Submitted by PPG Servi?o Social (servico-social-pg@pucrs.br) on 2018-02-06T10:27:01Z No. of bitstreams: 1 Tese - L?via Ramalho Arsego.pdf: 1074022 bytes, checksum: 87261735547fd5e8720b9202a94b2fd5 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-02-07T13:02:22Z (GMT) No. of bitstreams: 1 Tese - L?via Ramalho Arsego.pdf: 1074022 bytes, checksum: 87261735547fd5e8720b9202a94b2fd5 (MD5) / Made available in DSpace on 2018-02-07T13:06:06Z (GMT). No. of bitstreams: 1 Tese - L?via Ramalho Arsego.pdf: 1074022 bytes, checksum: 87261735547fd5e8720b9202a94b2fd5 (MD5) Previous issue date: 2017-11-30 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / This study had the objective to comprehend the process by which the terminology Health Work Management emerged in the area of Brazilian public health, especially in the year of 2003, replacing the term Human Resources, which was traditionally used in reference to the work force in organizations. Based on the Social Work?s Ethical Political Project (PEP), formalized through the Code of Ethics (CE), questions were raised on the evidences and possibilities of meanings inherent in literacy. Relying on historical materialism and contributions from Discourse Analysis based in P?cheux?s work, which relate to the conception of material and historical construction of discourse, and its heterogeneities, to its objective interventional capacities and to the understanding of the work of constant reformulation of ideology of the ruling class, which shows the absorption of movements of resistances and oppositions. To this process of reinforcement to the reproduction of the order of capital, to which it is restricted in circularity and limits the analytical possibilities of this discursive approach, it is possible to approximate its preponderance as a dynamic of daily life, and refers to the possibilities of ethical reflection aiming suspensions and construction of overruns, in a commitment to the assumptions and values contained in the professional CE. To understand the effects of meaning produced from the word Work Management in Health, and terminological substitution act, we returned to the design of the conditions of production to which these articulations and interventions of distinct discursive memories are related. From the meanings denoted by the linguistic materialities at those intersection of work, health and management, it was shown that work and health had the funcionality to produce opposing meanings, generating displacements by associating themselves with the meanings of the management word, to which the maintenance and prevailing functions of capitalism. Thus, the presence of the term management in the new terminology referring to work relations in health involves convergent meanings to the hegemonic processes, at the same time that there is a tension exerted in the direct composition to the terms work and health, including the contradictory processes between paraphrase and polysemy. In a world context where management practices are conformed with neoliberalism, of worsening social conditions and of protection to work, in the discursive process dominant in the Official Discourse (DO) of the period preponderates this operation, to which it is emphasized the importance of the displacements associated to the meanings of work and health, which establish relationship with the historical agenda of health workers, to obtain social support for the actions that resulted in greater capillarization of capital in public establishments. At the same time, it affirms the importance of the struggles that allowed re9 significations and rearticulation of the networks of meaning. This movement is not to justify the adaptive capacities of the dominant ideology, but to consider, according to the Social Work?s CE, the possibilities of acting within the limits of the bourgeois order, to recognize levels of political and social emancipation that guarantee conditions and security of life to the subaltern classes, reiterating them as a relevant part of a compromised project for human emancipation, for which the potentialities of the ethical-political praxis on Marxism bases are recognized. / Este estudo visou a compreender o processo de exsurgimento, no campo da sa?de p?blica brasileira, em especial em 2003, da terminologia Gest?o do Trabalho em Sa?de como substitutiva ao termo Recursos Humanos, tradicionalmente utilizado para referir-se ? for?a de trabalho nas organiza??es. A partir da identifica??o ao Projeto ?tico Pol?tico do Servi?o Social (PEP), formalizado por meio do C?digo de ?tica (CE), elaboraram-se questionamentos ?s evid?ncias e ?s possibilidades de sentidos inerentes ? literalidade. Fundamentando-se no materialismo hist?rico, buscou-se contribui??es da An?lise de Discurso em P?cheux, que se relacionam ? concep??o de constru??o material e hist?rica do discurso, e suas heterogeneidades, ?s suas capacidades interventivas objetivas e ? compreens?o do funcionamento de reformula??o constante da ideologia da classe dominante, a qual apresenta a absor??o de movimentos de resist?ncias e oposi??es. A esse processo de refor?o ? reprodu??o da ordem do capital, ao qual se restringe em circularidade e limita as possibilidades anal?ticas dessa abordagem discursiva, realiza-se a aproxima??o da sua preponder?ncia como din?mica da cotidianidade, ? qual reporta-se ?s possibilidades