cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.7101656.v1
title: POOR SELF-ASSESSMENT OF THE HEALTH OF PRIMARY HEALTH CARE NURSING WORKERS

description: Abstract The goal of this study is to assess the elements associated with the negative self-assessment of health among nursing workers. We performed a cross-sectional exploratory study, with a probability sample composed of 451 Primary Health Care nursing workers. We applied a questionnaire with sociodemographic data, as well as data on life habits, occupations, psychosocial aspects and satisfaction at work and morbidity of the workers. The self-assessment of health was measured through the question “Overall, in comparison with other people your age, how would you consider your own health status?” The data was analyzed using the model of logistic regression in blocks. We identified a prevalence of 15.8% of negative health self-assessments. The factors associated to it were: incompatibility of the activities developed with the position, medium and high housework overload, active work situation (high control, high demand), poor assessment of the quality of life, and common mental disorders. The findings confirm the relationship between the health-disease process and the life and working conditions, and point to a need for public policies of prevention and promotion of the health of nursing workers. By constituting favorable work situations, these policies may be highly relevant for the quality of the care provided to the users of the Brazilian Unified Health System (Sistema Único de Saúde, SUS, in the Portuguese acronym).
DOI: 10.6084/m9.figshare.7677824.v1
title: FAMILY HEALTH AND PRIMARY HEALTH CARE EXPANDED SUPPORT CENTER: ANALYSIS OF THE WORK PROCESS

description: Abstract The present article has the goal of analyzing the work process of a team at the Family Health and Primary Health Care Expanded Support Center located in a municipality in the state of Pernambuco, Brazil. It is a case study with a qualitative focus and an analytical-descriptive nature. The techniques employed for the data collection were focus groups and analytical maps; for the organization and analysis, we adopted the technique of the Discourse of the Collective Subject. The analysis of the work process revealed in the discourse of the team conceptions regarding a ‘must be’ guided by what is recommended by the Brazilian Ministry of Health. However, the following aspects were identified: there is little success in the execution of the matrix support; there is no success in the development of agreements about the work process; the work is fragmented and has a focus on welfare; and there is no use of the technologies for analysis and family and populational intervention. We also observed that the planning of actions was rarely performed. This reveals a work that differs from what is considered adequate by the very same team. Problematic factors within and without the teams were also identified. We recommend beginning with an analysis of the work process that is to be performed by the very same team, which will contribute to reach more solutions.
DOI: 10.6084/m9.figshare.7677824
title: FAMILY HEALTH AND PRIMARY HEALTH CARE EXPANDED SUPPORT CENTER: ANALYSIS OF THE WORK PROCESS

description: Abstract The present article has the goal of analyzing the work process of a team at the Family Health and Primary Health Care Expanded Support Center located in a municipality in the state of Pernambuco, Brazil. It is a case study with a qualitative focus and an analytical-descriptive nature. The techniques employed for the data collection were focus groups and analytical maps; for the organization and analysis, we adopted the technique of the Discourse of the Collective Subject. The analysis of the work process revealed in the discourse of the team conceptions regarding a ‘must be’ guided by what is recommended by the Brazilian Ministry of Health. However, the following aspects were identified: there is little success in the execution of the matrix support; there is no success in the development of agreements about the work process; the work is fragmented and has a focus on welfare; and there is no use of the technologies for analysis and family and populational intervention. We also observed that the planning of actions was rarely performed. This reveals a work that differs from what is considered adequate by the very same team. Problematic factors within and without the teams were also identified. We recommend beginning with an analysis of the work process that is to be performed by the very same team, which will contribute to reach more solutions.
DOI: 10.6084/m9.figshare.7773908
title: CHANGES IN SOCIAL INDICATORS OF THE NORTHEASTERN REGION AFTER THE IMPLEMENTATION OF PRIMARY HEALTH CARE

description: Abstract The goal of the present study was to describe the implementation of Primary Health Care in the Northeastern Region of Brazil and its correlation with social indicators. It is an ecological study with data from the Primary Health Care Department (Departamento de Atenção Básica, in Portuguese) of the Brazilian Ministry of Health and from the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística, in Portuguese), and the variable of the study is the number of Community Health Workers, Health of the Family Teams and Health of the Family Support Centers. The calculation of the time trend of the Community Health Workers and of the Health of the Family Teams was performed using Poisson’s joinpoint regression. We observed a strong correlation (r ≥ 0.7) between the social indicators and the implementation of Primary Health Care and of the Health of the Family Center in the Northeastern Region, inadequate sanitary sewage systems, total fertility rate, houses with indoor plumbing, percentage of houses with garbage collection, life expectancy at birth, aging rate, and probability of living until the age of 60 years. The health and development variables presented a statistically significant (p &lt; 0.05) change in the correlation and determination coefficient. There is a time trend regarding the increase in the implementation of Primary Health Care in the Northeast, and there is also a strong correlation between the social and health indicators.
DOI: 10.6084/m9.figshare.7773908.v1
title: CHANGES IN SOCIAL INDICATORS OF THE NORTHEASTERN REGION AFTER THE IMPLEMENTATION OF PRIMARY HEALTH CARE

