Submitted by Mario Mesquita (mbarroso@fiocruz.br) on 2014-10-14T18:11:18Z No. of bitstreams: 1 Isis Pereira Coutinho.pdf: 2318853 bytes, checksum: cde36d58c332b405c18454bb28818d95 (MD5) / Approved for entry into archive by Mario Mesquita (mbarroso@fiocruz.br) on 2014-10-14T18:11:40Z (GMT) No. of bitstreams: 1 Isis Pereira Coutinho.pdf: 2318853 bytes, checksum: cde36d58c332b405c18454bb28818d95 (MD5) / Made available in DSpace on 2014-10-14T18:11:40Z (GMT). No. of bitstreams: 1 Isis Pereira Coutinho.pdf: 2318853 bytes, checksum: cde36d58c332b405c18454bb28818d95 (MD5) / Fundação Oswaldo Cruz. Escola Politécnica de Saúde Joaquim Venâncio. Laboratório do Trabalho e da Educação Profissional em Saúde / A presente dissertação tem como objetivo identificar, a partir da percepção dos trabalhadores técnicos em radiologia, como a qualificação influencia nas práticas de saúde e segurança no Trabalho. Partindo do pressuposto de análise “Qualificação”, campo que pretende avaliar não apenas a educação escolar, mas também a maneira como a sociedade percebe um determinado trabalho como “qualificado”, procurou-se verificar em que medida tal percepção social reflete nas trajetórias formativas, nas formas de inserção no mercado de trabalho e na remuneração dos trabalhadores. Associado a isso, pretende-se também refletir à luz do Campo da Saúde do Trabalhador, a carga às quais estão submetidos os trabalhadores técnicos em radiologia no interior dos serviços de saúde. Na constituição destas duas temáticas associadas, o trabalhador tem um papel primordial, através do seu conhecimento sobre o cotidiano do serviço, na construção de espaços ocupacionais que considerem as prerrogativas de saúde e segurança no trabalho como prioridade ao exercício profissional. Assim, a partir dos elementos que os trabalhadores técnicos em radiologia trazem para esta pesquisa, poderemos observar indícios de como a formação e o trabalho confluem para a produção de um trabalho qualificado e atento à saúde ocupacional dos trabalhadores. / The aim of the thesis is to identify how the idea of qualification influences on Work Health and Safety practices concerning radiology technicians. The analytic starting point is the concept of “Qualification”; field that takes into consideration not only the level of education a work requires but also how a society understands a specific occupation as a “qualified job”. The thesis intended to verify - using as its basis the field of Workers Health - to what extent the social perception reflects on the learning trajectories, the entry into employment, and the salaries earned. Moreover, the thesis ponders on the workload the radiology technicians are submitted to in the context of the Health Services. When these two matters are associated it is possible to understand the relevance of these workers - as subjects who hold the specific knowledge - on the occasion of the construction of work spaces in which the prerogatives of Work Health and Safety are considered priorities. Therefore, it is based on the information given by radiology technicians that it is possible to examine how education and work converge to the production of a true “qualified job”, one which gives importance to the occupational health.

