No ano de 2012, realizamos pesquisa etnográfica com travestis de Santa Maria, Rio Grande do Sul, Brasil, por meio de observação participante, entrevistas e acompanhamento de suas vidas cotidianas. Durante esse período, percebemos que as violências física e simbólica e o sofrimento delas decorrentes eram invariantes, condição com a qual tinham que lidar em seus itinerários, em suas práticas e afazeres diários. Este artigo discute as violências vivenciadas nas trajetórias percorridas pelas travestis (família, escola, delegacias, serviços de saúde), procurando, sobretudo, compreender como tais violências estão relacionadas às experiências nos serviços de saúde e como os serviços de saúde por elas acessados reagiram às violências.
RESUMOO presente estudo tem por objetivo apresentar e discutir a interatividade sistêmica entre os conceitos interdependentes de cuidado de enfermagem na perspectiva dos pressupostos teóricos de Edgar Morin. Defende-se que o conceito sistêmico de cuidado de enfermagem pode ser concebido a partir de um conceito ampliado, antagônico, complementar, interdependente e de dinamicidade interativa de processos e contraprocessos de enfermagem, saúde, viver saudável, comunidade vulnerável e empreendedorismo social da enfermagem. A compreensão ampliada e interdependente desses conceitos possibilita, em suma, transcender a linearidade do processo saúde-doença e alcançar resultados mais efetivos de promoção e proteção da saúde.
PALAVRAS-CHAVEEnfermagem; cuidado de enfermagem; saúde; Sistemas de Saúde; Promoção da Saúde (Fonte: DeCS, BIREME).
The objective of this study was to perceive the death-dying process from the perspective of nursing students. This is an exploratory, descriptive and qualitative research study. Data were collected between June and July 2013, from three focus groups with six nursing students at a University Center located in the central region of Rio Grande do Sul, Brazil. The meetings were organized with an approach to increase discussions about the death-dying process from the perspective of the complex thinking. Data were analyzed by means of the Strategic Focal Analysis, and three categories were created: Death: a process of rupture or continuity?; Recognizing weaknesses in the undergraduate educational process; and Outlining strategies to broaden academic discussions. It is possible to conclude that the death/dying process is minimally discussed in undergraduate courses, and when it is discussed, it happens in a fragmented and disjunctive manner, without integrating it into the human living process. Descriptors: Death. Education, nursing. Attitude to death.
Percepção de profissionais de saúde em relação ao cuidado a pessoas idosas institucionalizadasThe perception of health professionals toward the care of institutionalized elderly Resumo Objetivo: conhecer o significado que profissionais de saúde atribuem ao cuidado de pessoas idosas institucionalizadas. Método: pesquisa qualitativa, exploratóriodescritiva, realizada em uma instituição de longa permanência para idosos localizada na região central do Rio Grande do Sul. Participaram do estudo 14 profissionais de saúde: enfermeiros, farmacêutico, fisioterapeuta, médico, nutricionista e técnicos de enfermagem. Os dados foram coletados entre agosto e setembro de 2009, por meio de um questionário semiestruturado. Resultados: os dados analisados resultaram em três categorias: Cuidando de pessoas idosas, Percebendo a equipe multidisciplinar e Enfrentando a nova realidade. Conclusão: o cuidado de pessoas idosas institucionalizadas constitui um desafio crescente para os profissionais de saúde, a ser superado por meio do trabalho multidisciplinar.
AbstractObjective: To know the meaning attributed by health professionals to the care of institutionalized elderly. Method: Qualitative, exploratory-descriptive research, carried out in a long-term care institution for the elderly located in central Rio Grande do Sul state. Fourteen health professionals took part in the study, including nurses, pharmacist, physiotherapist, doctor, nutritionist, and nursing technicians. Data were collected between August and September 2009, through a semi-structured questionnaire. Results: Data analysis has resulted in three categories: Caring for the elderly, Realizing the multidisciplinary team, and Facing the new reality. Conclusion: the care of the institutionalized elderly is a growing challenge for health professionals, and it needs to be coped with through multidisciplinary work.
Palavras-chave:Enfermagem Geriátrica. Equipe de Assistência ao Paciente. Instituição de Longa Permanência para Idosos.
DS. Atentando para as singularidades humanas na atenção à saúde por meio do diálogo e acolhimento. Rev Gaúcha Enferm., Porto Alegre (RS) 2010 mar;31(1):55-61.
ATENTANDO PARA AS SINGULARIDADES HUMANAS NA ATENÇÃO À SAÚDE POR MEIO DO DIÁLOGO E ACOLHIMENTO
OBJECTIVE: to identify the perceptions of professionals working in a facility connected with
the Brazilian Unified Health System - SUS in regard to what they know, think and
talk about public health policy. METHOD: this exploratory-descriptive study with a qualitative nature was conducted with
28 professionals working in a facility connected with the SUS. Data were collected
through interviews with guiding questions and analyzed through the thematic
content analysis technique. RESULTS: coded and interpreted data resulted in three thematic axes: The SUS - perfect web
that does not work in practice; The recurrent habit of complaining about the SUS;
The need to rethink the way of thinking about, acting in and managing the SUS.
CONCLUSION: the professionals working for the SUS are aware of the principles and guidelines
that govern the Brazilian health system, however, they reproduce a dichotomous and
linear model of conception and practice strongly linked to the thinking of society
in general.
The general purpose of this paper is to present the health care of transvestites from Santa Maria, central region of Rio Grande do Sul, Brazil. Field research was conducted in 2012, between January and November, with transvestites originated from different cities of this State, who were living in Santa Maria at that time. Qualitative methodology was adopted through ethnographic research. The results showed that the interlocutors avoid the institutionalized health services, choosing other forms of care. The interlocutors indicated their choice for "houses of african religion" by identifying them as places that, without questioning the bodily changes and sexual orientation, were able to afford forms of care and protection. Therefore, this article can help to provide some visibility to care transvestites looking for health.
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