Intersubjetividade na qualificação do cuidado em saúde

Mandú, Edir Nei Teixeira

doi:10.1590/s0104-11692004000400013

Cited by 30 publications

(29 citation statements)

References 5 publications

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“…Innovative thinking-acting in health care requires a permanent attitude of reflection and ethical investments from professionals, about the construction of a new care quality, in accordance with institutional possibilities and potentials (13) .…”

Section: Final Considerationsmentioning

confidence: 99%

Meanings of the nursing diagnosis implementation process for nurses at a university hospital

Lima¹,

Kurcgant²

2006

Rev. Latino-Am. Enfermagem

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This qualitative study aims to understand the meanings nurses at a university hospital attribute to the implementation process of the Nursing Diagnosis Classification System (DEn) as a phase in the Nursing Care System (NCS). Data were collected through interviews with eight nurses from the Medical Clinical Unit, who participated in the creation of an instrument to implement the DEn in the NCS. In their reports, the respondents expressed a positive change in their feelings, from initial discomfort and adverse perception of the changeproposal. The stepwise appropriation of the process stages allowed them, besides the sharing of feelings, decisions and responsibilities for the results, to develop the belief that they would able to overcome the difficulties. DESCRIPTORS: nursing diagnosis; organizational innovation; resources management SIGNIFICADOS DEL PROCESO DE IMPLEMENTACIÓN DEL DIAGNÓSTICO DE ENFERMERIA PARA ENFERMERAS DE UN HOSPITAL UNIVERSITARIO Este estudio cualitativo busca comprender los significados atribuidos por enfermeras de un hospital universitario al proceso de implementación del diagnóstico de enfermería (DEn) como etapa del Sistema de Atención de Enfermería (NCS). THE EXPERIENCEInitially, the nurses from the MC received a list of all nursing diagnoses contained in the database, distributed according to the domains established by NANDA's (4) Taxonomy II, together with a letter that asked them to individually choose the diagnoses they found most significant, i.e. that represented the clients they attended, and informing that they could add other diagnoses they considered necessary. The same letter contained an invitation for them to participate in a meeting, at the MC, to be held a few days after the material had been handed in, when the obtained results would be presented and discussed. Hence, decisions should be made through group consensus, with the participants' maximum involvement and commitment (6) .Next, seven two-hour workshops were held, on days and times chosen by the participants, during which they thoroughly discussed the 14 selected Despite the doubts and uncertainties that emerged during the workshops, the nurses constantly demonstrated their motivation to participate in a preliminary study that could be a landmark for the implementation of the nursing diagnosis as a phase of the NCS. We decided to carry out this study to understand the meanings the MC nurses attributed to this process of implementing the nursing diagnosis classification system at the NCS of the HU-USP. THE METHODOLOGICAL TRAJECTORYWe used the qualitative case study as a methodological reference framework. The case study is a qualitative methodological approach that represents a research moment, guided by an interpretative epistemology, where the subject, considered as the study object, is conceived as an individual and concrete being, unique in his/her existence, develops his/her activities creatively, in a determined space and time, within a structured sociocultural system (7) .Initially, the research project was s...

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Section: Final Considerationsmentioning

confidence: 99%

Meanings of the nursing diagnosis implementation process for nurses at a university hospital

Lima¹,

Kurcgant²

2006

Rev. Latino-Am. Enfermagem

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“…The intersubjectivity was highlighted in another study, where it was shown to be very important, because it allows the discussion of the need for incorporation and valorization of work on these issues, in practical terms, aiming to innovate and build a healthcare that can really meet the actual needs of the population (14) . Humanization (15)(16) .…”

Section: Because You Know That It's Difficult To Get In Here There Amentioning

confidence: 99%

Cancer in children: the diagnostic itinerary

Cavicchioli

Menossi

Lima

2007

Rev. Latino-Am. Enfermagem

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“…O cuidado em saúde envolve ações técnicas, políticas e éticas no acolhimento das pessoas na busca por atender suas necessidades. Essa compreensão ampla da dimensão do cuidado se opõe às práticas homogeneizantes e hierarquizantes da atenção biomédica predominante, pois considera as identidades, experiências, intersubjetividades e saberes dos envolvidos (Mandú, 2004).…”

Section: Introductionunclassified

O cuidado em saúde na velhice: a visão do homem

2016

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A cultura condiciona as representações de velhice e de gênero com reflexos nas percepções sobre a saúde, a doença e o cuidado. A interface entre esses fenômenos é objeto deste estudo, fundamentado na perspectiva da antropologia médica, que pretende investigar como os homens idosos da comunidade expressam e percebem a relação entre saúde, doença, masculinidade e envelhecimento, e como esses construtos se relacionam com os subsistemas de cuidado informal e profissional. Foram entrevistados 27 homens com 60 anos ou mais, residentes em Bambuí (MG) e assistidos pela Estraté-gia Saúde da Família, acerca de suas atividades cotidianas, sua saúde e suas formas de cuidado. O modelo de signos, significados e ações, utilizado na coleta e análise dos dados, permitiu reconhecer as maneiras típicas de pensar e agir de homens idosos em relação ao processo saúde-doença-cuidado, bem como suas interações e contradições junto aos setores profissional e informal do sistema de cuidado em saúde. A produção material e simbólica dos entrevistados demonstra a identidade masculina ligada ao conceito de saúde, o qual se vincula às relações sociais, que fundamentam o cuidado informal à saúde. Contrapondo-se a essa percepção está a visão de envelhecimento inexoravelmente relacionada à doença, em que se ancora o sistema profissional de cuidado. Assim, homens idosos restringem a procura por cuidados em saúde em parte pela própria construção sociocultural da masculinidade que renega a fragilidade, mas também porque as ações e os profissionais de saúde desconsideram as especificidades de gênero e o valor dado pelos homens idosos à independência funcional. Palavras-chave: Envelhecimento; masculinidade; cuidado em saúde.

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Intersubjetividade na qualificação do cuidado em saúde

Cited by 30 publications

References 5 publications

Meanings of the nursing diagnosis implementation process for nurses at a university hospital

Meanings of the nursing diagnosis implementation process for nurses at a university hospital

Cancer in children: the diagnostic itinerary

O cuidado em saúde na velhice: a visão do homem

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