Mycoplasma pulmonis e Mycoplasma arthritidis são espécies frequentemente isoladas de animais de laboratório (ratos), causando prejuízos e alteração em resultados de pesquisa que utilizam tais animais. O Mycoplasma pulmonis coloniza principalmente o trato respiratório, nasofaringe e ouvido médio de murinos e causa micoplasmose respiratória murina (MRM). A principal via de transmissão é horizontal, o que facilita a disseminação deste agente para os demais ambientes do biotério e também para seus funcionários. O Mycoplasma arthritidis pode ser isolado da orofaringe destes animais, mas sua ocorrência natural é rara. Os micoplasmas geralmente são espécie-específicos embora algumas espécies possam ser encontradas em diferentes hospedeiros. O objetivo deste trabalho foi o isolamento Mycoplasma pulmonis e Mycoplasma arthritidis em ratos de laboratório e a detecção destas espécies por meio da PCR em ratos e funcionários de diferentes biotérios. Foram positivas para Mycoplasma pulmonis 144 (60%) amostras de lavado traqueal de ratos na cultura e 155 (64,58%) pela PCR espécie especifica. Mycoplasma arthritidis não foi isolado e detectado em nenhuma amostra analisada. M. pulmonis foi detectado em quatro (10%) amostras de funcionários que não mantinham contato direto com os ratos, sendo uma do biotério 1 e três do biotério 4. Dos bioteristas que mantinham contato direto, 24 (77,4%) foram negativos nas duas coletas, 4 (12,9%) foram positivos após o manejo dos animais, 2 (6,5%) foram positivos em ambas as coletas e 1 (3,2%) foi positivo somente antes da higienização das caixas. Estes resultados mostram que pessoas que trabalham em biotérios estão expostas a tal agente podendo servir como veículo de transmissão / Mycoplasma pulmonis and Mycoplasma arthritidis are species usually isolated from laboratory rats, causing losses and modifying results of research that use such animals. Mycoplasma pulmonis inhabit primary the respiratory tract, nasopharynx, and middle ear of murines causing the murine respiratory mycoplasmosis (MRM). In general, aerosols perform the transmission, which allows the spreading of this agent to all facilities departments and to technicians. Mycoplasma arthritidis can be recovered from the oropharynx of these animals, but its occurrence is rare. Mycoplasmas usually exhibit a rather strict host and tissue specificity, probably reflecting their nutritionally exacting nature and obligate parasitic mode of life. However, there are numerous examples of the presence of mycoplasmas in hosts and tissue different from their normal habitats. The aim of this study was to recovery Mycoplasma pulmonis and Mycoplasma arthritidis from laboratory rats and detection of these species by PCR in rats and technicians from distinct facilities. 144 (60%) samples of tracheal washed of rats were positives in culture to Mycoplasma pulmonis and 155 (64,58%) by specific PCR. Mycoplasma arthritidis was nor isolated, neither detected in any samples. M. pulmonis was detected in four (10%) of the samples collected from the technicians who did not maintain direct contact with rats, being one sample from facility 1 and three samples from facility 3. Regarding to technicians who keep direct contact, 24 (77,4%) were negatives on the two collects, 4 (12,9%) were positives after manipulating animals, 2 (6,5%) were positives in both collects, before and after treatment of animals and 1 (3,2%) was positive before cleaning the boxes. These results showed that people who work in facilities are exposed to this agent and can become a revervoirs of infection

Magister Public Health - MPH / In response to the increasing burden with regard to treatment of HIV/AIDS in Mozambique, the Ministry of Health has developed a national strategic plan for HIV and AIDS. This provided for broader access to Antiretroviral Therapy (ART) by decentralizing and integrating ART services into the essential services provided at the primary care level. In keeping with this initiative,medical technicians are now responsible for first-line ART prescription and management at primary-level care health centres in the country. The ART programme was introduced in Mozambique in 2003 alongside other health services offered in hospitals; it was decentralized to PHC health centres in 2006.This study aimed to explore the experiences and perceptions of medical technicians regarding the decentralization and integration of ART services into PHC health centres in Beira. An exploratory qualitative study was conducted using in-depth interviews, key informant interviews and focus group discussions. A sample of 15 medical technicians was distributed across two focus groups for the purpose of discussion. In addition there were four in-depth individual follow-up interviews with four medical technicians, drawn from the two focus groups. Three key informant interviews were also held to collect data. The data was analysed using content analysis.The study revealed that the decentralization process was viewed by many of the medical technicians as a very positive initiative for the country. However a number of operational and managerial issues need to be addressed to ensure the effectiveness of the comprehensive approach that was institutionalized and adopted by all PHC health centres. Key amongst the issues that needed to be addressed were the workloads of the health care personnel, and of medical technicians in particular. Their workloads have increased without any corresponding increase in the health workforce needed to manage the patient load. The medical technicians felt that this adversely affected the quality of care they were able to provide to patients, and specifically to those requiring ART medication. The recommendations that emerge from the study are intended to promote the development of policy that will improve of working conditions and assist medical technicians to provide a better service to their patients.

