Made available in DSpace on 2014-12-17T15:39:06Z (GMT). No. of bitstreams: 1 MarianaC_DISSERT.pdf: 567306 bytes, checksum: 98e0c97a228543f71cd01d3b7c71e3cb (MD5) Previous issue date: 2014-01-27 / Universidade Federal do Rio Grande do Norte / The Brazilian Ministry of Health regulated in 2008 the Family Health Support Nucleus (FHSN) as a device for support and complementarity to the Family Health Strategy. The FHSN, through the matrix support, potentiates the Family Health teams on dealing with a great variety of demands and activities that are under their responsibilities. It is structured in teams of professionals from various health specialties, among which is the mental health. In preliminary studies we noticed that the psychologists have been the main representatives of mental health professionals at the FHSN from Rio Grande do Norte (RN-Brazil). On this scenario, this study intends to problematize the professional practice of the psychologists who work at the FHSN teams in RN, regarding how their work is done, discussing it under the perspective of collective health and the directions for the basic health care on Brazilian s health system. Still as a goal, in more specific ways: identify the forms of professional insertion of the psychologists in this field; characterize the work done by the psychologist at the FHSN (developed activities); and produce an analysis of the characteristics and limits of those actions, from theoretical and methodological references based on Marxian ontology. Were performed semistructured interviews with psychologists working in the oldest FHSN teams form RN. We conducted the analysis of the material following the blocks of information: determinants of the psychologist entry at the services, training for current practice; operation of FHSN; activities performed by FHSN team and the psychologist; joint actions; and limits of psychology practice in the FHSN. An important result, we observed the little articulation of practicing between the psychology and other professionals and teams, further indicating the prevalence of the traditional medical model (individual and outpatient) as guidance of their performance instead of the matrix logic that is the foundation of the proposed action for the FHSN. We also emphasize the potential of psychologists actions at the FHSN on contributing to the achievement of comprehensive care / O Minist?rio da Sa?de regulamentou em 2008 o N?cleo de Apoio ? Sa?de da Fam?lia (NASF) como um dispositivo de suporte e complementaridade da Estrat?gia Sa?de da Fam?lia. O NASF, por meio do apoio matricial, potencializa as equipes Sa?de da Fam?lia frente ? grande variedade de demandas e atividades que se encontram sob seu encargo. Estruturam-se em equipes com profissionais de diversas especialidades da sa?de, dentre as quais se encontra a sa?de mental. Em estudos preliminares, observou-se que os psic?logos t?m sido os principais representantes da sa?de mental nos NASF instalados no Rio Grande do Norte. Diante deste quadro, este estudo se prop?e a problematizar a pr?tica profissional dos psic?logos que atuam em equipes NASF no RN, no que se refere aos modelos de atua??o empregados, discutindo-as sob a ?tica proposta pela sa?de coletiva e pelos direcionamentos do SUS para a aten??o b?sica. Objetiva-se ainda, de maneira mais espec?fica: identificar as formas de inser??o profissional do psic?logo neste campo; caracterizar o trabalho exercido pelo psic?logo no NASF (atividades desenvolvidas); e produzir uma an?lise das caracter?sticas e limites dessa a??o, a partir das refer?ncias te?rico-metodol?gicas fundadas na ontologia marxiana. Foram realizadas entrevistas semiestruturadas com psic?logos que atuam nas equipes NASF mais antigas do RN. Realizou-se a an?lise do material seguindo os blocos de informa??o: determinantes da entrada no psic?logo nos servi?os; forma??o para a pr?tica atual; funcionamento do NASF; atividades realizadas pela equipe NASF e pelo psic?logo; articula??o de a??es; e limites da atua??o do psic?logo no NASF. Destaca-se nos resultados obtidos a pouca articula??o do trabalho do psic?logo com outros profissionais e equipes, indicando ainda a preval?ncia do modelo cl?nico tradicional (individual e ambulatorial) como orienta??o da sua atua??o em detrimento da l?gica matricial que ? fundamento da proposta de a??o do NASF. Ressalta-se ainda o potencial da a??o dos psic?logos no NASF, em contribuir para a realiza??o do cuidado integral

