Darielli Gindri Resta

Práticas de cuidado em relação à dor: a cultura e as alternativas populares

Pesquisa com abordagem qualitativa cujo objetivo foi detectar praticas de cuidados relacionados a presenca de dor em usuarios do Sistema Unico de Saude. A coleta de dados concentrou-se em entrevistas com 60 adultos, 34 pertencentes a ambulatorio de hospital publico e 26 a unidade basica de saude. Foi realizada analise tematica. Observou-se hierarquia de valores relativa ao cuidado em que a mulher aparece como principal cuidadora. A rede familiar e acionada predominando o genero feminino no cuidado caseiro. A continuidade do itinerario terapeutico ocorre com uso de remedios caseiros, apoio familiar e vizinhanca. Recorrem tambem a Deus e automedicacao. O servico de saude e procurado apos tentativas caseiras. Esse itinerario pode levar algum tempo em que as pessoas convivem com a dor. A pesquisa revela teia complexa de sentimentos e significados que interage com o ambiente socio-cultural. Conclui-se sobre a importância dos profissionais conhecerem alternativas de cuidado contextualizadas aos usuarios.Resumen

Caracterização das equipes da Saúde da Família e de seu processo de trabalho

This study aims to learn the characteristics of Family Health Strategy (FHS) teams from a Regional Health Coordination of RS, identifying its difficulties in the work process. It is a qualitative exploratory-descriptive study, with a questionnaire application. Results revealed a group of young females with recent professional education. Regarding the work process, some difficulties observed were: the hiring model, the lack of infrastructure of the health units, the difficulty to work in teams, the lack of specialization of the employees, the non-comprehension of the population about the FHS proposal and even the reporting of the lack of difficulties. Some of the results corroborate the data reported by the literature, but the last two items were poorly explored in other studies, constituting relevant aspects to be considered in the work process and in the implementation of the FHS.Este estudio tuvo como objetivo conocer las caracteristicas de los equipos de la Estrategia de Salud de la Familia (ESF) de una Coordinadora Regional de Salud del RS, identificando las dificultades en el proceso de trabajo. Se trata de una investigacion cualitativa del tipo exploratorio-descriptiva, con aplicacion de cuestionario. Los resultados revelan una faja etaria joven, femenina y con graduacion profesional reciente. Respecto del proceso de trabajo, se observo la presencia de algunas dificultades, entre ellas: el modo de contratacion, la falta de infraestructura de las unidades de salud, la dificultad para trabajar en equipo, la falta de especializacion de los trabajadores, la incomprension de la poblacion sobre la propuesta de la ESF y hasta incluso el relato de ausencia de dificultades. Algunos de los resultados corroboran datos resenados en la literatura, mientras que los ultimos dos han sido poco explorados por otros estudios, constituyendo aspectos relevantes a ser considerados en el proceso de trabajo e implementacion de la ESF.

Violence against women in the perspective of community health agents

The current study has the objective of learning and understanding how Community Health Agents conceptualize, develop and perform strategies to counter violence against women attending the Family Health Strategies in a northeastern municipality of Rio Grande do Sul. It is an exploratory research, utilizing a descriptive and qualitative approach, carried out with 35 Community Health Agents. Semi-structured interviews were performed to collect the data, which were analyzed using the thematic model. Conceptions of violence against women are centered around violence as a social construction based on gender inequalities and on violence as having a multifactorial construction. Regarding care practices and interventions to counter violence, the following tools are highlighted construction of intervention strategies within the staff forming bonds, listening and dialogue with the women victims of violence; and directing victims to support services. We believe that this study contributes to the visibility of this theme as a need in health care, as well as for the construction of strategies to counter it.O presente estudo visou conhecer e compreender a violencia contra as mulheres na perspectiva dos Agentes Comunitarios de Saude inseridos nas Estrategias de Saude da Familia de um municipio da regiao noroeste do Rio Grande do Sul. Trata-se de uma pesquisa exploratoria, descritiva com abordagem qualitativa, realizada com 35 Agentes Comunitarios de Saude. Para a coleta dos dados, utilizou-se entrevista semiestruturada, e os mesmos foram analisados pela modalidade tematica. As conceituacoes da violencia contra as mulheres centram-se na violencia enquanto construcao social e de desigualdades de genero; e violencia enquanto construcao multifatorial. Em relacao as praticas de cuidado e enfrentamento, observaram-se algumas ferramentas: a construcao de estrategias de cuidado junto com a equipe; vinculo, escuta e dialogo com a mulher vitima de violencia. Acredita-se que este estudo contribua para dar visibilidade a essa problematica como uma necessidade de saude e assistencia e para a construcao de estrategias de enfrentamento.