<p dir="ltr">The study investigated the epistemological gaps of Nigerian auto-repair technicians in Mowe, Ogun State Nigeria. The way their knowledge levels correlate with factors such as age, experience, education, and professional development pathways were analyzed. The study explored the conditions for bridging auto-repair epistemology. The study used a questionnaire based on the National Institute Automotive Service Excellence (ASE) 2021 study guide test questions. Fifty-four auto repair technicians were selected using purposive sampling. Correlational research design was used to explore the relationship between the knowledge of participants and age, education, experience, and professional development pathway. Logistic regression was used to analyze the data collected to determine the odds of how many ASE questions a participant answered correctly. The final logistic regression model excluded experience and professional pathways due to multicollinearity concerns. The results revealed negative correlations between age, elementary/high school education, and epistemology, while positive correlations were with higher education and epistemology. The discussion delved into nuances, challenging common beliefs, and proposed a composite apprenticeship model to bridge auto-repair epistemological gaps. Recommendations include revisiting the Nigerian education system and promoting a bidirectional, delocalized apprenticeship approach.</p>

Since the advent of democracy in 1994 South Africa has been faced with the shortage of skilled people and this is caused, amongst other things, by the inadequacy of the outdated National Education Programmes for Technical Colleges (NATED) and later referred to as the N-programmes. To address the problem, the former Department of Education (DoE) developed new programmes called the National Certificate Vocational NC (V) for the students of the Further Education and Training colleges (FETs), which were renamed the Technical Vocational Educational and Training Colleges (TVET). The TVET programmes were implemented with the collaboration of industry and other stakeholders who were involved when the NC (V) programmes were developed to ensure their buy-in. Despite all these efforts, Magnus et al. (2013) are of the view that the vocationally-oriented NC (V) programmes offered at colleges are not useful, work-focused and flexible, as a result some leading employers reject the products of the programmes. Returning to the global debate, Lewis (2009) contends that failure of vocational programmes anywhere ought not to be taken as an indictment of vocationalism. Based on the above scenario, this study surveyed and traced TVET graduates who graduated from 2009 to 2012, to determine the impact of the NC (V) programme on those who decided to either further their studies or be employed. Although the programmes offered by the FET’s are rolled out in various study fields throughout the country, the research was limited to graduates who were enrolled in the following three programmes in the North West Province: building construction, electrical, and engineering related studies. The three mega FET Colleges, composed of more than ten campuses as listed in point 1.2.1, are spread throughout the province, which is regarded to be predominantly rural even though it boasts the biggest hub of mines, especially platinum mines. There is also high concentration of tourism industry as well as agricultural businesses that require a skilled labour force to drive economic activities. An extensive literature review was conducted to appropriately inform the study and to provide a firm basis for the arguments. The NC (V) programmes by their nature and design are closely related to the work of the Sector Education and Training Authorities (SETAs) with respect to the apprenticeships and the learnerships. Factors relating to the research scope, context and the geographical environment were analysed to ensure proper delineation and delimitation of the study since it covered only the North West Province of South Africa. The study used both qualitative and quantitative research methodologies for the collection of data. An interview schedule was used for the collection of the qualitative data from the Colleges, Department of Higher Education and Training, the Sector Education and Training Authorities (SETAs), the Universities of Technologies (UoTs), and the various employer organizations. The questionnaire was applied to collect quantitative data from the graduates because of their large numbers. The use of both methods, the qualitative and quantitative, enhanced the quality of the verification and the validation of the data. The correlational relationship and connection between the NC (V) graduates and their post college destinations was determined. This refers to the correlation between NC (V) graduates and the opportunities seized after their college studies. Charles (1998:11) attests that “although in most cases data for correlation studies are obtained through measurement, at times they come from judgments made by researchers, teachers, or other qualified persons”. In line with this, the researcher presented the findings from the qualitative method in a manner that outlines the opinions and the post college status of the graduates. The findings of the qualitative method provided background knowledge into the NC (V) programmes, the graduates and their destinations, thereby validating the quantitative findings. A work integrated learning framework model is proposed for the enhancement of the FET College curriculum, for the improvement of quality work-placement and for the promotion of partnership amongst the beneficiaries; graduates, employers, colleges and the intermediaries. / Educational Leadership and Management / D. Ed. (Education Management)