Made available in DSpace on 2015-03-13T17:10:55Z (GMT). No. of bitstreams: 1 RaphaelC_DISSERT.pdf: 1901364 bytes, checksum: 85ebf467d310eac30b64a7f180d8d1bc (MD5) Previous issue date: 2014-01-27 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Through the analysis of the informational activity at the primary care of SUS at the scale of places, this dissertation has as central objective to observe the dispute for the concepts of health and sickness, in the ambit of Brazilian Health Movement, featuring, on one hand, the clinic, biomedical or flexnerian line hegemonic, scientifically restrict and the primary frame of references for the Brazilian health politics and on the other hand a multiplicity of new proposals and critic thoughts to the current model, which have , as common characteristic, the worry with a territorial way of thinking the health context, therefore beyond the biological processes. On the first chapter we jut out with details these scientific and ideological movements, on a wider way, but also on the specificities of the public health s information politics. On the second chapter we analyze the downward health information circle at the basic care, observing the operational processes of the information s technical systems SIAB and e-SUS. On the third and last chapter, we give references to think about an upward health information circle, centered on the places, ruled by the notions of autonomy, organic solidarity and communicational density. It would possess, as method s primary horizon, the local organization of production and managing of information through the work of the Health Community Agent, privileging therefore the urgency of the most contingent needs of the people in theirs every day s life / Atrav?s da an?lise da atividade informacional na aten??o B?sica do SUS, ou seja, na escala do lugar, esta disserta??o tem como objetivo central observar a disputa pelo conceito de sa?de e de doen?a no ?mbito da sa?de brasileira, destacando, de um lado, o pensamento cl?nico, biom?dico ou flexneriano hegem?nico, cientificamente restrito e principal quadro de refer?ncia da pol?tica de sa?de no Brasil e do outro lado uma multiplicidade de novas propostas e pensamentos cr?ticos ao modelo vigente que possuem como ponto comum a preocupa??o com a sa?de no contexto supra-biol?gico e, portanto, territorial. No primeiro cap?tulo destacamos com detalhes tais movimentos cient?ficos e ideol?gicos, tanto num sentido mais amplo quanto na dimens?o espec?fica das pol?ticas de informa??o em sa?de do SUS. No segundo cap?tulo, analisamos o c?rculo descendente de informa??o em sa?de na aten??o b?sica, observando o funcionamento dos sistemas t?cnicos de informa??o SIAB e e-SUS. Por fim, no terceiro e ?ltimo cap?tulo, lan?amos refer?ncias para se pensar um c?rculo ascendente de informa??o em sa?de, centrado a partir do lugar e pautado nas no??es de autonomia, solidariedade org?nica e densidade comunicacional, possuindo como principal horizonte metodol?gico a organiza??o local da produ??o e gest?o de informa??o a partir do Agente Comunit?rio de Sa?de, privilegiando dessa forma a urg?ncia das necessidades mais contingente das pessoas em sua vida cotidiana

Made available in DSpace on 2016-04-04T18:29:28Z (GMT). No. of bitstreams: 1 Valdemar Donizeti.pdf: 875191 bytes, checksum: 5e58d297ab7aabcbb231e27939dd96d6 (MD5) Previous issue date: 2006-08-14 / The history of the psychologist's profession, gets confused with this professional's own insert in the field of the attention to the public health and their eventualities. However, still an estrangement prevails between the psychologists' formation in the University and the reality of the public net of health. This situation is also reflected in the shortage of studies regarding the formation in psychology in public health. PUC-Campinas owns one of the pioneering experiences, dated of 1986, in the psychologists' formation in the basic attention, for performance in the Unique System of Health (SUS). This research has intended to apprehend the trainees' in Psychology in Health/Clinic s experiences in activities developed as participants of teams of health of the family in the municipal district of Campinas, validating them in the daily