Cesar Francisco Silva da Costa

Significados das hierarquias no trabalho em hospitais públicos brasileiros a partir de estudos empíricos

Objective: Understand the meaning, in hospital work, of hierarchical structures present in the organizational culture of Brazilian public hospitals. Methods: The corpus of research was originated in four theses and six dissertations, and was organized, analyzed and interpreted from the perspective of symbolic anthropology interpretation. Results: Hospitals copied the professional mechanistic bureaucracy and hierarchies, from these structures, produce meanings that indicate a fragmentation of relationships, professional disputes and separations, as well as conflicts and subversive behavior at work. Conclusion: The hierarchies in each of the bureaucracies created several clashes that disrupt the workers and their work processes. Reorientation strategies and awareness of the hierarchical boundaries should be studied so that the work is optimized. Descriptors: Hospitals, public; Organizational culture; Personnel administration, hospital; Nursing staff, hospitalObjective: Understand the meaning, in hospital work, of hierarchical structures present in the organizational culture of Brazilian public hospitals. Methods: The corpus of research was originated in four theses and six dissertations, and was organized, analyzed and interpreted from the perspective of symbolic anthropology interpretation. Results: Hospitals copied the professional mechanistic bureaucracy and hierarchies, from these structures, produce meanings that indicate a fragmentation of relationships, professional disputes and separations, as well as conflicts and subversive behavior at work. Conclusion: The hierarchies in each of the bureaucracies created several clashes that disrupt the workers and their work processes. Reorientation strategies and awareness of the hierarchical boundaries should be studied so that the work is optimized. Descriptors: Hospitals, public; Organizational culture; Personnel administration, hospital; Nursing staff, hospital

The effects, beliefs and practices of puerperal women's self-care

The objective of this exploratory-descriptive study was to identify the beliefs, effects and practices that permeate womens self-care during puerperium. The participants were fifteen puerperal women from Rio Grande/RS. Data collection was performed in September and October of 2010 using semi-structured interviews, performed between fifteen and thirty days postpartum. Thematic analysis was used. Two categories emerged regarding self-care during puerperium, which was performed based on the family guidance received at home. One referred to restrictions, or activities that should be avoided to prevent harm; the other involved encouragement, i.e., practices that promoted benefits to the puerperal woman or newborn. This study shows the importance of professionals being aware of the quarantine period, as it is a cultural heritage that remains in effect today. In conclusion, common knowledge is highly valued by these women, and despite the need for scientific evidence supporting such knowledge it was not a trigger for problems in either the mothers or infants in this study.Objetivou-se neste estudo exploratorio-descritivo conhecer as crencas, influencias e praticas que permeiam o autocuidado das mulheres no puerperio. Foram informantes quinze puerperas de Rio Grande-RS. Colheram-se os dados em setembro e outubro de 2010, com entrevistas semiestruturadas, realizadas entre quinze e trinta dias pos-parto. Adotou-se a analise tematica para o tratamento dos dados. Fundamentadas no cuidado/autocuidado durante o puerperio, o qual provinha da orientacao familiar realizada em âmbito domestico, delinearam-se duas categorias: uma referente a restricoes, aquilo que devia ser evitado por gerar maleficios; outra envolvendo incentivos, ou seja, praticas que traziam beneficios a puerpera ou ao recem-nascido. Este estudo mostra a importância dos profissionais terem consciencia a respeito da quarentena, pois e uma heranca cultural que ainda perdura nos dias atuais. Concluiu-se que o saber popular e muito valorizado por essas mulheres e, embora careca de embasamento cientifico, nao se mostrou como desencadeador de problemas ao binomio mae-bebe.

El uso del preservativo femenino por las profesionales del sexo

This study aimed to investigate the use of female condom (PF) by sex workers registered with the Municipal Health Department of the municipality of Rio Grande / RS. It is a descriptive and quantitative study, conducted in 2009 with 19 women, through the application of an individual questionnaire containing questions about sexual habits and use of FP. The study was approved by the Ethics Committee of the FURG in opinion No. 53/2009. The results found that 47.30% reported that they check their health status regularly, 58% already had contact with this type of condom in the health service and 73.55% claim never to have acquired an STI. Regarding sexual practices 68.45% reported using condoms only to prevent STDs, women who are already using PF practised vaginal sex and 47.30% do not see the advantages and 52.65% do not see the disadvantages of using the PF. It is important then that the health facilities, professionals including nurses, should be prepared to deal with health issues and counsel these women about the importance of condom use for health maintenance.

