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O concreto e o simb?lico no cotidiano da educa??o em sa?de: pr?ticas, representa??es e processo identit?rio dos agentes comunit?rios de sa?de de Jo?o Pessoa PB

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Previous issue date: 2004-08-13 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The present study is about an etnographic research based on the Theory of Social Representation and its complementary approach, the Theory of Central Core based on the bourdiesianos concepts of field and habitus , concerning that these concepts, articulated to the constructed social representation, may contribute to the study of social identities. Its aim is to acknowledge which identity references community health agents (CHA), agents from Community Health Agent Program (CHAP) and Family Health Program (FHP) from Jo?o Pessoa PB and which social representation is constructed by them towards health education. The study had the participation of 119 CHAs, from which 90,3 % were female and 9,7% were male. Since the identity is also built by the representation of others towards the group, 63 professionals of the FHP group (16 nurses, 16 nursing assistents, 12 doctors, 9 dentists, 6 dentistry office assistents, 4 coordinators, 1 psicologist and 1 receptionist) and 1 nurse from CHAP took part of the study, oficial documents from the Health Ministry were analyzed, verbal information from its representatives were also taken into consideration, as well as reports from the many benefitiaries of the CHA, CHAP and FHP. For data collecting, we used the combination of (a) Direct Observation and Participant Observation of the functioning micro-areas of the CHA at the Family Health Units, and the Union of the Agents; (b) Free-Association of words and expressions to stimulate the CHA , Health Education and Health ; (c) Questionnaire; (d) Interviews. The interviews were submitted to a thematic analysis of its topic. The free-association was analyzed taking in consideration the v?rgesiana proposal (a combination of the frequency and average order of evocation) which treatment enabled the identification of the central and peripheral systems of social representation towards health education and the community health agent. A test of central refutation, associated to the analysis of the indicated evocations as the most important, provided empirical evidence of social representation towards health education as orientation , prevention and hygiene , as well as the identity of CHA as supervisor , friend , help , important , and the link between the community and the Family Health Staff. Other professionals from CHAP, FHP and the Health Ministry share all of these representational contents, especially the concepts of friend and link , also shared by the community. A habitus towards the community health agents was identified, as a representation based on trust and friendship, which gives the professional a great importance towards the daily inconsistencies faced by the community / O presente estudo trata-se de uma pesquisa de cunho etnogr?fico, fundamentada na Teoria das Representa??es Sociais e na sua abordagem complementar, a Teoria do N?cleo Central, embasado nos conceitos bourdiesianos de campo e de habitus, tomando como princ?pio que tais conceitos, articulados ao construto representa??o social, podem contribuir com o estudo das identidades coletivas. Objetiva apreender quais as refer?ncias identit?rias de agentes comunit?rios de sa?de (ACSs) do Programa de Agentes Comunit?rios de Sa?de (PACS) e do Programa Sa?de da Fam?lia (PSF) do munic?pio de Jo?o Pessoa PB e qual representa??o social ? por eles constru?da acerca da educa??o em sa?de. Participaram do estudo 119 ACSs, dos quais 90.3% mulheres e 9,7% homens. Uma vez que a identidade tamb?m ? constru?da pela representa??o dos outros sobre o grupo, 63 profissionais da equipe do PSF (16 enfermeiras, 16 auxiliares de enfermagem, 12 m?dicos, nove odont?logos, seis auxiliares de consult?rio odontol?gico, quatro coordenadores, um psic?logo e uma recepcionista) e uma enfermeira do PACS foram part?cipes do estudo, al?m de serem analisados documentos oficiais do Minist?rio da Sa?de e terem sido consideradas informa??es verbais de seus representantes, assim como depoimentos de usu?rios do PACS e do PSF sobre o ACS. Para a coleta de dados, utilizamos a seguinte combina??o de instrumentos: (a) Observa??o Direta e Observa??o Participante nas micro-?reas de atua??o dos ACSs, nas Unidades de Sa?de da Fam?lia; e na associa??o e no sindicato da categoria; (b) Associa??es Livres de palavras e express?es para os est?mulos agente comunit?rio de sa?de , educa??o em sa?de e sa?de ; (c) Question?rios e (d) Entrevistas em Profundidade. As entrevistas foram submetidas ? an?lise tem?tica de conte?do. As associa??es-livres foram analisadas segundo a proposta verg?siana (combina??o da freq??ncia e da ordem m?dia de evoca??o), tratamento que permitiu identificar os sistemas central e perif?rico da representa??o social de educa??o em sa?de e de agente comunit?rio de sa?de. Um teste de refuta??o da centralidade, associado ? an?lise das evoca??es indicadas como mais importantes, forneceu evid?ncia emp?rica da representa??o social da educa??o em sa?de como orienta??o , preven??o e higiene , bem como da identidade do ACS como orientador , amigo , ajuda , importante e elo de liga??o entre a comunidade e a Equipe Sa?de da Fam?lia . Todos estes conte?dos representacionais s?o compartilhados pelos outros profissionais do PACS e do PSF e pelo Minist?rio da Sa?de, havendo destaque para o ser amigo e ser elo de liga??o , igualmente compartilhados pela comunidade. Foi constatado um habitus de agente comunit?rio de sa?de, calcado na afetividade, o qual ancora o ser-fazer deste trabalhador, ante as inconsist?ncias cotidianas de alimenta??o, vestu?rio, emprego e medica??o presentes na comunidade

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14133
Date13 August 2004
CreatorsBrito, Suerde Miranda de Oliveira
ContributorsCPF:10809520478, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4796872P4, Santos, Maria de F?tima de Souza, CPF:19436823487, http://lattes.cnpq.br/8991172780503312, Carvalho, Maria do Ros?rio de F?tima de, CPF:02560801353, http://buscatextual.cnpq.br/buscatextual/index.jsp, Andrade, ?rika dos Reis Gusm?o de, CPF:34252819504, http://lattes.cnpq.br/0778953049451033, Domingos Sobrinho, Mois?s
PublisherUniversidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Educa??o, UFRN, BR, Educa??o
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis
Formatapplication/pdf
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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