VIOLÊNCIA CONTRA AS MULHERES NA PERSPECTIVA DOS AGENTES COMUNITÁRIOS DE SAÚDE

The current study has the objective of learning and understanding how Community Health Agents conceptualize, develop and perform strategies to counter violence against women attending the Family Health Strategies in a northeastern municipality of Rio Grande do Sul. It is an exploratory research, utilizing a descriptive and qualitative approach, carried out with 35 Community Health Agents. Semi-structured interviews were performed to collect the data, which were analyzed using the thematic model. Conceptions of violence against women are centered around violence as a social construction based on gender inequalities and on violence as having a multifactorial construction. Regarding care practices and interventions to counter violence, the following tools are highlighted construction of intervention strategies within the staff forming bonds, listening and dialogue with the women victims of violence; and directing victims to support services. We believe that this study contributes to the visibility of this theme as a need in health care, as well as for the construction of strategies to counter it.O presente estudo visou conhecer e compreender a violencia contra as mulheres na perspectiva dos Agentes Comunitarios de Saude inseridos nas Estrategias de Saude da Familia de um municipio da regiao noroeste do Rio Grande do Sul. Trata-se de uma pesquisa exploratoria, descritiva com abordagem qualitativa, realizada com 35 Agentes Comunitarios de Saude. Para a coleta dos dados, utilizou-se entrevista semiestruturada, e os mesmos foram analisados pela modalidade tematica. As conceituacoes da violencia contra as mulheres centram-se na violencia enquanto construcao social e de desigualdades de genero; e violencia enquanto construcao multifatorial. Em relacao as praticas de cuidado e enfrentamento, observaram-se algumas ferramentas: a construcao de estrategias de cuidado junto com a equipe; vinculo, escuta e dialogo com a mulher vitima de violencia. Acredita-se que este estudo contribua para dar visibilidade a essa problematica como uma necessidade de saude e assistencia e para a construcao de estrategias de enfrentamento.

Processo de trabalho dos agentes comunitários de saúde: possibilidades e limites

No presente estudo, objetiva-se conhecer e analisar o processo de trabalho dos Agentes Comunitarios de Saude (ACS) de um municipio da regiao Noroeste do Rio Grande do Sul, em uma abordagem qualitativa. A coleta de dados foi realizada mediante entrevista semiestruturada, aplicada a 23 ACS, e, para a analise dos dados, utilizou-se Analise de Conteudo Tematica. Os resultados evidenciaram, dentre as possibilidades: comunicacao com as familias atendidas, formacao de vinculo e valorizacao/satisfacao do profissional pela comunidade. Dentre os limites: dificuldade de trabalhar em equipe; dificuldade em realizar trabalhos coletivos na comunidade; remuneracao baixa/sobrecarga de trabalho e falta de qualificacao. Evidenciou-se a necessidade de reorganizacao do processo de trabalho desses profissionais, com maior investimento na formacao e instrumentalizacao, por meio da adocao da politica de educacao permanente.The current study is aimed at getting to know and analyzing the work process of community health agents (CHA) from a municipality of the Northeastern region of the state of Rio Grande do Sul through a qualitative approach. The collection of data was carried out by means of a semi-structured interview applied to 23 CHAs. The Thematic Content Analysis was utilized for the data analysis. The results evidenced some possibilities, such as: communication with the participating families, establishing bonds, and recognition of/satisfaction towards the professional agent by the community; and among some of the limits were: difficulty to perform team work; difficulty to perform collective tasks in the community; low salary/work overload and lack of qualification. Evidence shows the need of reorganizing the work process of these professionals with higher investment in education and instrumentation by adopting a permanent educational policy.

