Dissertação
Prazer e sofrimento no processo de formação de residentes multiprofissionais de saúde
Fecha
2013-12-20Registro en:
FERNANDES, Marcelo Nunes da Silva. Pleasure and suffering in the process of formation of residents multidisciplinary health. 2013. 118 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Santa Maria, Santa Maria, 2013.
Autor
Fernandes, Marcelo Nunes da Silva
Institución
Resumen
This study aims to identify the perceptions of residents multidisciplinary health on
situations of pleasure and suffering in the process of formation and characterize them
sóciodemograficamente. For the basis of this study we adopted the theoretical framework of
psychodynamics of work in perspective Dejours. Nine subjects participated in the study who
worked in the Integrated Multidisciplinary Residency Programs in Public Health System,
Federal University of Santa Maria. Self-administered sociodemographic data and focus
group, which totaled three sessions and occurred in April 2013, taking into account the
objectives of the study structured questionnaire: two instruments for data collection were
used. For the treatment of sociodemographic data Simple descriptive statistics were used
and qualitative data collected through the focus groups, content analysis proposed by Bardin
was performed. In the focus group sessions categories which covered situations of pleasure
and suffering in the process of training of residents, especially the structure and organization
of the residence and its interface with the multidisciplinary approach emerged. This study
met the Resolution Nº. 196/96 of the National Health Council Regarding sociodemographic
results most are female, aged between 22 and 45, higher education, length of service less
than a year and approved in the first selection process. Most residents had as a reason for
admission to one of Residency Programs the opportunity to acquire knowledge related to
health. As regards the situations of pleasure in the training of residents multidisciplinary
health-related structure and organization of such Residence proceedings relate to the
possibilities of learning with different areas of expertise, sharing knowledge and recognition
and professional gratification user. Suffering is evidenced by work overload, the difficulty of
understanding the methodology, teaching classes and linkage for the transmission of
content, the extensive workload, lack of understanding of the meaning of theoretical
concepts and their absence in the working practices of teams health. Regarding the
situations of pleasure with the multidisciplinary approach of the Residence, the study reveals
that, for the residents of multidisciplinary health, these are due to the development of multicharacter
actions. Suffering is related to negative feelings conveyed by workers of health
services, demotivation of preceptors and mentors, lack of recognition, the difficulties of
integrating the different areas of emphasis of the Residence, the difficulties to participate in
other educational activities, actions bureaucratized of Housing Programs, the idea of hand
labor and mental suffering. Soon, with the grounding assumptions psychodynamics of work,
it is suggested initiatives that can help to overcome the painful situations, such as: the
creation of formal spaces for discussion of proposals and exchanges of experiences between
and Residency Programs health services, the building shared among health care workers
and residents of the matricial multidisciplinary health and natural therapeutic project, the
construction of user-centered interventions and recovery of multidisciplinary health residents
as active subjects in the teaching-learning process.