description: Abstract The goal of the present study was to describe the implementation of Primary Health Care in the Northeastern Region of Brazil and its correlation with social indicators. It is an ecological study with data from the Primary Health Care Department (Departamento de Atenção Básica, in Portuguese) of the Brazilian Ministry of Health and from the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística, in Portuguese), and the variable of the study is the number of Community Health Workers, Health of the Family Teams and Health of the Family Support Centers. The calculation of the time trend of the Community Health Workers and of the Health of the Family Teams was performed using Poisson’s joinpoint regression. We observed a strong correlation (r ≥ 0.7) between the social indicators and the implementation of Primary Health Care and of the Health of the Family Center in the Northeastern Region, inadequate sanitary sewage systems, total fertility rate, houses with indoor plumbing, percentage of houses with garbage collection, life expectancy at birth, aging rate, and probability of living until the age of 60 years. The health and development variables presented a statistically significant (p &lt; 0.05) change in the correlation and determination coefficient. There is a time trend regarding the increase in the implementation of Primary Health Care in the Northeast, and there is also a strong correlation between the social and health indicators.
DOI: 10.6084/m9.figshare.7773911.v1
title: NAMING AND INSTITUTIONALIZATION OF THE HEALTH OF THE WORKER: A DISPUTED FIELD

description: Abstract Based on the dispersal of meanings that constitutes the naming of the ‘Health of the Worker’ field, we sought to comprehend what is at stake in the constant changes in nomenclature in this field. These changes occur within a timeline, but they happen concomitantly. Its inaugural landmark was found in the stability of the name ‘occupational medicine,’ a name institutionalized by the International Labour Organization in the beginning of the second half of the 20th century. This first gesture of naming was followed by other gestures, established in tense and contradictory relationships of replacement, recovering and concurrence, such as: occupational health, health and safety at work, and, more recently, among these variations, we found the addition of the term ‘Health of the Worker.’ The second-to-last name is the most stable one, and it is used by international and entrepreneurial organizations.
DOI: 10.6084/m9.figshare.7773911
title: NAMING AND INSTITUTIONALIZATION OF THE HEALTH OF THE WORKER: A DISPUTED FIELD

description: Abstract Based on the dispersal of meanings that constitutes the naming of the ‘Health of the Worker’ field, we sought to comprehend what is at stake in the constant changes in nomenclature in this field. These changes occur within a timeline, but they happen concomitantly. Its inaugural landmark was found in the stability of the name ‘occupational medicine,’ a name institutionalized by the International Labour Organization in the beginning of the second half of the 20th century. This first gesture of naming was followed by other gestures, established in tense and contradictory relationships of replacement, recovering and concurrence, such as: occupational health, health and safety at work, and, more recently, among these variations, we found the addition of the term ‘Health of the Worker.’ The second-to-last name is the most stable one, and it is used by international and entrepreneurial organizations.
DOI: 10.6084/m9.figshare.7773914.v1
title: SOCIAL REPRESENTATIONS OF PRIMARY HEALTH CARE WORKERS ABOUT LGBT PEOPLE

description: Abstract In Brazil, despite the improvements in guaranteeing the human rights of Lesbians, Gays, Bissexuals, and Transsexuals, this population is still in a considerable situation of vulnerability. The goal of the present bioethics research was to understand the social representations of the Primary Health Care workers regarding these people, following the premise that these representations can act as obstacles for the access to actions and services. A total of 15 workers from the network of the city of Florianópolis, in the state of Santa Catarina, Brazil, were interviewed. The data collected were analyzed quantitatively based on the Social Representation Theory, through the thematic analysis of the content. The results showed that the social representations on the part of the workers are strongly founded on religious and heterenomous morals, and they understand the group in question based on an idea of promiscuity, risk of acquiring sexually-transmitted infections, stereotypes, and they understand their sexuality and gender identity as incorrect, biologically determined or even unnatural, subject to personal choice. Sexuality is a dimension of private life that cannot remain subjected to moralism. Social representations must be dealt with in the contexts of education and work in health, in order to broaden the access of the people in question regarding actions and services, as well as quality care.
DOI: 10.6084/m9.figshare.7773914
title: SOCIAL REPRESENTATIONS OF PRIMARY HEALTH CARE WORKERS ABOUT LGBT PEOPLE