Characterization of Family Health teams and their work process

This study aims to learn the characteristics of Family Health Strategy (FHS) teams from a Regional Health Coordination of RS, identifying its difficulties in the work process. It is a qualitative exploratory-descriptive study, with a questionnaire application. Results revealed a group of young females with recent professional education. Regarding the work process, some difficulties observed were: the hiring model, the lack of infrastructure of the health units, the difficulty to work in teams, the lack of specialization of the employees, the non-comprehension of the population about the FHS proposal and even the reporting of the lack of difficulties. Some of the results corroborate the data reported by the literature, but the last two items were poorly explored in other studies, constituting relevant aspects to be considered in the work process and in the implementation of the FHS.Este estudio tuvo como objetivo conocer las caracteristicas de los equipos de la Estrategia de Salud de la Familia (ESF) de una Coordinadora Regional de Salud del RS, identificando las dificultades en el proceso de trabajo. Se trata de una investigacion cualitativa del tipo exploratorio-descriptiva, con aplicacion de cuestionario. Los resultados revelan una faja etaria joven, femenina y con graduacion profesional reciente. Respecto del proceso de trabajo, se observo la presencia de algunas dificultades, entre ellas: el modo de contratacion, la falta de infraestructura de las unidades de salud, la dificultad para trabajar en equipo, la falta de especializacion de los trabajadores, la incomprension de la poblacion sobre la propuesta de la ESF y hasta incluso el relato de ausencia de dificultades. Algunos de los resultados corroboran datos resenados en la literatura, mientras que los ultimos dos han sido poco explorados por otros estudios, constituyendo aspectos relevantes a ser considerados en el proceso de trabajo e implementacion de la ESF.

Work process of community health agents: possibilities and limits

No presente estudo, objetiva-se conhecer e analisar o processo de trabalho dos Agentes Comunitarios de Saude (ACS) de um municipio da regiao Noroeste do Rio Grande do Sul, em uma abordagem qualitativa. A coleta de dados foi realizada mediante entrevista semiestruturada, aplicada a 23 ACS, e, para a analise dos dados, utilizou-se Analise de Conteudo Tematica. Os resultados evidenciaram, dentre as possibilidades: comunicacao com as familias atendidas, formacao de vinculo e valorizacao/satisfacao do profissional pela comunidade. Dentre os limites: dificuldade de trabalhar em equipe; dificuldade em realizar trabalhos coletivos na comunidade; remuneracao baixa/sobrecarga de trabalho e falta de qualificacao. Evidenciou-se a necessidade de reorganizacao do processo de trabalho desses profissionais, com maior investimento na formacao e instrumentalizacao, por meio da adocao da politica de educacao permanente.The current study is aimed at getting to know and analyzing the work process of community health agents (CHA) from a municipality of the Northeastern region of the state of Rio Grande do Sul through a qualitative approach. The collection of data was carried out by means of a semi-structured interview applied to 23 CHAs. The Thematic Content Analysis was utilized for the data analysis. The results evidenced some possibilities, such as: communication with the participating families, establishing bonds, and recognition of/satisfaction towards the professional agent by the community; and among some of the limits were: difficulty to perform team work; difficulty to perform collective tasks in the community; low salary/work overload and lack of qualification. Evidence shows the need of reorganizing the work process of these professionals with higher investment in education and instrumentation by adopting a permanent educational policy.