Submitted in fulfillment of the requirements for the Degree Masters of Health Sciences in Emergency Medical Care, Durban University of Technology, Durban, South Africa, 2016. / Clinical practicum remains an integral part of training and a vital component of the emergency medical care curriculum that takes place in a realistic and complex emergency care environment. Clinical practicum should provide students with the opportunity to combine cognitive, psychomotor and affective skills to develop competencies to prepare the qualifying practitioner for demands of pre-hospital emergency care in the real world. The aim of this study was to explore the multidimensional aspects of the clinical practicum experience of ALS paramedic students in the Western Cape through the lens of a qualitative research design. The study involved exploring the experience of paramedic students in the clinical practice placement. In addition, the views of paramedic graduates were also explored, to ascertain whether the placement experience adequately prepared them for practice. An analysis of the clinical practice documents utilised in the training of ALS paramedic students was conducted with particular reference to identify correlations with relevant literature. In addition, it was necessary to identify how clinical practice manifested itself, not only in what students and graduates express but also how it was coordinated and conveyed in a professional work related context, against the backdrop of the work integrated learning framework. Using a case study design, focus group interviews were conducted with final year EMC students from CPUT and CCA students from the Western Cape CEC. This was followed with one on one interview with paramedic graduates. Further to this, clinical practice documents were analysed to triangulate the data. This study revealed that the clinical practice learning objectives for paramedic students were not adequately achieved and paramedic graduates felt ill prepared for independent practice. These discrepancies were attributed to the complex issues both in theory and practice. The study provided a number of recommendations for improving the clinical training experience, such that paramedic graduates who enter the complex and challenging world of EMC are better prepared. / M

Um tema pouco estudado na literatura, mas frequentemente encontrado por empresas prestadoras de serviço, é o Problema de Escalonamento de Técnicos de Campos (Field Technician Scheduling Problem). O problema consiste em associar um número de tarefas - em diversos locais, com diferentes prioridades e com janelas de tempo - a uma quantidade de técnicos - com diferentes horários de expediente e com habilidades distintas - que saem no início do horário de trabalho da sede da empresa, para onde devem retornar antes do fim do expediente. Cada tarefa é atendida por um único técnico. Esse problema é estudado neste trabalho. A primeira parte do trabalho apresenta um modelo de programação linear inteira mista (PLIM) e, dada a complexidade do problema, heurísticas construtivas e meta-heurísticas foram desenvolvidas. Na função objetivo, procura-se principalmente maximizar o número ponderado de tarefas executadas em um dia de trabalho, de acordo com as suas prioridades. Em linhas gerais, as heurísticas construtivas ordenam as tarefas de acordo com um critério pré-estabelecido e, em seguida, designam cada uma a um dos técnicos capazes de realiza-la sem violar as restrições do problema. Tendo em conta o bom desempenho obtido em outros problemas semelhantes, foi adotado um Algoritmo Genético denominado Biased Random-Key Genetic Algorithms (BRKGA), que utiliza chaves aleatórias para codificar e decodificar as soluções. Codificadores e decodificadores adaptados ao problema foram desenvolvidos e testes computacionais são apresentados. As soluções obtidas em problemas de pequenas dimensões são comparadas com as soluções ótimas conhecidas e, para aprimorar a avaliação do desempenho nas instâncias médias e grandes, quatro procedimentos para obter limitantes superiores foram propostos. Testes computacionais foram realizados em 1040 instâncias. O BRKGA encontrou 99% das 238 soluções ótimas conhecidas e, nas 720 instâncias de dimensões médias e grandes, ficou em média a 3,8% dos limitantes superiores. As heurísticas construtivas superaram uma heurística construtiva da literatura em 90% das instâncias. A segunda parte do trabalho apresenta uma nova abordagem para o Problema de Escalonamento de Técnicos de Campo: um modelo biobjetivo, onde uma segunda função objetivo buscará que as tarefas prioritárias sejam realizadas o mais cedo possível. Uma versão multiobjectivo do BRKGA foi desenvolvida, considerando diversas estratégias para classificar a população do algoritmo e escolher as melhores soluções (estratégias de elitismo). Codificadores e decodificadores foram criados para o problema multiobjectivo. Os resultados computacionais obtidos são comparados com os resultados de um