Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2015-01-27T13:39:15Z No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Dissertação - Arlene de Sousa Barcelos Oliveira - 2014.pdf: 1165142 bytes, checksum: 76892ab70b2cd4ea4bff530400661aeb (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2015-01-28T11:17:06Z (GMT) No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Dissertação - Arlene de Sousa Barcelos Oliveira - 2014.pdf: 1165142 bytes, checksum: 76892ab70b2cd4ea4bff530400661aeb (MD5) / Made available in DSpace on 2015-01-28T11:17:06Z (GMT). No. of bitstreams: 2 license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Dissertação - Arlene de Sousa Barcelos Oliveira - 2014.pdf: 1165142 bytes, checksum: 76892ab70b2cd4ea4bff530400661aeb (MD5) Previous issue date: 2014-07-31 / “Pronto Sorriso” is an open core course of the medical school at Federal University of Goias, with the mission of holistic training of academics through entertainment and performing arts, prompting the creation of the hospital clown, and other recreational activities. Objective: To analyze the influence of “Pronto Sorriso” as a tool for humanistic training of academic medicine in the hospital environment. Materials and Methods: A qualitative, exploratory, cross imprint study involving graduate students of the Faculty of Medicine of the Federal University of Goias who participated in “Pronto Sorriso” in 2012/2013. Data were collected through recorded interviews, using a questionnaire as a tool and a roadmap for a semi-structured interview, which was conducted with the participants of the course and healthcare professionals of the university hospital, seeking to identify the perceived influence of “Pronto Sorriso” in academic training. To analyze results, Bardin’s content analysis technique was used. Results: The sample consisted of 30 participants, 20 being medical students, and ten health professionals in a pediatric unit of Hospital das Clinicas of UFG, who signed the consent form. The average age of students was 19 years, with a predominance of single and female. For healthcare professionals, the average age was 42 years and with over 10 years experience in the research institution. We chose to analyze the interviews in two separate groups: interviews of medical students and interviews with health professionals active in the pediatric unit of the teaching hospital. Conclusion: The study concludes that “Pronto Sorriso” is an instrument of humor providing humanistic training in medicine as well as transformation of the hospital, and provides knowledge and development of skills related to medical clowns. / O Pronto Sorriso é uma disciplina de núcleo livre do curso de medicina da Universidade Federal de Goiás, que tem como missão atuar na formação holística dos acadêmicos permeando o lúdico e as artes cênicas proporcionando a criação do palhaço de hospital e atividades lúdicas. Objetivo: Analisar a influência do Pronto Sorriso como instrumento de na formação humanística do acadêmico de medicina no ambiente hospitalar. Materiais e Métodos: Pesquisa qualitativa de cunho exploratório, transversal, com estudantes de graduação da Faculdade de Medicina da Universidade Federal de Goiás que participaram do Pronto Sorriso em 2012/2013. Os dados foram coletados por meio de entrevistas gravadas, usando como instrumento um questionário e um roteiro de entrevista semi-estruturada, que foi aplicado aos participantes da disciplina e aos profissionais de saúde do hospital escola, com conteúdo que buscava identificar a percepção da influencia do Pronto Sorriso na formação do acadêmico. Para análise dos resultados foi utilizada a técnica de analise de conteúdo de Bardin. Resultados: A amostra foi composta por trinta participantes sendo, vinte acadêmicos de medicina e dez profissionais das áreas de saúde da unidade pediátrica do Hospital das Clinicas da UFG, e que assinaram o TCLE. A média da faixa etária dos acadêmicos foi de 19 anos, com predominância dos solteiros e do sexo feminino. Quanto aos profissionais de saúde a idade média era de 42 anos e com mais de 10 anos de atuação na instituição da pesquisa. Optou-se por analisar as entrevistas separadas em dois grupos: entrevistas dos acadêmicos de medicina e entrevistas dos profissionais de saúde atuantes na unidade pediátrica do hospital escola. Conclusão: concluí-se que o Pronto Sorriso é um instrumento do humor na formação humanística do acadêmico de medicina bem como na transformação do ambiente hospitalar e propiciou conhecimentos e desenvolvimento de habilidades referentes à atuação dos doutores palhaços.