Violencia contra las mujeres en la perspectiva de los agentes comunitarios de salud

The current study has the objective of learning and understanding how Community Health Agents conceptualize, develop and perform strategies to counter violence against women attending the Family Health Strategies in a northeastern municipality of Rio Grande do Sul. It is an exploratory research, utilizing a descriptive and qualitative approach, carried out with 35 Community Health Agents. Semi-structured interviews were performed to collect the data, which were analyzed using the thematic model. Conceptions of violence against women are centered around violence as a social construction based on gender inequalities and on violence as having a multifactorial construction. Regarding care practices and interventions to counter violence, the following tools are highlighted construction of intervention strategies within the staff forming bonds, listening and dialogue with the women victims of violence; and directing victims to support services. We believe that this study contributes to the visibility of this theme as a need in health care, as well as for the construction of strategies to counter it.O presente estudo visou conhecer e compreender a violencia contra as mulheres na perspectiva dos Agentes Comunitarios de Saude inseridos nas Estrategias de Saude da Familia de um municipio da regiao noroeste do Rio Grande do Sul. Trata-se de uma pesquisa exploratoria, descritiva com abordagem qualitativa, realizada com 35 Agentes Comunitarios de Saude. Para a coleta dos dados, utilizou-se entrevista semiestruturada, e os mesmos foram analisados pela modalidade tematica. As conceituacoes da violencia contra as mulheres centram-se na violencia enquanto construcao social e de desigualdades de genero; e violencia enquanto construcao multifatorial. Em relacao as praticas de cuidado e enfrentamento, observaram-se algumas ferramentas: a construcao de estrategias de cuidado junto com a equipe; vinculo, escuta e dialogo com a mulher vitima de violencia. Acredita-se que este estudo contribua para dar visibilidade a essa problematica como uma necessidade de saude e assistencia e para a construcao de estrategias de enfrentamento.

Educação popular em saúde no curso de graduação em enfermagem: construção de espaços curriculares participativos

Objective: encourage the nursing student to reflect on educational practices from the popular education. Method: reports the experience of the construction of curricular spaces of dialogue about the theme popular education as strategy for integration the nursing students of Federal University of Santa Maria in social reality, facilitating possibilities and challenges of the health work. Describes the meetings of the discipline Seminar of Integration, Education and Health, which took part of the activities work conclusion course in the Supervised Nursing II. Results: it was realized five meetings with groups dynamics and discussions about the competences of nursing, health education, Family Health Strategy, social movements, pedagogy of autonomy, education and popular education. Conclusion: the curricular experience had to be enhanced in the actions based on solidarity, justice and social participation, as well as the popular know can be seen as structuring axis in the organization of the services and graduation curriculum

Proceso de trabajo de los agentes comunitarios de salud: las posibilidades y los límites

No presente estudo, objetiva-se conhecer e analisar o processo de trabalho dos Agentes Comunitarios de Saude (ACS) de um municipio da regiao Noroeste do Rio Grande do Sul, em uma abordagem qualitativa. A coleta de dados foi realizada mediante entrevista semiestruturada, aplicada a 23 ACS, e, para a analise dos dados, utilizou-se Analise de Conteudo Tematica. Os resultados evidenciaram, dentre as possibilidades: comunicacao com as familias atendidas, formacao de vinculo e valorizacao/satisfacao do profissional pela comunidade. Dentre os limites: dificuldade de trabalhar em equipe; dificuldade em realizar trabalhos coletivos na comunidade; remuneracao baixa/sobrecarga de trabalho e falta de qualificacao. Evidenciou-se a necessidade de reorganizacao do processo de trabalho desses profissionais, com maior investimento na formacao e instrumentalizacao, por meio da adocao da politica de educacao permanente.The current study is aimed at getting to know and analyzing the work process of community health agents (CHA) from a municipality of the Northeastern region of the state of Rio Grande do Sul through a qualitative approach. The collection of data was carried out by means of a semi-structured interview applied to 23 CHAs. The Thematic Content Analysis was utilized for the data analysis. The results evidenced some possibilities, such as: communication with the participating families, establishing bonds, and recognition of/satisfaction towards the professional agent by the community; and among some of the limits were: difficulty to perform team work; difficulty to perform collective tasks in the community; low salary/work overload and lack of qualification. Evidence shows the need of reorganizing the work process of these professionals with higher investment in education and instrumentation by adopting a permanent educational policy.