cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.7102187.v1
title: THE WORK IN THE FAMILY HEALTH STRATEGY AND THE PERSISTENCE OF CURATIVE PRACTICES

description: Abstract The research had the goal of analyzing the perception regarding the work on the Family Health Strategy. We conducted a case study in the city of João Pessoa, in the state of Paraíba, Brazil, in 2014, with a questionnaire applied to a sample of workers with higher education (n = 342), interviews with managers (n = 6), professionals (n = 12), and a simple in loco observation. The data were treated by means of an analysis of the content and by descriptive statistics. The most evident qualitative goal of the work performed by the Family Health Strategy was improving the health conditions of the users. It was put into effect though the prevention, promotion, education and treatment of diseases, incorporating the expanded concept of health and autonomy of the population. However, according to the quantitative data, little time was devoted to these activities when compared to the time devoted to the spontaneous demands, generating a significant number of individual consultations. Activities regarding education, prevention, promotion and group approaches must be stimulated and incorporated into the everyday activities of the Family Health Strategy in a manner that intersects all of the actions, in which the expanded medical practice is a powerful tool. More involvement on the part of the professionals in these activities will enhance the quality of the assistance though interprofessionality, and will help break free from curative practices.
DOI: 10.6084/m9.figshare.7101161
title: HISTORICAL AND POLITICAL EDUCATION COURSE FOR UNDERGRADUATE HEALTH STUDENTS: ANALYSIS OF A SHARED CONSTRUCTION

description: Abstract Undergraduate studies in the fields of health are currently being debated regarding the need for change in their syllabuses concerning the principles of the Brazilian Unified Health System, among other topics. Overcoming the operational and technicist education and expanding the critical thinking abilities of the students about the historical and political determinations of health are among the challenges highlighted. The article analyzes the teaching/learning process with a critical perspective based on the Historical and Political Education Course for Undergraduate Health Students, an extension semi-virtual course offered nationally, and supported by the National Policy for Popular Education in Health within the Unified Health System. In the present article, we analyzed the experiences brought about by the course, which took place between March and December 2014. The development of the course was based on the theoretical and methodological conceptions of the construction of shared knowledge, guided by the field of Popular Education and Health. The article presents: the history and the process of development of the course, the political and pedagogical project, the educational and pedagogical materials, and the contributions and questions, with notes on the potential future implications in educational processes in the field of health.
DOI: 10.6084/m9.figshare.7101161.v1
title: HISTORICAL AND POLITICAL EDUCATION COURSE FOR UNDERGRADUATE HEALTH STUDENTS: ANALYSIS OF A SHARED CONSTRUCTION

description: Abstract Undergraduate studies in the fields of health are currently being debated regarding the need for change in their syllabuses concerning the principles of the Brazilian Unified Health System, among other topics. Overcoming the operational and technicist education and expanding the critical thinking abilities of the students about the historical and political determinations of health are among the challenges highlighted. The article analyzes the teaching/learning process with a critical perspective based on the Historical and Political Education Course for Undergraduate Health Students, an extension semi-virtual course offered nationally, and supported by the National Policy for Popular Education in Health within the Unified Health System. In the present article, we analyzed the experiences brought about by the course, which took place between March and December 2014. The development of the course was based on the theoretical and methodological conceptions of the construction of shared knowledge, guided by the field of Popular Education and Health. The article presents: the history and the process of development of the course, the political and pedagogical project, the educational and pedagogical materials, and the contributions and questions, with notes on the potential future implications in educational processes in the field of health.
DOI: 10.6084/m9.figshare.7102904
title: EVALUATION OF THE ORGANIZATION OF CARE IN MENTAL HEALTH IN PRIMARY HEALTH CARE IN BRAZIL

description: Abstract The article is the result of a cross-sectional study about care in mental health with 29,778 teams from the Family Health Strategy from all over Brazil (87.1% of the total of teams), including a normative evaluation of the data of the second cycle of the National Program for the Enhancement of Access and Quality in Primary Health Care (2013-2014) in the dimensions of the profile of the professionals, promotion of mental health, management, and offer of care. The results showed that 33.8% of the interviewees had precarious labor relationships, and that 60.3% of them did not feel prepared to work in mental health. The offer of the set of actions evaluated only occurred in 9.5% of the teams in all of Brazil (2.2% in the Northern region). Around half of them did not develop strategies to promote health, and only 9.8% actually carried out the management of care. We concluded that the low percentages of implementation on the national level coexist with significant regional inequalities, with the worst results coming from the Northern region. It is necessary to strengthen the actions of promotion of health, the qualification of the teams, to reverse the precariousness of the labor relationships, and to reorganize the management of care.
DOI: 10.6084/m9.figshare.7102904.v1
title: EVALUATION OF THE ORGANIZATION OF CARE IN MENTAL HEALTH IN PRIMARY HEALTH CARE IN BRAZIL