de reflex?o ?tico-pol?tica visando suspens?es e constru??o de supera??es, em um compromisso aos pressupostos e valores constantes no CE profissional. Assim, para compreens?o dos efeitos de sentido produzidos a partir do enunciado Gest?o do Trabalho em Sa?de, e ? a??o de substitui??o terminol?gica, voltou-se ao delineamento das condi??es de produ??o ?s quais se relacionam estas articula??es e interven??es de mem?rias discursivas distintas. A partir dos sentidos denotados pelas materialidades lingu?sticas em interse??o trabalho, sa?de e gest?o, evidenciou-se que trabalho e sa?de funcionam a produzir sentidos em oposi??o, produzindo deslocamentos ao associarem-se aos sentidos do enunciado gest?o, ao qual preponderam as funcionalidades de manuten??o e reprodu??o do capitalismo. Assim, ? presen?a do termo gest?o na nova terminologia referente ?s rela??es de trabalho na sa?de interv?m sentidos convergentes aos processos hegem?nicos, ao mesmo tempo em que h? uma tens?o exercida na composi??o direta aos termos trabalho e sa?de, compreendendo-se os contradit?rios processos entre par?frase e polissemia. Em um contexto mundial de conforma??o de pr?ticas gerenciais sob o neoliberalismo, de agravamento das condi??es sociais e de prote??o ao trabalho, no processo discursivo dominante no Discurso oficial (DO) do per?odo prepondera esse funcionamento, ao que se salienta a import?ncia dos deslocamentos associados ?s significa??es de trabalho e sa?de, que estabelecem rela??o com as pautas reivindicat?rias hist?ricas dos trabalhadores da sa?de, para a obten??o do apoio social ?s a??es que resultaram em maior capilariza??o do capital nos aparatos p?blicos. Ao mesmo tempo, afirma-se a 7 import?ncia dos processos de lutas e questionamentos que permitiram ressignifica??es e rearticula??o das redes de sentido. Esse movimento n?o est? em justificar as capacidades adaptativas da ideologia dominante, mas em considerar, conforme o CE do Servi?o Social, as possibilidades de atua??o dentro dos limites da ordem burguesa, de reconhecer n?veis de emancipa??o pol?tica e social que garantam condi??es e seguran?a de vida ?s classes subalternas, reiterando-as como parte, relevante, de um projeto compromissado para com a emancipa??o humana, para o qual se reconhecem as potencialidades da pr?xis ?tico-pol?tica em bases marxianas.

Made available in DSpace on 2014-12-17T15:38:41Z (GMT). No. of bitstreams: 1 VanessaABMG.pdf: 453215 bytes, checksum: 24ae84f6ac14ea21a38c45ddaeeb8fed (MD5) Previous issue date: 2008-06-11 / Violence is a complex and multifarious phenomenon that has convoked the government to think about strategies to face the question. This work is about one of these strategies proposed by brazilian Health Minister: the Individual notification/investigation Card - Domestic Violence, Sexual and/or others Interpersonal Violences . This instrument is a notification protocol which is been implanted in all of the country. This process is in course in Natal/RN. This work is a report of one research realized in five units of basic health care network of Natal/RN concerning this process about the implementation of the violence notification card. The study aims to cartography all the process of card implantation, discussing the used strategies, the drawn course, difficulties and possibilities as well as how the researcher intended to map subjective process involved at health professional acting at violence case and the propose to use the card. Meetings were held at each unit and a daily fieldwork report was used as research instrument. In this investigation it was observed that notifying violence involves a complexity that is not present in other kinds of notification as consequence of the phenomenon characteristic and health workers are invited to act in different perspective that knowledge and instruments of traditional health fieldwork available does not work. It was observed that the notification card, as a possible instrument of intervention, are considered important detectors from process of work at health basic care and health policies. Depending the way the instrument is used, it may incentive different discussions and manners to offer health care or in other way it can reproduce control and vigilance logics. Consequently it is necessary to consider some factors pointed out at this experience, implanting instruments like this, thinking about these limits and possibilities / A viol?ncia ? um fen?meno complexo e multicausal que tem convocado o poder p?blico a desenvolver estrat?gias para o seu enfrentamento. O presente estudo versa sobre uma dessas estrat?gias propostas pelo Minist?rio da Sa?de: a Ficha de Notifica??o/Investiga??o Individual Viol?ncia Dom?stica, Sexual e/ou outras Viol?ncias Interpessoais . Tal instrumento se trata de um protocolo de notifica??o que vem sendo implantado em todo o pa?s. Este processo encontra-se em andamento no munic?pio de Natal/RN. Este trabalho ? o relato de uma pesquisa realizada em cinco unidades da rede b?sica de sa?de do munic?pio acerca do processo de implanta??o da ficha de notifica??o da viol?ncia. Teve como objetivos realizar uma cartografia de todo o processo envolvido na implanta??o da ficha, problematizando as estrat?gias utilizadas, o percurso tra?ado, as dificuldades e possibilidades, bem como pretendeu mapear os processos subjetivos que atravessam a atua??o dos