Algoritmo Genético conhecido na literatura, o Nondominated Sorting Genetic Algorithm II (NSGA II). Para instâncias de pequenas dimensões, os resultados da meta-heurística proposta também são comparados com a fronteira ótima de Pareto de 234 instâncias, obtidas por enumeração completa. Em média, o BRKGA multiobjectivo encontrou 94% das soluções da fronteira ótima de Pareto e, nas instâncias médias e grandes, superou o desempenho do NSGA-II nas medidas de avaliação adotadas (porcentagem de soluções eficientes, hipervolume, indicador epsílon e cobertura). / An important topic in service companies, but little studied until now, is the field technician scheduling problem. In this problem, technicians have to execute a set of jobs or service tasks. Technicians have different skills and working hours. Tasks are in different locations within a city, with different time windows, priorities, and processing times. Each task is executed by only one technician. This problem is addressed in this thesis. The first part of the research presents the mixed integer linear programming model (MILP) and, due to the complexity of this problem, constructive heuristics and metaheuristics were proposed. The objective function is to maximize the sum of the weighted performed tasks in a day, based on the priority of tasks. In general terms, in the proposed constructive heuristics, jobs are ordered according to a criterion and, after that, tasks are assigned to technicians without violating constraints. A Genetic Algorithm (the Biases Randon Key Genetic Algorithm - -RKGA) is applied to the problem, based on its success in similar problems; the BRKGA uses random keys and a decoder transforms each chromosome of the Genetic Algorithm into a feasible solution of the problem. Decoders and encoders adapted to the problem were developed and computational tests are presented. A comparison between the solutions of the heuristic methods and optimal solutions values was also conducted for small instances and, to analyze medium and large instances, four upper bound models were proposed. Computational experiments with 1040 instances were carried out. The BRKGA reached 99% of the 238 optimal solutions and, for 720 medium and large instances, the average upper bound gap was 3,8%. Constructive heuristics overcame a heuristic of the literature in 90% of the instances. The second part of this research presents a new approach of the Field Technician Scheduling Problem: a multiobjective model, with a second objective function to execute the priority tasks as soon as possible. A multiobjective BRKGA was developed, with different strategies to classify the Genetic Algorithm population and to select the elite solutions (elite strategies). Decoders and encoders were developed for the multiobjective problem too. The results were compared with a known Genetic Algorithm, the Nondominated Sorting Genetic Algorithm II (NSGA II). For 234 small instances, the results were compared with the Pareto optimal solutions, obtained by complete enumeration. On average, the BRKGA found 94% of the Pareto optimal solutions and, for 720 medium and large instances, outperformed the NSGA-II by means of the measures adopted (percentage of efficient solutions, hypervolume, epsilon and coverage).

A temática deste estudo trata da prática de enfermagem de trabalhadores de nível médio que atuam em serviços da rede de atenção básica à saúde a partir de meados da década de 1990. Foi desenvolvido com os objetivos de caracterizar o processo de trabalho dos auxiliares e técnicos de enfermagem de uma unidade básica de saúde, do município de Ribeirão Preto - São Paulo, na perspectiva da integralidade da atenção, caracterizar o perfil sócio demográfico dos auxiliares e técnicos de enfermagem integrantes deste serviço de atenção básica à saúde, analisar a concepção destes trabalhadores de enfermagem de nível médio sobre os elementos constitutivos do processo de trabalho na atenção básica à saúde e identificar e analisar os aspectos dificultadores e facilitadores para desenvolver o processo de trabalho na perspectiva da integralidade. Constituiu-se em um estudo de natureza descritiva e abordagem qualitativa. Para a coleta de dados, optamos pela observação participante e entrevista semiestruturada. Participaram deste estudo 10 auxiliares de enfermagem e 02 técnicos de enfermagem e, para a análise dos dados obtidos, utilizou-se a análise temática. No decorrer da análise foi possível identificar duas distintas composições no processo de trabalho destes agentes, sendo que encontramos de modo predominante a organização do processo de trabalho para atender pessoas com necessidade de enfrentar doenças/problemas de saúde, mas também encontramos potencialidades para o desenvolvimento do processo de trabalho na direção da integralidade da atenção. Concluiu-se que, diante do esgotamento dos recursos disponíveis na atenção básica à saúde e do sentimento de impotência no ato de cuidar, estes trabalhadores têm procurado estratégias para tentar ajudar ao usuário que procura o serviço de saúde com problemas que não se enquadram àqueles solucionáveis com consulta médica, medicamentos ou procedimentos técnicos. Considera-se ser necessário introduzir a educação permanente no cotidiano do trabalho na atenção básica à saúde e dentro desta prática, qualificar a escuta dos trabalhadores que atuam nestes serviços. Considera-se também ser