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546,196 artículos
Año:
2022
ISSN:
1981-7746
Garbin, Cléa Adas Saliba; Bordin, Danielle; Fadel, Cristina Berger; Garbin, Artênio José Ísper; Saliba, Nemre Adas
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
Resumen
This qualitative study introduces the theme of the tutelary counselors' representations to broaden the understanding of these social players' universe and to get to know their implications regarding the dynamics of their work process. The study was conducted in the city of Coronel Vivida, in the state of Paraná, Brazil, in 2013. A semi-structured questionnaire and an informal interview were used to collect the data, and the material was treated using the Collective Subject Discourse analysis technique. The results show that the tutelary counselors' perceptions went through the recognition of a few peremptory aspects inherent to their practice, such as impotence in the face of the disturbing social scenarios to which they are exposed, along with the restriction of the scope of their action linked to structural barriers in the existing social protection networks, in addition to the population's low levels of adherence to their work process. They also reveal a deep-seated satisfaction in the developments of work they have done and that which has a positive impact on juvenile violence; this satisfaction, in turn, is considered as fuel for the development of their professional skills. The considerations this study captured confirm the presence of relevant gradations inherent in the relational process of the tutelary counselors in their work environment, supporting the recognition of the guiding parameters of the intersubjective relationship between the tutelary counselor and the social praxis.
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Año:
2022
ISSN:
1981-7746
Gontijo, Mouzer Barbosa Alves; Nunes, Maria de Fátima
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
Resumen
This study was carried out using a questionnaire to identify the knowledge of and belief in integrative and complementary practices and the National Integrative and Complementary Practices Policy. Taking part were 118 health professionals, all college graduates and working in the Health System in three Brazilian municipalities, in 2014. Descriptive and two-step cluster analyses followed. Most professionals have partial knowledge on complementary and integrative practices; they consider acupuncture and herbal medicine more efficient; they do not know anthroposophy and hydrotherapy; they believe less in homeopathy; they are unaware of the national policy on complementary and integrative practices; they consider that they did not get their knowledge during their undergraduate course, rather mainly by reading and family experience; they believe that these practices should be included in the undergraduate course, and that they are important for the profession and for the service. The cluster analysis allowed for identifying two groups that stood out insofar as knowledge and beliefs are concerned. We conclude that there is little knowledge about and little credibility in complementary and integrative practices, as well as little knowledge of the National Policy on Complementary and Integrative Practices.
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Año:
2022
ISSN:
1981-7746
Fagundes, Daniely Quintão; Oliveira, Adauto Emmerich
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
Resumen
This article discusses the process of building a health education proposal for prenatal care for pregnant women and health professionals based on the theoretical framework of Paulo Freire. A qualitative study supported on the research-action methodology was carried out in a basic health unit in the municipality of Vitória, capital of the state of Espírito Santo, Brazil, 2014. Data were collected through participant observation with the audio recording of the meetings. The material was analyzed simultaneously, and at each meeting the partial results were submitted to the evaluation of the participants, who again discussed and reflected on the conclusions reached. Such evaluations enabled the preparation of a final report on the process with the proposition of reality transformation actions. The results showed that pregnant women and health professionals contributed differently and complementarily in the choice of topics for education on prenatal care, highlighting the importance of the interaction between servers and users in the construction of educational projects based on dialogue. Also highlighted were organizational and structural issues in health services that made it difficult to carry out the activities, causing the need for reflections-actions involving Unified Health System managers and administrators, so that education becomes a priority.
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Año:
2022
ISSN:
1981-7746
Whitaker, Robert
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
Resumen
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Año:
2022
ISSN:
1981-7746
Sponholz, Thaís Carla Huk; Sartori, Michele Thais; Marques, Ana Paula Sellucio; Albuquerque, Guilherme Souza Cavalcanti de; Silva, Marcelo José de Souza e; Perna, Paulo de Oliveira
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
Resumen
The suffering of medical residents caused by their working conditions is broadly described in the literature. The conditions imposed on this type of work, often unacceptable, are object of scientific investigations, and are fully aware of those who work in health and medical education. This study was conducted in 2010 in order to describe the main aspects of these conditions in two public hospitals in Curitiba (Brazil) and reflect on the reasons and mechanisms reproduction of most of them. We conducted a cross-sectional study from the application of questionnaires, for the explanation of the protective critical processes and destructive ones in health of medical residents. Of the 100 medical residents in his or her first year in activity in the hospitals studied, 58 participated in the survey. The results show high weekly working hours, high number of continuous working hours, lack of supervision and high load stress. The working process is characterized by the subordination of teaching and learning to the exploitation of the labor force of residents, becoming more like destructive than as a protector of his or her health.
