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Previous issue date: 2014-04-23 / O acolhimento vem sendo proposto como uma ferramenta que contribui para humanizar o
cuidado, ampliar o acesso dos usu?rios aos servi?os, garantir a resolutividade das
demandas, organizar os servi?os e promover o fortalecimento de v?nculos entre
profissionais e usu?rios. No munic?pio do Recife, esta pr?tica vem sendo incentivada pela
gest?o e sua implementa??o pautada em atos normativos, com matrizes de avalia??o e
proposi??o de metas, embasadas em um modelo pr?prio do munic?pio. Este estudo
objetivou analisar a rela??o entre o acolhimento prescrito e o acolhimento real, bem como
suas interfer?ncias nas rela??es de reciprocidade entre trabalhadores e usu?rios nas
unidades de sa?de da aten??o b?sica do Recife. Utilizou como campo de investiga??o
quatro unidades da Estrat?gia Sa?de da Fam?lia do Distrito Sanit?rio IV do munic?pio
de Recife ? PE. A investiga??o teve um car?ter qualitativo e, para sua operacionaliza??o,
realizou entrevistas com profissionais e usu?rios, cujos discursos, foram gravados pelo
modo digital de voz e posteriormente transcritos manualmente, de forma literal. Os
discursos obtidos foram analisados, em grande parte, atrav?s da abordagem metodol?gica
do Discurso do Sujeito Coletivo (DSC), sendo tamb?m utilizada, em menor escala, a
t?cnica da an?lise tem?tica, de forma dialogada, com aportes te?ricos e documentos
oficiais relacionados ao tema. Os resultados apontaram que, na maior parte das unidades
de sa?de, os profissionais executam os protocolos propostos e consideram que estes t?m
influ?ncia positiva para o processo de trabalho no acolhimento, No entanto, fatores como
demanda excessiva, estrutura f?sica das unidades, pouca resolutividade da rede de
refer?ncia, singularidades das unidades, entre outros, apareceram dificultando o
cumprimento do que foi prescrito e, desta forma gerando influ?ncia negativa sobre o
processo de trabalho do acolhimento. As rela??es rec?procas tamb?m sofreram influ?ncias
destes fatores, dificultando, assim, a circula??o de d?divas. Entretanto, outros fatores
como acesso, resolutividade, atitude acolhedora e responsabiliza??o, potencializaram as
trocas rec?procas entre profissionais e usu?rios. Os achados demandam que os atos
prescritivos e as rela??es rec?procas do acolhimento s?o diretamente influenciadas pelas
singularidades presentes nas comunidades, pelas variabilidades humanas e por fatores
ligados ? estrutura e processo de trabalho e, portanto, devem ser operados com cautela
com vistas a proporcionar um acolhimento real de qualidade / User embracement has been proposed as a tool that contributes to humanize the nursing, to
increase the users? access to the services, to ensure the resolvability of claims, to organize
the services and promote the strengthening of the links between them and the health
professionals. In the city of Recife, this practice has been fomented by the municipal
government and its implementation is guided by normative acts, with evaluation matrices
and proposition of goals, based on a model created by the public administration. This
study intended to analyze the relation between the prescribed user embracement and the
real one and their interferences with the relations of reciprocity between workers and users
in the health units of basic attention in Recife. Four units of the Family Health Strategy at
the Sanitary District IV of the city of Recife ? PE were taken as an investigation field.
The investigation had a qualitative character, so, Interviews were performed involving
professionals and users whose speeches were recorded by the voice digital mode and
literally transcript. The obtained speeches were analyzed mostly through the Discourse of
the Collective Subject methodological approach, being also used, but on a smaller scale,
the technique of thematic analysis, in the dialogic way, with theoretical contributions and
official documents related to the theme. The results pointed that in most of the health units
the professionals execute the proposed protocols and consider that these have a positive
influence for the working process in user embracement, however, factors such as the
excessive demand, the physical structure of the units, little resolvability of the reference
network, singularities of the units, among others, have appeared, hampering the
accomplishment of the prescribed, creating, thus, a negative influence on the working
process of the user embracement. The reciprocal relations have also suffered the
influences of these factors, which made difficult, therefore, the circulation of gift.
Meanwhile, other factors such as access, resolvability, sheltering attitude and
responsabilization, potentiated the reciprocal exchange between professionals and users.
The findings demand the prescriptive acts and the reciprocal relations of the user
embracement to be directly influenced by the singularities present in each community, by
the human variabilities and by factors connected to the structure and working process, so it
shall be operated with caution in order to provide a real user embracement with quality
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19564 |
| Date | 23 April 2014 |
| Creators | Lopes, Adriana Santos |
| Contributors | 23092025415, http://lattes.cnpq.br/3310631449276616, Bezerra, Adriana Falangola Benjamin, 40517691434, http://lattes.cnpq.br/0706969557781466, Rocha, Paulo de Medeiros, 08609314472, http://lattes.cnpq.br/3633596483807678, Villar, Rosana L?cia Alves de |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM SA?DE DA FAM?LIA NO NORDESTE, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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