necessário ampliar os fóruns de discussões e as ações, incluindo como agentes as universidades, os conselhos de enfermagem e as instâncias políticas de nível nacional, estadual e municipal, para promover transformações estruturais na formação dos trabalhadores de nível médio de enfermagem, de modo que estes desenvolvam as competências necessárias para o trabalho na atenção básica à saúde na perspectiva da integralidade da atenção. / The theme of this study deals with the nursing practice of middle level workers whose field is primary health care services since mid 1990\'s. It was developed with the objectives of distinguishing the working process of primary heath unit auxiliaries and nursing technicians of the city of Ribeirão Preto - São Paulo, through the perspective of the integrality of the action, distinguish the socio-demographic profile of the auxiliaries and nursing technicians members of such primary health care service, analyze the conceptions of these middle level nursing workers under the constitutive elements of the primary health care working process and identify and analyze the complicating and facilitating aspects to develop the working process through the perspective of integrality. It was formed a descriptive nature and qualitative approach study. In order to collect the data, structured observation and semi-structured interview were applied. Ten nursing auxiliaries and two nursing technicians took part of such study and for the obtained data analysis, thematic analysis was employed. During the analysis process it was possible to identify two distinguished compositions in the working process of these agents, where it was found in a predominant way the organization of the working process to assist people with the need to deal with diseases/health problems, but it was also found potentialities for the working process development towards the integrality of attention. It was concluded that facing the exhaustion of resources available in primary health care and the feeling of impotence in the act of taking care, these workers have been searching for strategies to try to help users who seek health service units with problems which do not fit the ones solvable through medical consultation, drugs or technical procedures. It is considered necessary to introduce continuing education in primary health care daily work and within such practice, qualify the listening of workers who act in such services. It is also considered as necessary to expand the discussion forums and the actions, including universities, nursing councils and national, state and municipal political instances as agents to promote structural changes in the training of middle level nursing workers so that they develop the skills necessary for work in primary health care from the perspective of integrality of attention.

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2016-08-23T12:15:57Z No. of bitstreams: 1 Priscila Leite Gonçalves.pdf: 1424011 bytes, checksum: 72d92aff7878a8bf2a5deb5286e2196b (MD5) / Made available in DSpace on 2016-08-23T12:15:57Z (GMT). No. of bitstreams: 1 Priscila Leite Gonçalves.pdf: 1424011 bytes, checksum: 72d92aff7878a8bf2a5deb5286e2196b (MD5) Previous issue date: 2016-03-21 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study aims to systematize an educational experience in a Mid-Level Course of Professional Training Program for Health (PROFAPS), from Ministry of Health, held in São Paulo on the year 2015, whose purpose was to qualify assistants and nursing technicians of Primary Health Care for the integrated and comprehensive care to the elderly. To compose the experience report, we used the qualitative research, with exploratory and descriptive character and the participant observation was the methodological procedure elected, and Field Diary was the instrument for data collection. The Qualification Course in Gerontology, organized into eight modules, had its theoretical and practical proposition based on the methodology of questioning and culminated in the construction of a territorial action plan focusing on soft technologies. The methodology and didactic procedures adopted led the students to awaken their critical sense to the analysis of its own territory, its work process and its stereotypical vision of the old age (based on themselves and the other individuals), leading to the transformation of your own reality. The results were positive, particularly with regard to strengthening of health care networks, lines of care, continuing education and SUS itself / Este estudo objetivou sistematizar uma experiência de ensino em um Curso do Programa de Formação de Profissionais de Nível Médio para Saúde (PROFAPS), do Ministério da Saúde, realizado na cidade de São Paulo no ano de 2015, cujo propósito foi o de qualificar auxiliares e técnicos de enfermagem da Atenção Básica em Saúde para o cuidado integrado e integral ao idoso. Para compor o relato de experiência, utilizou-se a pesquisa de abordagem qualitativa, de caráter exploratório-descritivo, tendo a Observação Participante como procedimento metodológico e o Diário de Campo como instrumento da coleta de dados. O Curso de Qualificação em Gerontologia, organizado em oito módulos, teve sua proposição teórico-prática fundamentada na metodologia da problematização e culminou na construção de um plano de intervenção territorial com enfoque em tecnologias leves. A metodologia e os procedimentos didáticos adotados levaram o discente a despertar seu senso crítico para a análise de seu território, de seu processo de trabalho e da visão estereotipada da velhice (de si mesmo e do outro), conduzindo à transformação da sua realidade. Os resultados foram positivos, em especial no que tange ao fortalecimento das redes de atenção à saúde, das linhas de cuidado, da educação permanente e da própria escola formadora – o SUS