Influências, crenças e práticas no autocuidado das puérperas

The objective of this exploratory-descriptive study was to identify the beliefs, effects and practices that permeate womens self-care during puerperium. The participants were fifteen puerperal women from Rio Grande/RS. Data collection was performed in September and October of 2010 using semi-structured interviews, performed between fifteen and thirty days postpartum. Thematic analysis was used. Two categories emerged regarding self-care during puerperium, which was performed based on the family guidance received at home. One referred to restrictions, or activities that should be avoided to prevent harm; the other involved encouragement, i.e., practices that promoted benefits to the puerperal woman or newborn. This study shows the importance of professionals being aware of the quarantine period, as it is a cultural heritage that remains in effect today. In conclusion, common knowledge is highly valued by these women, and despite the need for scientific evidence supporting such knowledge it was not a trigger for problems in either the mothers or infants in this study.Objetivou-se neste estudo exploratorio-descritivo conhecer as crencas, influencias e praticas que permeiam o autocuidado das mulheres no puerperio. Foram informantes quinze puerperas de Rio Grande-RS. Colheram-se os dados em setembro e outubro de 2010, com entrevistas semiestruturadas, realizadas entre quinze e trinta dias pos-parto. Adotou-se a analise tematica para o tratamento dos dados. Fundamentadas no cuidado/autocuidado durante o puerperio, o qual provinha da orientacao familiar realizada em âmbito domestico, delinearam-se duas categorias: uma referente a restricoes, aquilo que devia ser evitado por gerar maleficios; outra envolvendo incentivos, ou seja, praticas que traziam beneficios a puerpera ou ao recem-nascido. Este estudo mostra a importância dos profissionais terem consciencia a respeito da quarentena, pois e uma heranca cultural que ainda perdura nos dias atuais. Concluiu-se que o saber popular e muito valorizado por essas mulheres e, embora careca de embasamento cientifico, nao se mostrou como desencadeador de problemas ao binomio mae-bebe.

Meanings of hierarchies in hospital work in Brazilian public hospitals from empirical studies

Objective: Understand the meaning, in hospital work, of hierarchical structures present in the organizational culture of Brazilian public hospitals. Methods: The corpus of research was originated in four theses and six dissertations, and was organized, analyzed and interpreted from the perspective of symbolic anthropology interpretation. Results: Hospitals copied the professional mechanistic bureaucracy and hierarchies, from these structures, produce meanings that indicate a fragmentation of relationships, professional disputes and separations, as well as conflicts and subversive behavior at work. Conclusion: The hierarchies in each of the bureaucracies created several clashes that disrupt the workers and their work processes. Reorientation strategies and awareness of the hierarchical boundaries should be studied so that the work is optimized. Descriptors: Hospitals, public; Organizational culture; Personnel administration, hospital; Nursing staff, hospitalObjective: Understand the meaning, in hospital work, of hierarchical structures present in the organizational culture of Brazilian public hospitals. Methods: The corpus of research was originated in four theses and six dissertations, and was organized, analyzed and interpreted from the perspective of symbolic anthropology interpretation. Results: Hospitals copied the professional mechanistic bureaucracy and hierarchies, from these structures, produce meanings that indicate a fragmentation of relationships, professional disputes and separations, as well as conflicts and subversive behavior at work. Conclusion: The hierarchies in each of the bureaucracies created several clashes that disrupt the workers and their work processes. Reorientation strategies and awareness of the hierarchical boundaries should be studied so that the work is optimized. Descriptors: Hospitals, public; Organizational culture; Personnel administration, hospital; Nursing staff, hospital

Absenteísmo em consultas especializadas referenciadas por unidade básica saúde da família: estudo de caso

The study aimed to identify causes of absenteeism in referral consultations for medical specialties. A case study was conducted with subjects assisted by the Family Health Strategy of a municipality in southern Brazil, who in 2013 did not attend scheduled appointments. The referral documentation issued by the Basic Health Unit and the Appointment Center and interviews with users were sources of evidence. The data found were categorized and analyzed using the discursive textual analysis technique, where the outlined categories were: Waiting time for consultation; Notice of the date and time of the consultation; Reason for not attending. It was concluded that the documents to be sent to the Marking Center require careful attention. The monitoring of Community Health Agents to users before and after consultation is an action to reduce absenteeism. The solution requires user awareness.

