Katia Virginia de Oliveira Feliciano

Vulnerabilidade ao burnout entre médicos de hospital público do Recife

This article presents and discusses the epistemological and methodological challenges related to the empirical study of first-person experience in mental health research. Considering the field of qualitative research, the methodological principles of phenomenology and medical anthropology are examined from a historical and conceptual perspective. The main operational concepts of the phenomenological method applied to empirical research, as well as their two main lines of approach, namely descriptive and psychological/transcendental phenomenology and hermeneutical or interpretative phenomenology, are described. The contributions of medical anthropology are studied especially with respect to the experience of illness and its forms of narrative. Lastly, considering the distinction between experience and narrative based on the theoretical benchmarks of phenomenology and medical anthropology, a more in-depth debate on access to first-person experience is conducted.

Estudos de Linha de Base do Projeto de Expansão e Consolidação do Saúde da Família (ELB/Proesf): considerações sobre seu acompanhamento

O artigo discute o processo de acompanhamento dos Estudos de Linha de Base (ELB) desenvolvido no âmbito do Projeto de Expansao e Consolidacao do Saude da Familia (Proesf) por um grupo de especialistas convidado pela Coordenacao de Acompanhamento e Avaliacao da Atencao Basica (CAADAB/MS), garantindo a interlocucao e a parceria entre importantes instituicoes e grupos de pesquisa em saude do Pais, com apoio da Associacao Brasileira de Pos-Graduacao em Saude Coletiva (Abrasco). A constituicao do grupo de acompanhamento, alem de permitir maior legitimidade e transparencia as atividades, qualificando tecnicamente o dialogo e potencializando o uso das informacoes, foi importante diante da relevância dos ELB para subsidiar a conversao do modelo assistencial por meio da expansao da estrategia da saude da familia nos grandes centros urbanos do Pais. Estava em questao tanto a qualidade dos produtos e resultados dos ELB, que abrangiam dados sobre 168 municipios das diversas macrorregioes do Pais, como a constituicao de parcerias entre pesquisadores, gestores e profissionais locais, a fim de incentivar a institucionalizacao da avaliacao, por intermedio de estrategias de capacitacao dos responsaveis pela atencao basica nos municipios participantes dos estudos.

La visión de los profesionales de la Estrategia Salud de la Familia acerca de los efectos del entrenamiento de hanseniasis

OBJETIVOEvaluar como los profesionales de los equipos de salud de la familia de tres municipios de Pernambuco perciben e interpretan los efectos del entrenamiento de hanseniasis.METODOEstudio cualitativo que utiliza la perspectiva habermasiana. Se formalizaron seis grupos focales, totalizando 33 enfermeras y 22 medicos. Figuraron en el guion: reacciones al entrenamiento, aprendizaje, transferencia de aprendizaje y resultados organizativos.RESULTADOSFueron recurrentes las opiniones positivas acerca del desempeno del instructor, el material didactico, la actitud de alerta a la ocurrencia de casos, negativas sobre falta de ensenanza practica, mucha informacion a corto plazo y poca enfasis a los contenidos basicos. Notaron baja autoeficacia y bajo locus de control, ambiguedad, conflicto de competencias y la falta de soporte a la aplicacion de lo aprendido. Las enfermeras mostraron mayor insatisfaccion con el soporte organizativo.CONCLUSIONLa baja efectividad del entrenamiento revela la necesidad de negociar la capacitacion desde la problematizacion del trabajo, considerando las condiciones para el desempeno.OBJECTIVE Evaluating how professionals of family health teams from three municipalities of Pernambuco perceive and interpret the effects of Hansens disease training. METHODS A qualitative study using the perspective of Habermas. Six focus groups, totaling 33 nurses and 22 doctors were formed. The guide consisted of: reactions to training, learning, transfer of knowledge and organizational results. RESULTS There were recurrent positive opinions on instructor performance, course materials, and an alert attitude to the occurrence of cases; the negative points were about lack of practical teaching, a lot of information in a short period of time and little emphasis on basic content. Low perceived self-efficacy and low locus of control, ambiguity, conflict of skills and the lack of support for the learning application. Nurses showed greater dissatisfaction with the organizational support. CONCLUSION The low effectiveness of training reveals the need to negotiate structured training from work problematization, considering performance conditions.

Family Health Strategy professionals' view on the effects of Hansen's disease training*

OBJETIVOEvaluar como los profesionales de los equipos de salud de la familia de tres municipios de Pernambuco perciben e interpretan los efectos del entrenamiento de hanseniasis.METODOEstudio cualitativo que utiliza la perspectiva habermasiana. Se formalizaron seis grupos focales, totalizando 33 enfermeras y 22 medicos. Figuraron en el guion: reacciones al entrenamiento, aprendizaje, transferencia de aprendizaje y resultados organizativos.RESULTADOSFueron recurrentes las opiniones positivas acerca del desempeno del instructor, el material didactico, la actitud de alerta a la ocurrencia de casos, negativas sobre falta de ensenanza practica, mucha informacion a corto plazo y poca enfasis a los contenidos basicos. Notaron baja autoeficacia y bajo locus de control, ambiguedad, conflicto de competencias y la falta de soporte a la aplicacion de lo aprendido. Las enfermeras mostraron mayor insatisfaccion con el soporte organizativo.CONCLUSIONLa baja efectividad del entrenamiento revela la necesidad de negociar la capacitacion desde la problematizacion del trabajo, considerando las condiciones para el desempeno.OBJECTIVE Evaluating how professionals of family health teams from three municipalities of Pernambuco perceive and interpret the effects of Hansens disease training. METHODS A qualitative study using the perspective of Habermas. Six focus groups, totaling 33 nurses and 22 doctors were formed. The guide consisted of: reactions to training, learning, transfer of knowledge and organizational results. RESULTS There were recurrent positive opinions on instructor performance, course materials, and an alert attitude to the occurrence of cases; the negative points were about lack of practical teaching, a lot of information in a short period of time and little emphasis on basic content. Low perceived self-efficacy and low locus of control, ambiguity, conflict of skills and the lack of support for the learning application. Nurses showed greater dissatisfaction with the organizational support. CONCLUSION The low effectiveness of training reveals the need to negotiate structured training from work problematization, considering performance conditions.

Aceitabilidade de doadores de sangue no hemocentro público do Recife, Brasil

This study evaluated the acceptance of blood donors concerning the donation stages (attendance, medical and nursing selection and collection) at the Recife public blood bank with emphasis on the attendance. A sample of 527 donors was obtained: each 19th person sequentially was invited to answer a questionnaire. Chi-square (x2) was used in the analysis. Of those interviewed, 81.4% were men, 81% were repeat donors, 50.3% were dissatisfied regarding the time spent in donation and 36.4% had difficulties in reaching the service. The firm acceptance given to the attendance was due mainly to the communication and the quality of treatment. Of statistical significance were women donors of higher educational level who asked for more information and men who had a more positive perception towards the selection process. The best evaluation was attributed to the collection sector. However, mention was made of impersonal treatment, persistence of doubts and the cursory nature of the medical interview. Attention focused on the donor requires that ongoing education should concentrate on the humanitarian formation of the professionals involved.