dialogue with the researcher. Six senior students of the degree level in Psychology of PUC-Campinas inserted in two groups of the apprenticeship with activities supervised in two Centers of Health-school located in Northwest area of the town. The attendance of the trainees experiencies by the researcher has began with the ingress on the field expressed in this study in ethnographic manner up to the composition of the data of the research that were produced in two moments: a) Diary of Versions of Sense - weekly registration of subjective synthesis individualy acomplished by six trainees; b) individual interviews, partly structured made by the researcher with each trainee. The depositions and diaries of sense versions were qualitatively analyzed starting from a phenomenological reading. The researcher s phenomenological interpretation enabled an interlocution with similar applications found in data basis. From the meaning analysis of the trainees experiences it was possible to infer: a) the formation of the trainee in a field as public health is first felt as something totally unknown, lived with surprise and a certain embarrassment concerned to the inexperience for the work in team of health of the family; b) on the other hand there is the rapid development of an empathy with the public health field, due to a rewarding living with the technicians team, enabling the birth of affective boundings and of a belonging feeling concerned to the health team; c) really feeling like a psychologist comes from the apprenticeship lived in the team meetings, on the exercise of a clinical practice centered in the collective knowledge and interdisciplinary - denominated enlarged clinic; d) as significant elements, facilitators of professional development are pointed out the home visit, the systematic meeting of the team, the professionals and users diversity, the situations lived in the territory; e) feelings of frustration and displeasure were expressed as resultant of troubles living due to the complexity of some cases, and of the lack of adhesion concerned to clinical attendance offered. This phenomenological view about the formation in service, having the experience of the own trainee as the investigation object translates the intention of the focus on social responsibility of the higher education institutions concerned to the commitment of qualifying professionals to act in the reality of the Brazilian society / A hist?ria da profiss?o do psic?logo, confunde-se com a pr?pria inser??o deste profissional no campo da aten??o ? sa?de p?blica e suas vicissitudes. No entanto, ainda prevalece um distanciamento entre a forma??o de psic?logos na Universidade e a realidade da rede p?blica de sa?de. Esta situa??o tamb?m se reflete na escassez de estudos a respeito da forma??o em psicologia em sa?de p?blica. A PUC-Campinas possui uma das experi?ncias pioneiras, datada de 1986, na forma??o de psic?logos na aten??o b?sica, para atua??o no Sistema ?nico de Sa?de (SUS). Esta pesquisa objetivou apreender as viv?ncias de estagi?rios da ?rea de Psicologia na Sa?de/Cl?nica em atividades desenvolvidas como participantes de equipes de sa?de da fam?lia no munic?pio de Campinas, significando-as no di?logo cotidiano com o pesquisador. Participaram da pesquisa seis estagi?rios do ?ltimo ano do Curso de Gradua??o em Psicologia da PUCCampinas, inseridos em dois grupos de est?gio com atividades supervisionadas em dois Centros de Sa?de-Escola, localizados na regi?o Noroeste do munic?pio. O acompanhamento das viv?ncias dos estagi?rios pelo pesquisador iniciou-se com a entrada no campo, expressa neste estudo de maneira etnogr?fica, at? a composi??o dos dados da pesquisa que foram produzidos em dois momentos: a) Di?rio de Vers?es de Sentido registro semanal de s?nteses subjetivas efetivadas individualmente pelos seis estagi?rios; b) entrevistas individuais, semi estruturadas realizadas pelo pesquisador com cada estagi?rio. Os depoimentos e di?rios de vers?es de sentido foram analisados qualitativamente a partir de uma leitura fenomenol?gica. A interpreta??o fenomenol?gica do pesquisador acerca destes dados possibilitou uma interlocu??o com estudos semelhantes encontrados em bases de dados. A partir da an?lise dos significados das viv?ncias dos estagi?rios foi poss?vel concluir: a) a forma??o do estagi?rio num campo como o da