Relação profissional-usuário de saúde da família: perspectiva da bioética contratualista

Lima, Cássio de Almeida; Oliveira, Ana Paula Soares; Macedo, Beatriz Ferreira; Dias, Orlene Veloso; Costa, Simone de Melo

doi:10.1590/s1983-80422014000100017

Cited by 35 publications

(56 citation statements)

References 13 publications

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“…For this reason, they consider them incapable of understanding what happens in their bodies, relegating them to the category of objects submissive to professional care and reaffirming patients as object, with the risk of constructing heteronomy as "social iatrogenesis" characterized by the dissemination of the role of patient as a passive and authority-dependent behavior. 18,19 This conception corroborates the idea presented in the book 'Patient and Person: interpersonal skills in nursing', which states that this circumstance highlights the power that health professionals hold. 20 According to Weiss and Tappen, conceptions of power in nursing, in the past and today, treat the subject in a generic way, conceiving it as something that influences, controls or domains something or someone, manipulating it socially.…”

Section: Power-knowledge In Nurses' Caresupporting

confidence: 74%

The patient and the relation between power-knowledge and care by nursing professionals

et al. 2017

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This is a study whose objective was to analyze, in the discourse of hospitalized patients, how the power of knowledge is revealed in Nursing care relations. It was developed in the qualitative perspective, having as theoretical reference the concept of power issued by Michel Foucault. The data were collected between August and December 2015 and the participants were 16 patients hospitalized in the medical and surgical clinics of a university hospital, who had the speech recorded through a semi-structured interview, after approval of the ethics committee under Opinion No. 1189934. In order to analyze the data we used the system of differentiations developed by Foucault. The results showed that the professionals exert power by the highly specialized professional knowledge and that they know what they do, so they send and control the accomplishment of the care, leading the patient to submission. It concludes that the exercise of the power to care must be based on the observance of ethical and bioethical principles. resumenEstudio cuyo objetivo fue analizar, en el discurso de pacientes internados, como el poder del saber se revela en las relaciones de cuidado de Enfermería. Fue desarrollado desde una perspectiva cualitativa, teniendo como referencial teórico el concepto de poder emitido por Michel Foucault. El muestreo de los datos ocurrió entre agosto y diciembre de 2015 y los participantes fueron 16 pacientes internados en las clínicas médica y quirúrgica de un hospital universitario y sus discursos grabados mediante una entrevista semiestructurada, después del estudio haber sido aprobado por el comité de ética con el Parecer nº 1189934.Para analizar los datos se utilizó el sistema de diferenciaciones desarrollado por Foucault. Los resultados mostraron que los profesionales ejercen poder por el saber profesional altamente especializado y como ellos saben lo que hacen, mandan y controlan la realización de los cuidados, sometiendo al paciente. Se concluye que el ejercicio de poder del cuidar debe ser marcado por la observación de los principios éticos y bioéticos.

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Section: Power-knowledge In Nurses' Caresupporting

confidence: 74%

The patient and the relation between power-knowledge and care by nursing professionals

et al. 2017

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“…Lack of structure hinders the development of food and nutrition actions, motivation for work, the process of permanent education and the performance of the system [20,25]. On the other hand, satisfaction of the professionals of this study in the scope of human relations can generate commitment, supporting the decisionmaking and promoting co-responsibility for health status [30].…”

Section: Discussionmentioning

confidence: 87%

Profile and performance of nutritionists in Primary Health Care

Pedraza

Santos

2017

Rev. Nutr.

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A B S T R A C T ObjectiveTo describe the profile and performance of nutritionists in Primary Health Care. MethodsA cross-sectional study was carried out, and all nutritionists in two municipalities of Paraíba, Brazil, were interviewed. Information was collected through structured interviews on demographic characteristics, professional qualification, development of food and nutrition activities, knowledge and use of essential bibliography for the work in Primary Care. ResultsIn one municipality there were 28 teams of the Family Health Strategy and in the other, nineteen teams. In all, nineteen nutritionists were interviewed, fourteen of whom were working in the health teams and five were working exclusively in the Family Health Support Centers. All but one were women and the majority were between 20 and 39 years; the majority (n=10) had no graduate training. Nutritionists from the basic health teams developed more public health nutrition actions, such as defining nutritional care protocols and vitamin A and iron supplementation than those from the Family Health Support Centers (11 versus 1; and 13 versus 1, respectively). About half were satisfied with work in general, and dissatisfaction was related to deficiencies in the availability and quality of anthropometric equipment, physical structure and material. ConclusionNutritionists work in food and nutrition actions in collective health, emphasizing the importance of qualification and practices that better combine the programmatic agenda of this area with Primary Care.

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“…Some aspects of the interpersonal relationship between professionals and patients support longitudinality, as they provide a bond, (16) familiarity, (19,20) trust, (20) respect, (21) and communication from a comprehensive approach. (19) When this relationship is strengthened, a greater commitment is provided, aimed at promoting health, allowing some space for listening and clarification of doubts.…”

Section: Discussionmentioning

confidence: 99%

Atenção à saúde de crianças e adolescentes com HIV: avaliação da longitudinalidade

et al. 2017

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Objective: To evaluate the presence of Primary Health Care longitudinality from the perception of professionals from the municipalities of children and adolescents with HIV, who were treated in specialized services. Methods: Cross-sectional study, performed in 25 municipalities of Rio Grande do Sul, with 527 healthcare professionals. A characteristics questionnaire was used, and the Primary Care Assessment Tool -Brazil instrument, professional version. Pearson's Chi-square test and Poisson regression were used. Results: The longitudinality was satisfactory (p=6.96). Professionals aged less than or equal to 30 years (p=0.01) and professional education (p = 0.03) were associated with high scores. In the Family Health Strategy, sufficient time to attend to clients (p 0.045) was associated with the high score. Conclusion: The assessment indicated the potential for Primary Health Care to care for children and adolescents with HIV, especially in providing a bond, which is a determinant for the continuity of care.

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Relação profissional-usuário de saúde da família: perspectiva da bioética contratualista

Cited by 35 publications

References 13 publications

The patient and the relation between power-knowledge and care by nursing professionals

The patient and the relation between power-knowledge and care by nursing professionals

Profile and performance of nutritionists in Primary Health Care

Atenção à saúde de crianças e adolescentes com HIV: avaliação da longitudinalidade

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