A análise de implicação de pesquisadores em uma pesquisa-intervenção na Rede Cegonha: ferramenta da análise institucional

Abstract

Resumo: Estudo qualitativo baseado no referencial teórico metodológico da análise institucional, com o objetivo de analisar a implicação dos pesquisadores durante o processo de uma pesquisa-intervenção e as interferências que esta análise provocou. A pesquisa envolveu pesquisadores de duas universidades oriundos de cursos de medicina, enfermagem e odontologia, e trabalhadores de um Departamento Regional de Saúde no acompanhamento da implantação da Rede Cegonha no interior de São Paulo. Os pesquisadores trabalharam juntos na intervenção e em oficinas de análise. Contaram com um analista institucional externo, que auxiliou o grupo na análise de implicação. Duas instituições se destacaram na análise: a pesquisa, em cujo instituído predominam características de neutralidade, e a gestão, com características tayloristas. As diferenças entre os pesquisadores, as dificuldades em identificar ações próprias da gestão da rede e da pesquisa foram algumas das interferências identificadas. Conclui-se que a análise de implicação é uma ferramenta potente para pesquisas dessa natureza.

A Socioclínica Institucional Como Referencial Teórico E Metodológico Para a Pesquisa Em Enfermagem E Saúde

“…Studies on the analysis of professional practices in nursing 10,12,19 and health 15,20,23 reinforce the existing power in the development of research that use the theoretical and methodological framework of IA, in the exercise of the analysis of practices, also proving how institutions go through professional practices. After all, the instituted and the instituting are kept alive in people who sometimes move in the perspective of maintenance and, at other times, changes.…”

“…In this way of thinking, some national and international studies are developed and use the socioanalytical intervention proposal. 2,[11][12]19 Such research, supported by the theoretical contribution of IA, greatly contributes to the search to reveal the "unsaid" or the "hidden face" of institutions. In addition, the elements that mark the reasons for repression, if they occur, are explained by means of analyses of the unknown and by questioning the "meaning" of the action being executed.…”

“…Consequently, based on the unfolding of a restitution, several others can happen, either as an opportunity to question the analyses or in the perspective of reconsidering the proper path of work. [2][3][4][5][6]12,19 Finally, it should be emphasized that the Institutional Socio-clinic perspective, although it constitutes a potent theoretical and methodological contribution in nursing and health research, is also vulnerable to limitations and requires care. The non-delimitation of the framework used favors the possible occurrence of hybridity, which can cause confusion in the analysis process.…”

“…[7][8][9][10][11][12][13][14][15][16][17][18][19] The existence of research using this framework in the field of nursing supports the perception that the reference framework is dynamic and in motion, as is reality.…”

Vulnerability of high-risk pregnancy in the perception of pregnant women and their families

“…In 2000, the Program for Humanization of Prenatal and Birth Care was implemented, and a drop of 51.0% in the number of maternal deaths has been observed since then. In 2011, the Stork Network was implemented with the objective of increasing the quality of maternal and child care, with emphasis on risky pregnancies (3) . In the state of Paraná, from 2012, with the implantation of the Rede Mãe Paranaense (Paraná Mother Network), pregnancies began to be stratified according to the presence or absence of risk factors into low, intermediate and high risk (4) .…”