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Representa??es sociais e pr?ticas discursivas de profissionais do programa sa?de da fam?lia sobre o pr?-natal / Social representations and practical discourse of the professionals of the program health of the family on the prenatal one

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Previous issue date: 2007-11-01 / The present study had the objective to identify to the Social Representations of the professionals of medicine and nursing superior level of the Program Health of the Family concerning the assistance for the gestation. The research was qualitative under the optics of the Theory of the Social Representations of Serge Moscovici, of the Central Nucleus of Jean-Claude Abric and of the Analysis of Content of Laurence Bardin. We worked with the following instruments for the collection of data: Questionnaires, with social-demographic data; Free association of Words, with the inductive terms Pregnancy, Assistance for Gestation and Care; Production of mental image and half-structuralized Interview, with the following question: What does the assistance for the gestation represent for you? . We interviewed all the professionals of nursing and medicine of the Program Health of the Family in the city of Santa Cruz /RN (ten for each profession) in the period of February and March of 2007. From the analysis of the social-demographics data, we respectively identified the following percentages for nursing and medicine: the feminine sex for nursing predominated (90%); the age between 24 and 33 (70 and 60%); the religion catholic (80 and 50%) and 50% of the two groups has up to two years of formation and work in the score of the research. The analysis of the others instruments resulted in two categories: Institutionalized vision and Vision of the Common-sense. In the free association of words, the category institutionalized vision is configured as Central Nucleus and of the common sense one as nucleus Peripheral, demonstrating that the Social Representations of the assistance for the gestation attendance are in the universes consensual. In the mental images, we identified to this same construction. In the content of the interviews, the institutionalized vision is permeated by the responsibility of making and the availability of having - assistance for the gestation is recommended by the Health department and necessary genders - while the vision of the common-sense can be represented by the category sort, whose role of professionals of the assistance for the gestation is to strengthen the responsibility for the woman of a maternity socially constructed. In short, the analyzed speeches reflect that, to the knowledge acquired in the academy, are incorporated in the knowledge of the daily professional, and conducted by popular myths. Medicine and nursing recognize the importance of the attendance in such a way for the chance to educate the women for the maternity as for the possibility to prevent complications, but in its speeches they had excluded from this process the masculine figure. We conclude that the meaning of the inductive term take care, part of the common-sense and is incorporated the institutionalized speech to humanize the assistance. However, the pregnancy ceases from being seen in its natural biological direction and starts to be analyzed as a moment of fragility and predisposition the illnesses. Finally, the social nursing and the central nucleus representations for the assistance in gestation for medicine is anchored in the speeches institutionalized and of the common-sense, reflecting the concern in establishing a humanized assistance with quality / O presente estudo teve por objetivo identificar as representa??es sociais dos profissionais de Medicina e Enfermagem de n?vel superior do Programa Sa?de da Fam?lia acerca do Pr?-Natal. A pesquisa foi qualitativa sob a ?tica da Teoria das Representa??es Sociais de Serge Moscovici, do N?cleo Central de Jean-Claude Abric e da An?lise de Conte?do de Laurence Bardin. Trabalhamos com os seguintes instrumentos para coleta de dados: question?rio, com dados sociodemogr?ficos; associa??o livre de palavras, com os termos indutores Gesta??o, Cuidado e Pr?-natal; produ??o de imagem mental e entrevista semi-estruturada, com a seguinte quest?o norteadora: O que representa o pr?-natal para voc?? . Entrevistamos todos os profissionais de Enfermagem e Medicina do Programa Sa?de da Fam?lia do munic?pio de Santa Cruz/RN (dez para cada profiss?o) no per?odo de fevereiro e mar?o de 2007. Da an?lise dos dados sociodemogr?ficos, identificamos os seguintes percentuais para Enfermagem e Medicina respectivamente: predominou o sexo feminino para Enfermagem (90%); a idade entre 24 e 33 anos (70 e 60%); a religi?o cat?lica (80 e 50%) e 50% dos dois grupos t?m at? dois anos de forma??o e de trabalho no cen?rio da pesquisa. A an?lise dos demais instrumentos resultou em duas categorias: Vis?o Institucionalizada e Vis?o do Senso comum. Na associa??o livre de palavras, a categoria vis?o institucionalizada configura-se como N?cleo Central e a do senso comum como N?cleo Perif?rico, demonstrando que as representa??es sociais do atendimento pr?-natal s?o pautadas nos universos consensual e reificado. Nas imagens mentais, identificamos essa mesma constru??o. No conte?do das entrevistas, a vis?o institucionalizada ? permeada pela responsabilidade do fazer e a disponibilidade do ter assist?ncia pr?-natal recomendada pelo Minist?rio da Sa?de e recursos necess?rios enquanto a vis?o do senso comum pode ser representada pela categoria g?nero, cujo papel de profissionais do pr?-natal ? refor?ar a responsabilidade da mulher diante de uma maternidade socialmente constru?da. Em suma, os discursos analisados refletem que ao conhecimento adquirido na academia, s?o incorporados saberes do cotidiano profissional, regido por mitos populares. Medicina e Enfermagem reconhecem a import?ncia do atendimento tanto pela oportunidade de educar as mulheres para a maternidade quanto pela possibilidade de prevenir complica??es, mas em seus discursos exclu?ram desse processo a figura masculina. Conclu?mos que o significado do termo indutor cuidado parte do senso comum e ? incorporado ao discurso institucionalizado para humanizar a assist?ncia. Entretanto, a gesta??o deixa de ser vista no seu sentido biol?gico natural e passa a ser analisada como um momento de fragilidade e predisposi??o ?s doen?as. Por fim, o N?cleo Central das representa??es sociais do pr?-natal para os(as) pesquisado(as) ? ancorado nos discursos institucionalizado e do senso comum, refletindo a preocupa??o em estabelecer uma assist?ncia humanizada e de qualidade

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14635
Date01 November 2007
CreatorsSilva, Susanne Pinheiro Costa e
ContributorsCPF:07196210468, http://lattes.cnpq.br/3956088377870069, Brasileiro, Maria do Carmo Eul?lio, CPF:19131623468, Carvalho, Maria do Ros?rio de F?tima de, CPF:02560801353, http://buscatextual.cnpq.br/buscatextual/index.jsp, Brito, Rosineide Santana de, CPF:12389595472, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4794971P8&dataRevisao=null, Oliveira, Maria Francinete de
PublisherUniversidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
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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