Made available in DSpace on 2016-04-27T13:10:25Z (GMT). No. of bitstreams: 1 Telma Raquel de Andrade Amaral.pdf: 6031596 bytes, checksum: 68c7ba7e9e20b628ade7a30159a6748f (MD5) Previous issue date: 2014-09-12 / Technical ability, scientific knowledge, relationship interpessoal, handling of the pain and of the loss, they are some of the demands to the nursing professional that constitutes front line in the service to the sick newly born in an Unit of Intensive Therapy Neonatal (UTIN). In UTIN they are the nursing technicians TE that, most of the time, they execute hygiene activities, they prepare and they administer medications, they accomplish curatives, among others. It is a complex and stressful atmosphere, that it wakes up varied feelings that stay denied and veiled. That study had as objectives: to discuss the perception of the team of TE on the work process in UTIN and to identify the challenges and possibilities lived during that process; to provide to the team of TE a reflection space about the difficulties that interfere in the work process and to mediate the construction of intervention proposals returned to the needs elencadas. It is treated of a research of the exploratory-descriptive type with qualitative approach, that it used the research-action methodology. Four focal groups were accomplished with the participation of four TE that you/they act in UTIN of a hospital school of the city of Sorocaba-SP. The content analysis was accomplished, in the perspective of the thematic analysis. Among the challenges they were pointed the following themes: I work in team, communication, professional profile, administration and evaluation of the work process for the nurse, feelings, duty passage and I process continuous admissional/educação. As possibilities: team meetings among the duty and among the shifts, professional valorization, standardization of conducts, restructuring of the training admissional. The nurse's leadership was detached about primordial point for the administration and evaluation of the work process. A change of attitude of the was verified TE, that during the encounters they agreed on a meeting with the coordinator of the service, moment in that you/they were able to, in an elaborated way, to expose their difficulties and strategies. The they noticed TE that the encounters were spaces of he/she listens, of professional valorization and of learning, resulting in the invigoration of their potentialities. The objectives proposed in this research were reached, demonstrating a priceless wealth in relation to the that the he/she has TE to offer for the work process in UTIN / Habilidade técnica, conhecimento científico, relacionamento interpessoal, manejo da dor e da perda, são algumas das exigências ao profissional de enfermagem que constitui linha de frente no atendimento ao recém-nascido enfermo em uma Unidade de Terapia Intensiva Neonatal (UTIN). Na UTIN são os técnicos de enfermagem (TE) que, na maioria das vezes, executam atividades de higiene, preparam e administram medicações, realizam curativos, entre outros. É um ambiente complexo e estressante, que desperta variados sentimentos que permanecem negados e velados. Esse estudo teve como objetivos: discutir a percepção da equipe de TE sobre o processo de trabalho na UTIN e identificar os desafios e possibilidades vivenciados durante esse processo; proporcionar à equipe de TE um espaço de reflexão sobre as dificuldades que interferem no processo de trabalho e mediar a construção de propostas de intervenção voltadas às necessidades elencadas. Tratase de uma pesquisa do tipo exploratório-descritiva com abordagem qualitativa, que utilizou a metodologia de pesquisa-ação. Foram realizados quatro grupos focais com a participação de quatro TE que atuam na UTIN de um hospital escola da cidade de Sorocaba-SP. Foi realizada a análise de conteúdo, na perspectiva da análise temática. Entre os desafios foram apontados os seguintes temas: trabalho em equipe, comunicação, perfil profissional, gestão e avaliação do processo de trabalho pelo enfermeiro, sentimentos, passagem de plantão e processo admissional/educação continuada. Como possibilidades: reuniões de equipe entre o plantão e entre os turnos, valorização profissional, padronização de condutas, reestruturação do treinamento admissional. A liderança do enfermeiro foi destacada como ponto primordial para a gestão e avaliação do processo de trabalho. Constatou-se uma mudança de atitude dos TE, que durante os encontros pactuaram uma reunião com a coordenadora do serviço, momento em que puderam, de forma mais elaborada, expor suas dificuldades e estratégias. Os TE perceberam que os encontros foram espaços de escuta, de valorização profissional e de aprendizado, resultando no fortalecimento de suas potencialidades. Os objetivos propostos nesta pesquisa foram alcançados, demonstrando uma riqueza inestimável em relação ao que o TE tem a oferecer para o processo de trabalho em UTIN