description: Abstract The article is the result of a cross-sectional study about care in mental health with 29,778 teams from the Family Health Strategy from all over Brazil (87.1% of the total of teams), including a normative evaluation of the data of the second cycle of the National Program for the Enhancement of Access and Quality in Primary Health Care (2013-2014) in the dimensions of the profile of the professionals, promotion of mental health, management, and offer of care. The results showed that 33.8% of the interviewees had precarious labor relationships, and that 60.3% of them did not feel prepared to work in mental health. The offer of the set of actions evaluated only occurred in 9.5% of the teams in all of Brazil (2.2% in the Northern region). Around half of them did not develop strategies to promote health, and only 9.8% actually carried out the management of care. We concluded that the low percentages of implementation on the national level coexist with significant regional inequalities, with the worst results coming from the Northern region. It is necessary to strengthen the actions of promotion of health, the qualification of the teams, to reverse the precariousness of the labor relationships, and to reorganize the management of care.
DOI: 10.6084/m9.figshare.7102211
title: WEEKLY WORKLOAD FOR NURSES IN BRAZIL: CHALLENGES TO PRACTICE THE PROFESSION

description: Abstract The study had the goal of presenting the distribution of nurses in the job market with a weekly workload greater than or equal to forty hours according to the regions of Brazil and the kind of workplace (whether in the private or public sectors). It was a cross-sectional study, conducted between 10 and 27 of February 2017, with on-line data from the medical-sanitary researches conducted in 2002, 2005 and 2009 by the Brazilian Institute of Geography and Statistics. We analyzed a total of 179,337 nurses in the 3 evaluated years. We compared their proportions according to each geographical region of Brazil and the workplace using Pearson’s Chi-squared test (α = 5%). Nursing was the only college-level healthcare occupation that presented a larger and increasing proportion of professionals with a weekly workload greater than or equal to 40 hours (p &lt; 0.001), and this proportion is greater in the public sector and in the Northern, Midwestern, and Southern regions of the country. The occupation of nurse still has an unfavorable workload, which constitutes a challenge to the nurses and to nursing as a profession.
DOI: 10.6084/m9.figshare.7102211.v1
title: WEEKLY WORKLOAD FOR NURSES IN BRAZIL: CHALLENGES TO PRACTICE THE PROFESSION

description: Abstract The study had the goal of presenting the distribution of nurses in the job market with a weekly workload greater than or equal to forty hours according to the regions of Brazil and the kind of workplace (whether in the private or public sectors). It was a cross-sectional study, conducted between 10 and 27 of February 2017, with on-line data from the medical-sanitary researches conducted in 2002, 2005 and 2009 by the Brazilian Institute of Geography and Statistics. We analyzed a total of 179,337 nurses in the 3 evaluated years. We compared their proportions according to each geographical region of Brazil and the workplace using Pearson’s Chi-squared test (α = 5%). Nursing was the only college-level healthcare occupation that presented a larger and increasing proportion of professionals with a weekly workload greater than or equal to 40 hours (p &lt; 0.001), and this proportion is greater in the public sector and in the Northern, Midwestern, and Southern regions of the country. The occupation of nurse still has an unfavorable workload, which constitutes a challenge to the nurses and to nursing as a profession.
DOI: 10.6084/m9.figshare.7102820
title: EXPLOITATION AND MENTAL SUFFERING AMONG TEACHERS: A STUDY IN THE STATE SCHOOL SYSTEM IN THE STATE OF PARANÁ, BRAZIL

description: Abstract The reorganization of the world of labor has a strong impact over the life and health statuses of the working class. Teachers, as well as other workers, have been going through a process of precarization of labor, among other consequences of flexible accumulation, with the increase in the requirements without a sufficient increase in the resources that are needed in order to perform the work. The significant increase in mental suffering among teachers seems to be connected to the new working conditions. With the goal of providing elements in order to face this issue, we developed a research with the aim of observing the association between the increase in exploitation in the work of the teachers and mental suffering. We performed a cross-sectional study using the Limesurvey online survey tool, in which 1,201 teachers of the state school system answered 2 online questionnaires: the Self-Reporting Questionnaire-20 and another one, developed by the researchers, about the working conditions of the teachers. The weekly working hours, the amount of students per classroom and the amount of classes of students per teacher showed an association with minor psychological disorders. The association between the amount of students per classroom and the presence of a minor psychological disorder was statistically significant. We concluded that the prevalence of cases that indicate psychological disorders is very high among teachers, and there are signs of an association with many different kinds of exploitation in the work of teachers.
DOI: 10.6084/m9.figshare.7102820.v1
title: EXPLOITATION AND MENTAL SUFFERING AMONG TEACHERS: A STUDY IN THE STATE SCHOOL SYSTEM IN THE STATE OF PARANÁ, BRAZIL