profissionais de sa?de frente ?s demandas da viol?ncia e ? proposta de uso deste instrumento. Metodologicamente, foram realizados encontros com cada um dos servi?os e se fez uso de um di?rio de campo. Nessa investiga??o percebeu-se que notificar a viol?ncia envolve complexidades n?o presentes em outros tipos de notifica??es pelas pr?prias caracter?sticas do fen?meno viol?ncia, pois os profissionais s?o convocados a assumirem posturas para as quais os conhecimentos e instrumentos tradicionais em sa?de n?o respondem satisfatoriamente. Percebeu-se que a ficha de notifica??o, enquanto instrumento poss?vel de interven??o, configura-se como um analisador importante dos processos de trabalho da aten??o b?sica e das pol?ticas da ?rea. Dependendo de como for manejado, esse instrumento pode ter a pot?ncia de suscitar novas discuss?es e modos de ofertar sa?de, mas tamb?m de reproduzir uma l?gica de controle e vigil?ncia. Faz-se necess?rio, ent?o, considerar alguns fatores apontados nessa experi?ncia quando da implanta??o de instrumentos como esse, problematizando seus limites e suas potencialidades

Made available in DSpace on 2014-12-17T15:38:44Z (GMT). No. of bitstreams: 1 DaniloCTL.pdf: 443940 bytes, checksum: d43c74f20d1acda992d023f9ea017bd8 (MD5) Previous issue date: 2009-03-13 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This study aims to map the working process in the health area starting from the meeting between the family and health teams and mental trouble carriers./MTC. The area of research was the Family Health Unit of Ozeas Sampaio, which is located in the county of Teresina-PI. As regard to the methodology procedure, we used a semi-structured interview timetable, aimed to detail the care practices, admittance and diagnostics that those teams realize with their users. Three teams of eleven workers each were interviewed. There was a doctor, a nurse and two health community agents in each team. The other tools we used were a camp logbook, in which we wrote down some informal dialogs, daily observations and feelings of the unit, and also the accompaniment of the staffs in house calls as well as the weekly meetings in the unit. Those meetings allowed us the construction of two analytic axes: 1) description of the establishment (Family Health Unit) of the organization, (municipal foundation of health and the service network), and the institutions and practice of health. 2) Analysis of the meetings between the worker and the user of Mental Trouble Carriers. In the first axis, we verified the repetition of the working logic focused on jobs in the hospital with the maintenance of the hierarchical relations between worker and the work processes which dissociate management and watchfulness in health care. We identified the lack of physical structure, the lack of self-confidence of the worker in the attention of the mental health care. At the second axis, we assess that the meetings, at the Family Health Unit (FHU) or at the dwelling of the users cause nuisance, discomfort and anxiety to the workers because they deal with issues that go beyond what is named as being the health order such as life stories, family conflicts, unemployment, hunger, sexual and psychological violence. As a matter of fact, they involve difficulties for having new relationships, reception and responsibility for this request / Esse estudo objetiva cartografar os processos de trabalho em sa?de produzidos a partir dos encontros entre trabalhadores de equipes de Sa?de da Fam?lia e usu?rios portadores de transtornos mentais/PTM s. O campo de pesquisa foi a Unidade de Sa?de da Fam?lia (USF) Ozeas Sampaio, localizada no munic?pio de Teresina-PI. No que concerne aos procedimentos metodol?gicos, utilizamos um roteiro de entrevista semi-estruturado visando cartografar as pr?ticas de cuidado, acolhimento e diagn?stico que essas equipes realizam com esses usu?rios. Foram entrevistados onze trabalhadores de tr?s equipes diferentes, dentre eles um m?dico, um enfermeiro e dois agentes comunit?rios de sa?de de cada equipe. Outras ferramentas utilizadas foram um di?rio de campo, em que registramos di?logos informais, observa??es e sensa??es ocorridas no cotidiano da unidade; e tamb?m o acompanhamento ?s equipes em visitas domiciliares e ?s reuni?es semanais na unidade. Esses encontros possibilitaram a constru??o de dois eixos anal?ticos: 1) Mapeamento do estabelecimento (USF), da organiza??o (Funda??o Municipal de Sa?de e a rede de servi?os) e das institui??es e pr?ticas em sa?de; 2) An?lise dos encontros entre trabalhador e usu?rio PTM s. No primeiro eixo, verificouse a repeti??o da l?gica de trabalho hospitaloc?ntrico, com a manuten??o de rela??es hier?rquicas entre trabalhadores e de processos de trabalhos que dissociam gest?o e aten??o em sa?de. Identificamos a falta de estrutura f?sica, de capacita??o e de empoderamento dos trabalhadores para o cuidado em sa?de mental. No segundo eixo, observamos que os encontros, sejam na USF, sejam nas resid?ncias dos usu?rios, provocam nos trabalhadores inc?modo, desconforto e ang?stia, por lidarem com quest?es que v?o para al?m do que se especifica como sendo da ordem da sa?de, como as hist?rias de vida, conflitos familiares, desemprego, fome, viol?ncia f?sica, psicol?gica e sexual. Fato esse, que implica em dificuldades para cria??o de v?nculos, acolhimento e responsabiliza??o por essa demanda