FATORES DETERMINANTES NA ESCOLHA DE USUÁRIOS POR SERVIÇO HOSPITALAR NO ACESSO A REDE DE SAÚDE

Objetivo: Analisar os fatores determinantes da escolha de usuarios quanto a um servico de saude hospitalar. M etodo : Pesquisa qualitativa, exploratoria, descritiva, realizada em 2008, no servico de Pronto Atendimento de um hospital na regiao sul do Rio Grande do Sul, com 19 usuarios, por meio de entrevista semiestruturada. Aprovado pelo Comite de Etica em Pesquisa da Universidade Federal do Rio Grande – FURG, conforme Parecer no 26/2008. Resultados: O identificado como acolhimento, vinculo, higienizacao do local, resolutividade do servico, encaminhamento e orientacao medica foram fatores na escolha dos usuarios pelo servico hospitalar. Discussao: A escolha do usuario ainda e determinada pelo modelo hegemonico de atencao. Conclusoes : O estudo pode ser usado como dispositivo de problematizacao do acompanhamento do usuario no sistema de saude e da rede de atencao.

Influencias, creencias y prácticas en el autocuidado de las puérperas

The objective of this exploratory-descriptive study was to identify the beliefs, effects and practices that permeate womens self-care during puerperium. The participants were fifteen puerperal women from Rio Grande/RS. Data collection was performed in September and October of 2010 using semi-structured interviews, performed between fifteen and thirty days postpartum. Thematic analysis was used. Two categories emerged regarding self-care during puerperium, which was performed based on the family guidance received at home. One referred to restrictions, or activities that should be avoided to prevent harm; the other involved encouragement, i.e., practices that promoted benefits to the puerperal woman or newborn. This study shows the importance of professionals being aware of the quarantine period, as it is a cultural heritage that remains in effect today. In conclusion, common knowledge is highly valued by these women, and despite the need for scientific evidence supporting such knowledge it was not a trigger for problems in either the mothers or infants in this study.Objetivou-se neste estudo exploratorio-descritivo conhecer as crencas, influencias e praticas que permeiam o autocuidado das mulheres no puerperio. Foram informantes quinze puerperas de Rio Grande-RS. Colheram-se os dados em setembro e outubro de 2010, com entrevistas semiestruturadas, realizadas entre quinze e trinta dias pos-parto. Adotou-se a analise tematica para o tratamento dos dados. Fundamentadas no cuidado/autocuidado durante o puerperio, o qual provinha da orientacao familiar realizada em âmbito domestico, delinearam-se duas categorias: uma referente a restricoes, aquilo que devia ser evitado por gerar maleficios; outra envolvendo incentivos, ou seja, praticas que traziam beneficios a puerpera ou ao recem-nascido. Este estudo mostra a importância dos profissionais terem consciencia a respeito da quarentena, pois e uma heranca cultural que ainda perdura nos dias atuais. Concluiu-se que o saber popular e muito valorizado por essas mulheres e, embora careca de embasamento cientifico, nao se mostrou como desencadeador de problemas ao binomio mae-bebe.

Significados de las jerarquías en el trabajo en hospitales públicos brasileños a partir de estúdios empíricos

Objective: Understand the meaning, in hospital work, of hierarchical structures present in the organizational culture of Brazilian public hospitals. Methods: The corpus of research was originated in four theses and six dissertations, and was organized, analyzed and interpreted from the perspective of symbolic anthropology interpretation. Results: Hospitals copied the professional mechanistic bureaucracy and hierarchies, from these structures, produce meanings that indicate a fragmentation of relationships, professional disputes and separations, as well as conflicts and subversive behavior at work. Conclusion: The hierarchies in each of the bureaucracies created several clashes that disrupt the workers and their work processes. Reorientation strategies and awareness of the hierarchical boundaries should be studied so that the work is optimized. Descriptors: Hospitals, public; Organizational culture; Personnel administration, hospital; Nursing staff, hospitalObjective: Understand the meaning, in hospital work, of hierarchical structures present in the organizational culture of Brazilian public hospitals. Methods: The corpus of research was originated in four theses and six dissertations, and was organized, analyzed and interpreted from the perspective of symbolic anthropology interpretation. Results: Hospitals copied the professional mechanistic bureaucracy and hierarchies, from these structures, produce meanings that indicate a fragmentation of relationships, professional disputes and separations, as well as conflicts and subversive behavior at work. Conclusion: The hierarchies in each of the bureaucracies created several clashes that disrupt the workers and their work processes. Reorientation strategies and awareness of the hierarchical boundaries should be studied so that the work is optimized. Descriptors: Hospitals, public; Organizational culture; Personnel administration, hospital; Nursing staff, hospital