I Barn- och ungdomsklinikens strävan efter barnanpassad vård har behandlingssituationer framför allt identifierats som en utmaning, där det medicinska perspektivet ibland bedöms vara överordnat det barnrättsliga. Forskning och evidens visar att när sjukhusclowner och medarbetare samverkar i behandlingar och procedurer minskar barnens oro, stress och smärta och trygghet, delaktighet och självbestämmande ökar. Syftet med förbättringsarbetet är att förbättra samverkan mellan sjukhusclowner och medarbetare och därigenom bidra till och stärka barnanpassad vård. Utifrån detta sattes ett mål om att öka samverkan från 16%-75%. Syftet med studien är att undersöka möjligheter och hinder mellan sjukhusclowner och medarbetare i barn- och ungdomssjukvården för en hållbar samverkan. Två förändringsidéer har arbetats med; skriva en rutin för samverkan och skapa en e-utbildning. Förbättringsarbetets metod utgår från mikrosystemet och beskrivs genom förbättringsrampen. Studien är kvalitativ och har använt tematisk innehållsanalys med induktivansats. Patientens röst kommer från resultatet av strukturerade intervjuer som genomfördes med 15 barn i åldrarna 0–15 år och deras föräldrar. Övrigt insamlat material kommer från enkäter till medarbetare, en fokusgrupp och fyra djupintervjuer med medarbetare och sjukhusclowner.Målet på 75% samverkan nåddes under mars. Det resultatet visar är att information, kommunikation och workshops gett önskad effekt. Studiens resultat lyfter fram två teman med vardera två kategorier. Det första temat berör gemensamma incitament som knyter samman grupper, med kategorierna värdet av ett reflekterande arbetssätt och uppbyggnad av gemensam kunskap. Det andra temat är hållbarhet i förbättringsarbete, med kategorierna förbättrad systematik och struktur och tillgänglighet och trygghet.Slutsatsen är att informanterna anser att den barnanpassade vården stärks när sjukhusclowner och medarbetare samverkar i behandlingar och procedurer. Sjukhusclownernas tillgänglighet ses som det största hindret för samverkan. För att skapa en gemensam kunskapsgrund och hållbarhet i förbättringsarbetet behöver det interprofessionella lärandet och arbetet stärkas genom bl.a. användandet och skapandet av nya och befintliga forum. / In the striving for child-friendly care, treatment situations have above all been identified as a challenge, where the medical perspective is sometimes judged to be superior to childrens rights. Research and evidence show that when hospital clowns and staff collaborate in treatments and procedures, children's anxiety, stress and pain decrease and security, participation and self-determination increase.The purpose of the improvement work is to improve collaboration between hospital clowns and employees and thereby contribute to and strengthen child-friendly care. Based on this, a goal was set to increase collaboration from 16% -75%. The purpose of studies is to investigate opportunities and prevent between hospital clowns and employees in child and adolescent health care for a sustainable collaboration. Two ideas for change have been worked on; write a routine for collaboration and create an e-learning.The method of improvement work is based on the microsystem and is described through the improvement ramp. The study is qualitative and has used thematic content analysis with an inductive approach. The patient's voice comes from the results of structured interviews conducted with 15 children aged 0–15 years and their parents. Other material collected comes from surveys of employees, a focus group and four in-depth interviews with employees and hospital clowns.The target of 75% collaboration was reached in March. The results that shows is that information, communication and workshops have the desired effect. The results of the study highlight two themes, each with two categories. The first theme concerns common incentives that connect groups, with the categories the value of a reflective approach and the building of common knowledge. The second theme is sustainable in improvement work, with the categories improved systematics, structure and accessibility and security.The conclusion is that informants believe that child-friendly care strengthens when hospital clowns and staff collaborate in treatments and procedures. The availability of hospital clowns is seen as the biggest obstacle to collaboration. In order to create a common knowledge base and sustainability in the improvement work, interprofessional learning and work need to be strengthened through e.g. the use and creation of new and existing forums.