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Año:
2022
ISSN:
1981-7746
Pedraza, Dixis Figueroa; Rocha, Ana Carolina Dantas; Sales, Márcia Cristina
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
Resumen
The study aimed to describe and analyze possible differences in the activities of health education performed by community health workers during a home visit. Data of two transversal studies were analyzed in the context of Family Health Units in the municipalities of Campina Grande (2010) and Queimadas (2011), in the state of Paraíba, Brazil. In Campina Grande, women whose children were younger than one year old were eligible, selected by systematic lottery, from 30% of the health units (n=508). In Queimadas, all women whose children were born within the year of 2009, those who resided in the municipality and those who were treated in any of the 16 health units (n=204) were eligible. The mothers were questioned about the educational activities developed by the agents during the home visits. A larger proportion of women indicated not to receive home visits in the municipality of Campina Grande, and deficiencies were found related to orientation on how to care for children's health in the two municipalities, and there was a higher frequency of educational activities in the agents from Queimadas. The differences related to the work of community health workers may involve elements such as professional devaluation and precarious work conditions. It must be emphasized the importance of the training and preparation of nurses for the supervision of the health workers.
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Año:
2022
ISSN:
1981-7746
Scherer, Magda Duarte dos Anjos; Oliveira, Neura Angélica de; Pires, Denise Elvira Pires de; Trindade, Letícia de Lima; Gonçalves, Ana Sofia Resque; Vieira, Monica
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
Resumen
In this article we analyze the main aspects that contribute to increase the workloads of nurse technicians working in primary health care in Brazil, we identify the type of loads and rank the most prevalent aspects of this occupational group. It is based on a multicenter study with 24 professionals from the South, Center-west and North regions of Brazil, from 2011 to 2013, using data from semi-structured interviews. The data were systematized in Atlas.ti software and submitted to thematic analysis. The aspects that contribute to increasing workloads are low monthly remuneration, lack of material resources, work overload, wear and illness, relationship with the user, and lack of human resources, prevailing psychological and physiological loads. Adequacy of the conditions and organization of work are shown paramount to ease the workload on the primary health care setting, and to promote the health, wellbeing and quality of life in the nurse technicians working environment.
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Año:
2022
ISSN:
1981-7746
Oliveira, Raquel Santos de; Morais, Heloisa Maria Mendonça de
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
Resumen
The article addresses the changes taking place in work organization under the Brazilian Oral Health Policy, considering the changes occurring in the organization of labor in the global scenario of productive restructuring. This phenomenon, first observed in the organization of industrial work, has been described also in the service sector, being visible some of its effects in the health field. In Brazil, since the 1995 State Reform, flexible contractual models were implemented, which allowed the legal institution of precarious labor ties in the public and private healthcare services. This study is descriptive, with its own components of quantitative and qualitative approaches. The field study was conducted in 13 Specialized Dental Clinics (SDCs) of the Metropolitan Region of Recife and aimed to investigate the phenomenon of precariousness and its manifestations in oral health care. The material studied evidenced a precarious context of work in investigation services, with repercussions on the quality of care provided to the population user of the centers, a condition that consists one of the challenges to be faced by the National Oral Health Policy.
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Año:
2022
ISSN:
1981-7746
Eberhardt, Leonardo Dresch; Carvalho, Manoela de
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
Resumen
The theme of collective organization is an important dimension imbricated in health work management and occupational health. In this article we analyze the trajectory of workers of municipal health services in Cascavel, Paraná, Brazil, in addressing issues related to work and work management. We used the qualitative methodology, with the application of semi-structured interviews and snowball technique for defining the sample. The results show that workers organized collectively through regular meetings, the foundation of a union and conducting strikes and mobilizations. However, before the clashes with the municipal administration, some got sick and others opted for individual forms of resistance. The union of municipal health servers, founded in 1988, turned from a combative stance to cooperation with the management in the 2000s. We conclude that, based on the difficulties described, it is up to the Cascavel public health sector workers the challenge to reflect on the past and continue trying to build collective strategies for organizing to defend their interests facing the management.
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Año:
2022
ISSN:
1981-7746
Druck, Graça
Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
Resumen
This essay presents some reflections on outsourcing in the public service inspired by the sociology of work. It takes as reference the implementation of social organizations, which became strong reality in public health over the past 15 years and, from 2015. After the decision of the Brazilian Supreme Court in 2015, it has been considered constitutional, denying the request for direct unconstitutionality action. Thus, released to outsourcing for all essential services under state responsibility. It is also the subject of discussion the implementation of the Brazilian Hospital Services Company (Empresa Brasileira de Serviços Hospitalares), which, although more recent than social organizations, already has such harmful results as them. The argument put forward is that the outsourcing of public service in Brazil is one of the most efficient mechanisms to remove the social content of the state and its privatization, which occurs through various forms of precarious work as outsourcing - through social organizations, civil society organizations of public interest, private companies, public companies under private rules, partnerships, among others - is the main way that neoliberal political forces found to attack the heart of a social and democratic state: the workers who are civil servants.
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