description: Abstract In Brazil, despite the improvements in guaranteeing the human rights of Lesbians, Gays, Bissexuals, and Transsexuals, this population is still in a considerable situation of vulnerability. The goal of the present bioethics research was to understand the social representations of the Primary Health Care workers regarding these people, following the premise that these representations can act as obstacles for the access to actions and services. A total of 15 workers from the network of the city of Florianópolis, in the state of Santa Catarina, Brazil, were interviewed. The data collected were analyzed quantitatively based on the Social Representation Theory, through the thematic analysis of the content. The results showed that the social representations on the part of the workers are strongly founded on religious and heterenomous morals, and they understand the group in question based on an idea of promiscuity, risk of acquiring sexually-transmitted infections, stereotypes, and they understand their sexuality and gender identity as incorrect, biologically determined or even unnatural, subject to personal choice. Sexuality is a dimension of private life that cannot remain subjected to moralism. Social representations must be dealt with in the contexts of education and work in health, in order to broaden the access of the people in question regarding actions and services, as well as quality care.
DOI: 10.6084/m9.figshare.8092556.v1
title: REPRESENTATIONS OF NURSING STUDENTS ABOUT SEXUALITY: BETWEEN STEREOTYPES AND TABOOS

description: Abstract Considering sexuality as a fundamental part of human life, the present study had the goal of understanding how Nursing students represent sexuality. We chose to make a qualitative research based on the Social Representation theory. The study sample was composed of undergraduate Nursing students enrolled in a public institution. The data collection was performed with the aid of the IRaMuTeQ software, version 0.7 alpha 2, and it was based on Content Analysis. Sexua-lity was represented as something that should remain hidden both in the context of school and within the family. Even though their training was a factor that contributed to their change in conception about sexua-lity, feelings such as shame and shyness were present during the practices of the students, which verified that the representations are based on stereotypes and taboos. Thus, there is a visible need for more spaces for discussions within the university and within society, but discussions that understand the practice, and are not limited to theory.
DOI: 10.6084/m9.figshare.8092556
title: REPRESENTATIONS OF NURSING STUDENTS ABOUT SEXUALITY: BETWEEN STEREOTYPES AND TABOOS

description: Abstract Considering sexuality as a fundamental part of human life, the present study had the goal of understanding how Nursing students represent sexuality. We chose to make a qualitative research based on the Social Representation theory. The study sample was composed of undergraduate Nursing students enrolled in a public institution. The data collection was performed with the aid of the IRaMuTeQ software, version 0.7 alpha 2, and it was based on Content Analysis. Sexua-lity was represented as something that should remain hidden both in the context of school and within the family. Even though their training was a factor that contributed to their change in conception about sexua-lity, feelings such as shame and shyness were present during the practices of the students, which verified that the representations are based on stereotypes and taboos. Thus, there is a visible need for more spaces for discussions within the university and within society, but discussions that understand the practice, and are not limited to theory.
DOI: 10.6084/m9.figshare.8092658
title: SOCIAL CONDITIONS, SCHOOLING AND STUDY HABITS IN THE ACADEMIC PERFORMANCE OF FINALISTS IN THE FIELD OF HEALTH

description: Abstract Many factors contribute to the difficulty in accessing and remaining in Higher Education in Brazil. The objective of the present study was to identify the difference in the performance of the students due to socioeconomic conditions, schooling and study habits. We conducted an analytical cross-sectional study based on the data of the National Student Performance Exam (Exame Nacional de Desempenho dos Estudantes, in Portuguese), with a sample of 196,856 students from health courses in 2013. The clear obstacle faced by the students from underprivileged social classes to their admission and permanence in Higher Education requires a constant struggle for greater social justice. While the current situation remains unchanged, it is the role of the government to provide strategies to make viable the access to Higher Education through affirmative policies and resources to make it possible for the underprivileged to invest in their education. The permanence scholarship presented itself as crucial in the struggle for equity, and it enabled a better performance on the part of the students, especially due to their stronger ties with the Higher Education Institution.
DOI: 10.6084/m9.figshare.9697325
title: PAULO FREIRE AND UNTESTED FEASIBILITY: HOPE, UTOPIA AND TRANSFORMATION IN HEALTH