description: Abstract The reorganization of the world of labor has a strong impact over the life and health statuses of the working class. Teachers, as well as other workers, have been going through a process of precarization of labor, among other consequences of flexible accumulation, with the increase in the requirements without a sufficient increase in the resources that are needed in order to perform the work. The significant increase in mental suffering among teachers seems to be connected to the new working conditions. With the goal of providing elements in order to face this issue, we developed a research with the aim of observing the association between the increase in exploitation in the work of the teachers and mental suffering. We performed a cross-sectional study using the Limesurvey online survey tool, in which 1,201 teachers of the state school system answered 2 online questionnaires: the Self-Reporting Questionnaire-20 and another one, developed by the researchers, about the working conditions of the teachers. The weekly working hours, the amount of students per classroom and the amount of classes of students per teacher showed an association with minor psychological disorders. The association between the amount of students per classroom and the presence of a minor psychological disorder was statistically significant. We concluded that the prevalence of cases that indicate psychological disorders is very high among teachers, and there are signs of an association with many different kinds of exploitation in the work of teachers.
DOI: 10.6084/m9.figshare.7101308
title: THE PROFESSIONAL SOCIALIZATION IN THE PATH FROM TECHNICIAN TO NURSE

description: Abstract The research analyzed the process of socialization and transformation of nursing technicians into nurses through a descriptive and exploratory study, with a qualitative approach, conducted with 24 nursing technicians enrolled in an undergraduate course at a university in the state of Ceará, Brazil. The study was conducted between September and October 2016, through individual semi-structured interviews, with a thematic analysis in order to organize the data, which were discussed according to the presuppositions of the sociology of professions. Based on the results, three categories emerged: motivations for career progression; the dissimilarities between the work of the nurse technician and the nurse; and professional growth in the course of their studies. We noticed a process of professional socialization in the educational path of a nurse technician, which was motivated by a desire for career progression. The gradual transition is important so the technician can adapt to a new identity in the making, which can facilitate the migration among individuals with different levels of complexity in the nursing practice.
DOI: 10.6084/m9.figshare.7101308.v1
title: THE PROFESSIONAL SOCIALIZATION IN THE PATH FROM TECHNICIAN TO NURSE

description: Abstract The research analyzed the process of socialization and transformation of nursing technicians into nurses through a descriptive and exploratory study, with a qualitative approach, conducted with 24 nursing technicians enrolled in an undergraduate course at a university in the state of Ceará, Brazil. The study was conducted between September and October 2016, through individual semi-structured interviews, with a thematic analysis in order to organize the data, which were discussed according to the presuppositions of the sociology of professions. Based on the results, three categories emerged: motivations for career progression; the dissimilarities between the work of the nurse technician and the nurse; and professional growth in the course of their studies. We noticed a process of professional socialization in the educational path of a nurse technician, which was motivated by a desire for career progression. The gradual transition is important so the technician can adapt to a new identity in the making, which can facilitate the migration among individuals with different levels of complexity in the nursing practice.
DOI: 10.6084/m9.figshare.7102991
title: ACTIVITIES DEVELOPED BY FAMILY HEALTH SUPPORT CENTER PROFESSIONALS: REVIEW OF THE LITERATURE

description: Abstract The goals of this article are to summarize the characteristics of the Brazilian scientific production regarding the activities performed by the professionals of the Family Health Support Centers, to analyze the content of those activities, and to identify the facilitating and hindering aspects in the teams’ work process. We performed a review of the literature published between 2008 and 2015 in the SciELO e LILACS electronic databases. The results evince the prevalence of qualitative studies that describe the activities performed by specific professionals, particularly the user embracement, the care and the rehabilitation, with the actions of promotion of health, prevention, protection and vigilance, planning, programming, control, evaluation and management being less expressive. The training and permanent education actions are the least discussed actions. Among the facilitating aspects are proactivity and good interprofessional relationship, and among the hindering aspects are the persistence of the biomedical model within the Health of the Family field, the precarious working conditions, and the lack of support on the part of the management. We noticed a tendency to reproduce the hegemonic care perspective within the Health of the Family Support Centers, to the detriment of a process of change geared towards the comprehensiveness of care.
DOI: 10.6084/m9.figshare.7102991.v1
title: ACTIVITIES DEVELOPED BY FAMILY HEALTH SUPPORT CENTER PROFESSIONALS: REVIEW OF THE LITERATURE

