29:29Z (GMT). No. of bitstreams: 1 Tales Santeiro 1.pdf: 1085482 bytes, checksum: 676a282184c86e49a3e08e56649d1b31 (MD5) Previous issue date: 2005-02-11 / Universidade Estadual Paulista J?lio de Mesquita Filho / Assessing scientific production on brief psychodynamic psychotherapies becomes a necessary activity for designing the profile of trends and perspectives in the area. The paper analyzes, describes and compares studies published in two national journals (Estudos de Psicologia/EP and Jornal Brasileiro de Psiquiatria/JBP; 35,8% of the production) and in two foreign ones (Journal of Consulting and Clinical Psychology/JCCP and Psychotherapy and Psychosomatis/PP; 64,2% of the production) (N=81) . The distribution of the production concentrates in the 1990 s; on the whole, the national one rises in institutions of the Southeastern region and the foreign one in North American institutions. The male sex is the significant gender among authors, and the multiple authorship is the one appearing most frequently. The most frequent text support among the Brazilian ones is the book, and among the foreign ones are the articles. The most frequently journals in the articles are, in general, the ones analyzed: JBP, JCCP and mainly PP. National authors make significant use of foreign production for technical-theoretical foundation of their papers; among foreigners, the use of journals produced in their own countries. English is significantly the language of the references. The use of current references, between 0 and 5 years, is significant. In the Brazilian production the authors are quoted in a width ranging from 1 to 16 times and in the foreign one, from 1 to 66 times. In the national production David Malan, Sigmund Freud, Mauricio Knobel and Hector Fiorini are the most quoted; in the fore ign one, David Malan, Hans Strupp, David Shapiro, Lester Luborsky, Peter Sifneos and Ragnhild Husby. In general, empirical studies predominate. Adults of both sexes, seen individually, design the profile of the target population. Several pathologies/complaints are investigated; th ere are signs of some highlight to depression. Clinical scales are the most used tools for psychological assessment. The correlational design predominates in the empirical researches. The integrative theoretical model is the most frequent among Brazilian authors; among foreigners, the drive/structural is significantly the most used one. Altogether, qualitative differences do not appear in relation to the studied variables, although the foreign production is numerically greater. / Avaliar produ??o cient?fica sobre psicoterapias breves psicodin?micas trata-se de atividade necess?ria para o tra?ado do perfil de tend?ncias e perspectivas na ?rea. O trabalho analisa, descreve e compara estudos publicados em dois peri?dicos nacionais (Estudos de Psicologia/EP e Jornal Brasileiro de Psiquiatria/JBP; 36% da produ??o) e em dois estrangeiros (Journal of Consulting and Clinical Psychology/JCCP e Psychotherapy and Psychosomatics/PP; 64% da produ??o) (N=81). A distribui??o da produ??o concentra-se na d?cada de 1990; de forma geral, a nacional origina-se em institui??es da regi?o Sudeste e a estrangeira em institui??es norte-americanas. O sexo masculino ? o g?nero significante entre os autores, e a autoria m?ltipla a mais freq?ente. O suporte de texto significantemente mais citado entre os brasileiros ? o livro, e entre os estrangeiros os artigos. Peri?dicos mais citados nos artigos analisados s?o, no geral, os pr?prios analisados: JBP, JCCP e principalmente o PP. Autores nacionais utilizam-se para fundamenta??o te?rico-t?cnica de seus trabalhos de produ??es estrangeiras de modo significante; entre estrangeiros, o uso de peri?dicos produzidos em seus pr?prios pa?ses. O idioma das refer?ncias citadas ? significantemente o ingl?s. O uso de refer?ncias recentes, entre 0 e 5 anos, ? significante. Na produ??o nacional os autores s?o citados numa amplitude que varia de 1 a 16 vezes e na estrangeira, de 1 a 66 vezes. Na produ??o nacional David Malan, Sigmund Freud, Mauricio Knobel e Hector Fiorini s?o os mais citados; na estrangeira, David Malan, Hans Strupp, David Shapiro, Lester Luborsky, Peter Sifneos e Ragnhild Husby. Em geral, estudos emp?ricos predominam. Adultos de ambos os sexos, atendidos na modalidade individual, desenham o perfil da popula??o alvo. V?rias as patologias/queixas s?o investigadas; h? ind?cios de certo destaque para depress?o. Escalas cl?nicas s?o os instrumentos de avalia??o psicol?gica mais utilizados. O delineamento correlacional predomina nas pesquisas emp?ricas. O modelo te?rico integrativo ? o mais freq?ente na orienta??o dos trabalhos escritos por brasileiros; entre estrangeiros, o impulsivo-estrutural ? significantemente mais utilizado. De modo geral, n?o se verifica diferen?as qualitativas em rela??o ?s vari?veis estudadas, embora a produ??o estrangeira seja numericamente superior.

La professionnalisation par la démarche de recherche est de plus en plus utilisée par les organismes de formation professionnelle, aussi bien initiale que continue. La présente étude tente d’analyser les composantes et les conditions d’existence d’une telle recherche. En quoi la recherche est-elle professionnalisante et quelles seraient les conditions pour qu’elle le soit. Plusieurs dimensions sont à l’œuvre. La pluralité des formateurs et le déroulement d’un tutorat, la production de savoirs académiques qui ne sont ni théoriques ni d’action, mais en relation avec des représentations nouvelles. Des possibilités offertes par la pratique et, enfin, le passage par une obligation d’écriture scientifique dont les caractéristiques se nichent dans le métissage théorie/pratique des modèles théoriques de santé et du processus d’apprentissage de ceux-ci. L’étude prend comme exemple, l’enseignement des modèles théoriques/pratiques et du processus d’Apprentissage pour la mise en place d’une écriture scientifique en formation initiale des Agents Socio-Sanitaires. La formation professionnelle initiale présentant des caractéristiques plus fragiles face à ce genre de formation compte tenu de sa qualité. / The professionalization by the approach of research is increasingly used by vocational, as well original a organization that continues. This study attempts to analyze the components and the conditions of the existence of such a search. What is research professional and what would be the conditions for it to be. Several dimensions are at work. The plurality of the trainers and the conduct of a tutoring, academic knowledge which are neither theoretical production of action, not in relation to new representations. Opportunities offered by the practice and, finally, passing through an obligation to scientific writing whose characteristics Nestle in the interbreeding theory/practice of theoretical models of health and learning of these processes.The study takes as an example, the teaching of theoretical/practical models and learning process for the establishment of scientific writing in initial training of health staff. Initial vocational training with more fragile characteristics to this sort of training in view of its quality.