The aim of the present study is to analyze the evaluating process of nursing internship. The main objective is to analyze the instruments and the evaluative practices used in the evaluation of supervised curricular internships of the undergraduate nursing courses in the city São Paulo, Brazil, conducted in hospitals aiming improvement of the evaluation process. Methodology: this is a qualitative study with an exploratory, descriptive and interpretative approach. The population consisted of coordinators of the supervised curricular internship and professors supervising internship of Higher Education Institutions in the city of São Paulo that offer undergraduate courses in Nursing. Data were collected through semi-structured interviews with the coordinators of curricular internship, being this the moment to collect the evaluation instruments used by different subjects involved in the process and by the questionnaire applied to the academic internship supervisors. The Content Analysis was used for data analysis. The approach with the internship coordinators and professors unveiled important disclosures of dynamics involved in the process and the evaluative practices of the supervised curricular internship in Nursing. The results showed evidence on the use of formative evaluation, a fact to be noted, since it might be misleading with its real educational role. Yet, it was also observed evaluative practices that in most of the cases have been performed in the service of a pedagogy based on a theoretical conservative society model, and the overcoming of this condition will only occur based on the establishment of an evaluation whose main objective is the student's learning and not his classification. Finally, the challenge remains for the transformation process, which will be possible only if we set aside some time for study and discussion on the evaluation issue in an emancipatory perspective.
Objetivo: O artigo descreve o percurso metodológico utilizado na construção de um levantamento de dados como pesquisa exploratória com amostragem sistemática para se conhecer a natureza das ações judiciais (contra) em que figuram como réu, os governos municipais que demandam produtos e serviços para a Saúde. Metodologia: O projeto foi planejado para ser desenvolvido no âmbito do Programa de Apoio ao Desenvolvimento Institucional do Sistema Único de Saúde como parceria entre a Fundação Oswaldo Cruz de Brasília, o Ministério da Saúde e o Hospital do Coração em São Paulo e cobrir todo o território brasileiro como um esforço para dimensionar um quadro nacional da Judicialização das Políticas Públicas de Saúde nos municípios e subsidiar a formação de um Observatório Nacional da Judicialização da Saúde. Resultados: Os resultados devem contribuir para um melhor controle das demandas judiciais tanto por parte do Ministério da Saúde como por parte dos Tribunais de Justiça por meio do conhecimento das demandas em si e dos caminhos percorridos pelos autores das ações para a formação dos processos. Conclusão: O projeto cobre uma lacuna de conhecimento importante sobre a natureza das demandas judiciais e políticas públicas de saúde e propõe o exercício da continuidade do monitoramento das demandas judiciais, que crescem dia após dia e se especializam em diversos aspectos.
Background: Near-fatal suicide attempts by poisoning increase the risk of subsequent suicide and results in hospitalizations due to health damage caused by chemical agents. There have been no studies in Brazil considering the factors related to the choice of self-poisoning in near-fatal suicide attempts and individual awareness of hazards if non-lethal outcome. Aims: Investigate the factors influencing the decision to use poisoning in near-fatal suicide attempts and the perception of its dangers in case of survival. Method: Exploratory qualitative research with 17 adult patients who had near-fatal suicide attempts by self-poisoning hospitalized at a general hospital in São Paulo, Brazil. Results: Patients reported three main reasons for the choice of method: the expectation of death without suffering, the belief of its efficacy as a suicide method, and ease of access to chemical agents. None considered the health risks associated with the chemical agents if they survived due to impulsivity and misinformation. Conclusion: Most participants chose self-poisoning with the expectation of death without suffering. Importantly, although half the sample required hospitalization, none had considered the risks associated with the use of such chemical agents. We conclude that prevention strategies should inform the possible health damages related to the use of chemical agents for people at risk of suicide.
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