description: Abstract The goals of this article are to summarize the characteristics of the Brazilian scientific production regarding the activities performed by the professionals of the Family Health Support Centers, to analyze the content of those activities, and to identify the facilitating and hindering aspects in the teams’ work process. We performed a review of the literature published between 2008 and 2015 in the SciELO e LILACS electronic databases. The results evince the prevalence of qualitative studies that describe the activities performed by specific professionals, particularly the user embracement, the care and the rehabilitation, with the actions of promotion of health, prevention, protection and vigilance, planning, programming, control, evaluation and management being less expressive. The training and permanent education actions are the least discussed actions. Among the facilitating aspects are proactivity and good interprofessional relationship, and among the hindering aspects are the persistence of the biomedical model within the Health of the Family field, the precarious working conditions, and the lack of support on the part of the management. We noticed a tendency to reproduce the hegemonic care perspective within the Health of the Family Support Centers, to the detriment of a process of change geared towards the comprehensiveness of care.
DOI: 10.6084/m9.figshare.7336598
title: BETWEEN THE ABSENCE OF ILLNESS AND POSSIBLE CARE: HEALTH ACCORDING TO FEMALE USERS OF THE FAMILY HEALTH STRATEGY PROGRAM

description: Abstract This article presents meanings that women users of the Family Health Strategy program attribute to health and its relation to care. The qualitative method was applied, using as a theoretical reference the discussions of Canguilhem and Winnicott on the notion of health, as well as notes on the medicalization of life. The fieldwork was developed through in-depth interviews between May and July 2015, with users of the Family Health Strategy program, and was treated with a hermeneutical analysis. Health, related both to the absence of illness and to complete well-being, as well as to the disposition to face the sufferings inherent to life. There is a coexistence between the unconditional trust in medical technology and a wager on intuitive care modes or those originated from social relationships. The health service contributes to the access to the treatment and, at the same time, reinforces the commitment to the prevention of all the misfortunes of the body, as well as the idea that the right to health care is related to the individual responsibility to keep it perfect. In a culture marked by individualism and competitiveness, individuals living in contexts of deep social injustice submit to rules to prevent the risk of becoming ill, but their possibilities of creating unique ways of enjoying life are restricted.
DOI: 10.6084/m9.figshare.7336598.v1
title: BETWEEN THE ABSENCE OF ILLNESS AND POSSIBLE CARE: HEALTH ACCORDING TO FEMALE USERS OF THE FAMILY HEALTH STRATEGY PROGRAM

description: Abstract This article presents meanings that women users of the Family Health Strategy program attribute to health and its relation to care. The qualitative method was applied, using as a theoretical reference the discussions of Canguilhem and Winnicott on the notion of health, as well as notes on the medicalization of life. The fieldwork was developed through in-depth interviews between May and July 2015, with users of the Family Health Strategy program, and was treated with a hermeneutical analysis. Health, related both to the absence of illness and to complete well-being, as well as to the disposition to face the sufferings inherent to life. There is a coexistence between the unconditional trust in medical technology and a wager on intuitive care modes or those originated from social relationships. The health service contributes to the access to the treatment and, at the same time, reinforces the commitment to the prevention of all the misfortunes of the body, as well as the idea that the right to health care is related to the individual responsibility to keep it perfect. In a culture marked by individualism and competitiveness, individuals living in contexts of deep social injustice submit to rules to prevent the risk of becoming ill, but their possibilities of creating unique ways of enjoying life are restricted.
DOI: 10.6084/m9.figshare.7678268
title: EVALUATION OF THE WORK PROCESS OF FAMILY HEALTH TEAMS IN A MUNICIPALITY IN MINAS GERAIS, BRAZIL

description: Abstract The study had the goal of assessing the organization of the work process of family health teams in a municipality in the state of Minas Gerais, Brazil. It was a quantitative, cross-sectional analytical research performed in 2014. We investigated the forms for the Self-Assessment for the Improvement in the Access and Quality of Primary Health Care of 73 teams. A total of 14 items of the subdimension organization of the work process were considered, and they were scored from 0 to 10, with 0 meaning complete inadequacy and 10 meaning complete adequacy of the team to the assessed pattern. The teams were classified from the ‘highly unsatisfactory’ pattern to the ‘highly satisfactory’ pattern. The significance level of the statistical analyses was set as values of p &lt; 0.05. A total of 86.3% were classified in the highly satisfactory/satisfactory pattern, and 13.7% were classified as average/highly unsatisfactory. Three items ‒ ‘Defined territory, bond with the population and responsibility for the fulfilment of the health needs’; ‘Coordination of care’; and ‘Monitoring of exam requests’ ‒ had inadequate performances. The teams from urban areas scored better in the assessment. The odontology professionals were the category that scored the highest in the assessment. Special attention should be devoted to the teams with low scores. A better organization of the work process should be strengthened, with the goal of enhancing the performance in the care to health of the community.