description: Abstract This essay is about Paulo Freire’s “untested feasibility” construct, and it aims to explore its potentialities in collective health. A total of 38 works by the author were analyzed, nine of which discuss untested feasibility, which enables the recognition of the construct’s underlying meanings. Three core ideas were explored for this understanding: the conditions and contexts of emergency of the untested feasibilities; examples; and the meanings of the untested feasibilities. The emergence of untested feasibilities results from a complex pedagogical process, which goes from the defamiliarization regarding reality to the critical perception of the subjects involved, which contributes to the development of untested feasibilities, as a step that precedes action. Even though some of the analyzed works mention examples of untested feasibilities, those were not clarifying regarding the understanding of the possible meanings of untested feasibility. Based on the ideas contained in Freire’s works regarding praxis, project, futurity, dream, utopia and hope, the comprehension of untested feasibility was based on the sense of collective project. We propose a pedagogy applied to collective health that incorporates “untested feasibility” as a possibility of transcending the technical training, which is based exclusively on informational contents, also investing in the capacities of indignation and denunciation and in the development of collective projects.
DOI: 10.6084/m9.figshare.9697325.v1
title: PAULO FREIRE AND UNTESTED FEASIBILITY: HOPE, UTOPIA AND TRANSFORMATION IN HEALTH

description: Abstract This essay is about Paulo Freire’s “untested feasibility” construct, and it aims to explore its potentialities in collective health. A total of 38 works by the author were analyzed, nine of which discuss untested feasibility, which enables the recognition of the construct’s underlying meanings. Three core ideas were explored for this understanding: the conditions and contexts of emergency of the untested feasibilities; examples; and the meanings of the untested feasibilities. The emergence of untested feasibilities results from a complex pedagogical process, which goes from the defamiliarization regarding reality to the critical perception of the subjects involved, which contributes to the development of untested feasibilities, as a step that precedes action. Even though some of the analyzed works mention examples of untested feasibilities, those were not clarifying regarding the understanding of the possible meanings of untested feasibility. Based on the ideas contained in Freire’s works regarding praxis, project, futurity, dream, utopia and hope, the comprehension of untested feasibility was based on the sense of collective project. We propose a pedagogy applied to collective health that incorporates “untested feasibility” as a possibility of transcending the technical training, which is based exclusively on informational contents, also investing in the capacities of indignation and denunciation and in the development of collective projects.
DOI: 10.6084/m9.figshare.14327368.v1
title: The notion of discourse in research on collective health: from methodological resource to theoretical approach

description: Abstract The dissemination of qualitative research methodologies in the field of Collective Health has been followed by the expansion in the use of discursive approaches. The effects of this increase have mobilized researchers in this field, be it through criticism of the epistemological abuses and weaknesses of its appropriation, through the distinction among the different schools of discourse analysis, or through the support of new research perspectives. In this article, I present a discussion about the ways to use the notion of discourse on the field, based on an analysis of a sample of 230 articles published by Brazilian authors between the 2014 and 2018, in 10 journals selected in the SciELO Public Health database. Characterized as a meta-research study, it highlights the theoretical-methodological frameworks, the discursive approaches, and the thematic universes to which the articles are affiliated. The multiplicity of perspectives is interpreted as an expression of the different traditions assimilated through the translation performed on the field. The prevalence of the methodological use, in the sense of a set of research rules and techniques, suggests the instrumentalization and incipient exploration of the notion of discourse. I end with an argument in favor of the potentiality of the post-structural discursive approaches –, and, in particular, with the Theory of Discourse by Ernesto Laclau and Chantal Mouffe – for the research in the field of Collective Health.
DOI: 10.6084/m9.figshare.14327368
title: The notion of discourse in research on collective health: from methodological resource to theoretical approach

description: Abstract The dissemination of qualitative research methodologies in the field of Collective Health has been followed by the expansion in the use of discursive approaches. The effects of this increase have mobilized researchers in this field, be it through criticism of the epistemological abuses and weaknesses of its appropriation, through the distinction among the different schools of discourse analysis, or through the support of new research perspectives. In this article, I present a discussion about the ways to use the notion of discourse on the field, based on an analysis of a sample of 230 articles published by Brazilian authors between the 2014 and 2018, in 10 journals selected in the SciELO Public Health database. Characterized as a meta-research study, it highlights the theoretical-methodological frameworks, the discursive approaches, and the thematic universes to which the articles are affiliated. The multiplicity of perspectives is interpreted as an expression of the different traditions assimilated through the translation performed on the field. The prevalence of the methodological use, in the sense of a set of research rules and techniques, suggests the instrumentalization and incipient exploration of the notion of discourse. I end with an argument in favor of the potentiality of the post-structural discursive approaches –, and, in particular, with the Theory of Discourse by Ernesto Laclau and Chantal Mouffe – for the research in the field of Collective Health.