sa?de p?blica ? sentido inicialmente como algo totalmente desconhecido, vivenciado com surpresa e um certo embara?o em rela??o ? inexperi?ncia percebida para este tipo de trabalho em equipe de sa?de da fam?lia; b) por outro lado, desenvolve-se rapidamente uma empatia com o campo da sa?de p?blica, em virtude de uma viv?ncia gratificante com a equipe de t?cnicos, possibilitando a forma??o de v?nculo afetivos e de um sentimento de pertin?ncia ? equipe de sa?de; c) sentir-se realmente como um psic?logo decorre da aprendizagem vivida no cotidiano das reuni?es de equipe, no exerc?cio de uma pr?tica cl?nica centrada no saber coletivo e interdisciplinar denominada cl?nica ampliada; d) como elementos significativos, facilitadores do desenvolvimento profissional, destacaram-se: a visita domiciliar, a reuni?o sistem?tica da equipe, a diversidade de profissionais e de usu?rios, as situa??es vividas no territ?rio; e) sentimentos de frustra??o e descontentamento foram expressos como decorrentes da viv?ncia de dificuldades face ? complexidade de alguns casos, e ? falta de ades?o dos pacientes em rela??o aos atendimentos cl?nicos disponibilizados. Esta leitura fenomenol?gica acerca da forma??o em servi?o, tendo como objeto de investiga??o a viv?ncia do pr?prio estagi?rio, traduz a inten??o de colocar em foco a responsabilidade social das institui??es de ensino superior em rela??o ao compromisso de capacitar profissionais para atuar na realidade da sociedade brasileira

Submitted by Fernanda Ciolfi (fernanda.ciolfi@puc-campinas.edu.br) on 2016-04-07T18:23:11Z No. of bitstreams: 1 Heidy Joahanna Garrido Pinzon.pdf: 1919376 bytes, checksum: aaaacf762cb9a911de4a979c7a12c936 (MD5) / Made available in DSpace on 2016-04-07T18:23:11Z (GMT). No. of bitstreams: 1 Heidy Joahanna Garrido Pinzon.pdf: 1919376 bytes, checksum: aaaacf762cb9a911de4a979c7a12c936 (MD5) Previous issue date: 2016-02-29 / The purpose of this research was to analyze the experiences of workers enrolled in the health systems of Colombia and Brazil, taking into account the interesting fact that these two health systems emerged from opposing guidelines. On one hand, among the countries which suffered the intense economic crisis of the 1980?s, Colombia was unified in the most rigorous and systematic model because of hegemonic sanitary controls required by the World Bank and the International Monetary Fund On the other hand, in Brazil, which also experienced the economic crisis, it was possible the creation of the Unified Health System (SUS ? Portuguese acronym), as a product of demands of popular movements, managing to establish health as a right of all citizens, which was written into the Federal Constitution of 1988. Thus, the SUS was born in the midst of the economic crisis of 1980, in a neoliberal scenario, in opposition to capitalist tendencies which were characterized by the search for new markets in the health sector, a tendency completely adopted by Colombia. Given this context, the present study aimed to understand the common experiences of basic care workers in Colombia and Brazil, against the capitalist logic. Based on the Social Psychology of Work?s approach, this research is qualitative in nature and has empirical style. It was developed by analyzing reflexive interviews of two groups of workers belonging to healthcare and administrative sectors of the Basic Attention: one in Bucaramanga, Colombia and the other in Campinas, Brazil. Content Analysis was used for the analysis process, which is understood as a set of research techniques, which aims to find sense or senses manifested in more diverse forms of communication. In the course of this investigation it was revealed that, in both countries, the main experiences of the health professionals, determined by neo-liberal logic, are related to the transformations introduced in the labor conditions and relations, and also in the organization of work. In the Colombian context, we find that the main problems presented by those interviewed have their origins in the transition process introduced by those reforms which gave rise to its current health care system. Such problems are reflected, mainly, in the deterioration of relations with patients, as well as, in the detriment of the configuration of the work teams, forced to live divided by the stark contrast between different contractual