Como os enfermeiros percebem a sua atuação nos conselhos de saúde?

Abstract

This study is part of a Master's thesis on the participation of nurses on Health Councils and aims to analyze the perception nurses have of their role in these forums. A qualitative approach is used with a theoretical referential of Discourse Analysis. The subjects are nurses who have been members of Local and Municipal Health Councils in Goiânia, Goiás State, since 1995. The perceptions expressed are related to their concerns about not monopolizing the councils, about councils--especially local ones--being used for party political purposes, about avoiding corporate positions, about council autonomy, lack of infrastructure, political interference, lack of preparation on the part of professionals and the necessity of training for political quality, the contributions that they can make to discussion, reflection, group analysis, interventions and technical support. Hopeful perspectives refer to continued change in order to qualify a greater number of councilors, to the growing emancipation of people for citizenship and to the reliability of present administrations.

Les enjeux organisationnels de la participation communautaire dans un contexte de modernisation réflexive

“…Dans ce cadre régulateur et contraignant, les attitudes de confiance -mais aussi de défiance -envers les représentants du système expert de la santé publique sont fortement influencées par les expériences vécues dans les CLS (da Silva et Lana, 2004), de même que par la réactualisation constante des connaissances de la part des acteurs concernés. Dans l'exemple qui nous occupe, le fait que les CLS soient des lieux de tension entre le scepticisme et les savoirs des parties prenantes leur confère manifestement la qualité de lieux de vulnérabilité qui peuvent montrer les limites du SUS pour gérer effectivement l'émergence accrue des risques contemporains (Guizardi et Pinheiro, 2006 ;Van Stralen et al, 2006).…”