relations. This condition, which eventually causes an inherent difficulty to generate cohesion within the working groups, also appears in the Brazilian context, as a result of outsourcing, which has come to constitute an effective mechanism to weaken the SUS, to facilitate its waning and to place it on a path pointing in the direction of the current Colombian health system. Finally, in the two studied stages, this panorama of job insecurity, permeated by instability, intensification of responsibilities and overworked employees, reduction in wages, among others, has generated major consequences to the life and health of the workers, which are reflected in the deterioration of their mental and physical health, in the lack of social recognition, the deterioration of ethics and morality, also in some cases, even in constraints for the construction of a life project. / A presente pesquisa visa a analisar as viv?ncias de trabalhadores dos Sistemas P?blicos de Sa?de da Col?mbia e do Brasil, tendo-se em vista que esses dois casos ganham interesse de estudo por exemplificarem sistemas de sa?de cujo surgimento se d? a partir de diretrizes opostas. Por um lado, tem-se a Col?mbia que, dentre os pa?ses latino-americanos a sofrer a intensa crise econ?mica da d?cada de 1980, foi aquele que incorporou de maneira mais rigorosa e sistem?tica os crit?rios centrais do modelo hegem?nico das reformas sanit?rias estabelecidos pelo Banco Mundial e pelo Fundo Monet?rio Internacional. Por outro, observa-se a situa??o do Brasil, que tamb?m experimentou a crise econ?mica, onde foi poss?vel a cria??o do Sistema ?nico de Sa?de (SUS), produto das exig?ncias dos movimentos populares os quais conseguiram estabelecer a sa?de como um direito de todos os cidad?os, legitimando-se na Constitui??o Federal de 1988. Toma-se em considera??o, ent?o, como nasce o SUS, num cen?rio neoliberal em meio da crise econ?mica de 1980, em oposi??o a tend?ncias imperialistas que se caracterizavam pela busca de novos mercados no setor sa?de, enquanto a Col?mbia se subjugou totalmente a elas. Levando em conta esse contexto, o estudo aqui apresentado teve como objetivo compreender as viv?ncias de trabalhadores da Aten??o B?sica dos Sistemas P?blicos de Sa?de da Col?mbia e do Brasil, frente ? l?gica capitalista. Baseada no enfoque da Psicologia Social do Trabalho, esta pesquisa ? de natureza qualitativa e de tipo emp?rico. Desenvolveu-se mediante a realiza??o de entrevistas reflexivas em profundidade, com dois grupos de trabalhadores da Aten??o B?sica de n?vel assistencial e administrativo: um em Bucaramanga, Col?mbia e, outro, em Campinas, Brasil. Para o processo de an?lise, elegeu-se utilizar a An?lise de Conte?do, a qual ? compreendida como um conjunto de t?cnicas de pesquisa cujo objetivo ? a busca do sentido ou dos sentidos manifestos nas mais diversas formas de comunica??o. O percurso desta pesquisa revelou que, em ambos os pa?ses, as principais viv?ncias dos profissionais da sa?de, determinadas pela l?gica neoliberal, est?o relacionadas com as transforma??es introduzidas nas condi??es, rela??es e organiza??o do trabalho. No contexto colombiano estudado, identificamos a origem das problem?ticas centrais apresentadas pelos entrevistados no processo de transi??o induzido pela reforma que constituiu seu atual sistema de sa?de. Essas problem?ticas se traduzem, essencialmente, na deteriora??o das rela??es com os usu?rios, bem como na configura??o das equipes de trabalho, marcadas pelo contraste entre pessoas com diferentes v?nculos empregat?cios. Esta ?ltima condi??o, empecilho para a coes?o dos grupos de trabalho, tamb?m ? observada no contexto brasileiro pesquisado, como produto da terceiriza??o, que parece ter se tornado um efetivo mecanismo para enfraquecer o SUS, facilitar seu desmonte e coloc?-lo no mesmo caminho atualmente percorrido pelo sistema de sa?de colombiano. Por fim, exp?e-se como, nos dois cen?rios estudados, tal panorama de precariedade do trabalho, permeado pela instabilidade, intensifica??o e sobrecarga laboral, pela redu??o de sal?rios, dentre outros fatores, tem ocasionado graves consequ?ncias para a vida e a sa?de dos trabalhadores, que se refletem na degrada??o de sua sa?de f?sica e mental, na falta de reconhecimento social, na deteriora??o da ?tica e da moral e nas restri??es para a constru??o de um projeto de vida.