Doutorado em Enfermagem e Saúde (FEN)
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Navegando Doutorado em Enfermagem e Saúde (FEN) por Por Orientador "Medeiros, Marcelo"
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Item Gravidez na adolescência e sua prevenção: sentidos atribuídos por um grupo de adolescentes escolares de Porto Velho – Rondônia(Universidade Federal de Goiás, 2019-12-11) Fernandes, Daiana Evangelista Rodrigues; Medeiros, Marcelo; http://lattes.cnpq.br/3009722217245952; Medeiros, Marcelo; Silva, Joana Aparecida Fernandes da; Reis, Mary Lopes; Santos, Walterlânia Silva; Barbosa, Maria AlvesRecent World Health Organization data show that approximately 16 million girls aged 15-19 each year and 1 million girls under 15 annually become mothers worldwide. Teenage pregnancy is an important public health problem that can affect the mother-child binomial in social, biological and psychological aspects. The aim of this study is to identify and analyze the meanings attributed by school adolescents to teenage pregnancy and its prevention. Qualitative study, approaching the principles of ethnography, conducted in a public school in the city of Porto Velho - RO, from October 2017 to November 2018. Participants were 20 adolescents of both sexes, aged 16 or 17 years. who had sexually active lives or not and were in the first or second year of high school. Data were obtained during the fieldwork, through participant observation and individual interviews, following a semi-structured script. The interviews were analyzed by the meanings interpretation method. From the process of analysis of the qualitative material obtained two themes emerged. The first, “Information for the prevention of teenage pregnancy”, shows that mothers are the people who talk and report the most about aspects related to their children's sexual health. Participants also reported as sources of information, leaflets, lectures, classes at school, advertisements and television programs. Regarding contraceptive methods, they reported mainly condom use and oral contraception. The theme “Repercussions of teenage pregnancy” shows that, in general, adolescents consider pregnancy at this stage of life something wrong, which undermines their studies and imposes the need to work. In addition, they evidenced the desire to complete their studies and develop in various professions in order to obtain financial stability and material goods so that only then can they have children. The study showed that participants referred more about their plans and dreams for development as people and future professionals than the desire for a teenage pregnancy. In contrast, the process of sexual and reproductive health education for these adolescents was weakened. Information is fragmented and there is no necessary dialogue between family, school and health service, and others who could participate in this continuum of actions for health promotion. Similarly, the use of contraceptive methods was not stable. However, participants demonstrated the use of the information to which they had access and adopted contraceptive measures motivated by future desires and dreams.Item A prática assistencial na rede de enfrentamento da violência contra as mulheres em Palmas/TO(Universidade Federal de Goiás, 2015-06-30) Pacheco, Leonora Rezende; Medeiros, Marcelo; http://lattes.cnpq.br/3009722217245952; Medeiros, Marcelo; Guilhem, Dirce; Bezerra, Ana Lúcia Queiroz; Caixeta, Camila Cardoso; Brasil, Virginia ViscondeThe combating of violence against women must be done by the work that involves the health, legal, police and psychosocial areas in an intersectoral network, because it is a complex and multifactorial phenomenon. The nurse belongs to the health area and the care practice is essential in the confronting of violence.This study aims to: analyze the meanings of violence against women by professionals of Network of Violence Against Women Combat, Understand the operations of the Network of Violence Against Women Combat according to its professionals, analyze the nurse assistance in Network of Violence Against Women Combat by the professionals and nurses from the network. The theoretical categories for data analysis contemplated the concepts of violence against women, the practice of the nurse, the historic route of the nursing work in Brazil and the operationalization of Network of Violence Against Women Combat; passing by authors like: Lenore Walker, Hannah Arendt and Karl Marx. It is a Social Research in Strategic Mode on a qualitative form. The data were collected through semi-structured interview with 21 professionals from 15 institutions that composed the Network of Violence Against Women Combat of Palmas/TO, and by observation of the field. Data analysis was based on thematic content analysis, emerging three thematic categories: "Meanings of violence against women", treating about the meanings, concepts and forms of violence for the participants; "Understanding the Network of Violence Against Women Combat" describing the operation of the network, its barriers and solutions; "The meanings of nurse's practice assistance in the Network of Violence Against Women Combat", participants showed how nurses were performing their practice assistance in the fighting of violence against women. After analyzing the barriers in the functioning of Network of Violence Against Women Combat and the aspects recommended by the literature and public political, a model/flowchart of network operating was proposed in a integrate and cross-sectoral way. The research concluded that for the implementation of networking is necessary to sensitize professionals and nurses about his role in the fighting of violence against women, making them recognize that the network service depends on the co-responsibility, initiative, communication and partnership of each of them. The network consists of institutions, and these by their professionals that should act effectively. Also offered subsidies for nurses practice, as well for other professionals from several sectors, in the establishment of coherent, solving and transforming actions for the prevention, detection and care of women in situations of violence. The training and inclusion of the issue of violence in the formation of professionals are very important. This research contributed to the Network of Violence Against Women Combat of Palmas, in the sensitize of professionals, recognition of partners and communication between them.Item Entre a proteção e a vulnerabilidade: significados atribuídos ao uso de drogas entre adolescentes de escola pública de período integral(Universidade Federal de Goiás, 2018-07-09) Pires, Laurena Moreira; Souza, Márcia Maria de; http://lattes.cnpq.br/6954087338926237; Medeiros, Marcelo; http://lattes.cnpq.br/3009722217245952; Medeiros, Marcelo; Reis, Mary Lopes; Pedrosa, Sheila Mara; Pacheco, Leonora Rezende; Barbosa, Maria AlvesObjectives: To identify and to analyze aspects related to the relational and labor insertion of adolescents attending a full-time school; and to investigate the relationship between adolescents' social vulnerability and the abusive and harmful use of psychoactive drugs. Methodology: This is a social research, with a qualitative approach of a strategic type, developed from January 2016 to December 2017. For data collection, we used the technique of focus groups guided by a predetermined script. A total of 49 adolescents aged 15 to 19 years attending a Full-time Education Center (CEPI), located in the eastern region of Goiânia- Goiás, participated in the study. Focus groups were held in the school environment. Results and discussion: The content analysis of the participants' speeches allowed the construction of four categories of analysis: "Tell us where it came from"; "With whom you walk"; "If you study, how to work?"; "Drugs: non-parallel universe". The family, the school and the group of friends were pointed out as the main groups for the relational insertion of these subjects. The adolescents presented themselves influenced by the context of economic fragility to which their families were exposed, which, in turn, motivated that they were inserted in groups of equals in that context. The meanings attributed to the world of work involved the search for family emancipation and the acquisition of consumer items. The duality faced by the adolescents resided in the impossibility of attending to the immediate desire to enter the labor market given the insertion in a full-time school, becoming an important conflict for these subjects. On the other hand, psychoactive drugs were widely present in the social context of these adolescents, permeating the meanings attributed to their relational insertions. In this sense, even if they did not use them, they felt their effects, even capable of leading them to disaffiliation. Final considerations: Finally, it was concluded that the social vulnerability of the group of participating adolescents, and of many other Brazilians, is related to the effects of poor income distribution, and this is expressed in families because of precariousness and insecurity. insertion in work, fragility of social relations permeated and subsidized by the harmful use of psychoactive substances, as well as inefficiency of social protection institutions and the State, in this case, full-time public school.Item A dimensão social do trabalho do enfermeiro na estratégia de saúde da família(Universidade Federal de Goiás, 2014-09-12) Reis, Mary Lopes; Medeiros, Marcelo; Medeiros, Marcelo; Gottems, Leila Bernarda Donato; Munari, Denize Bouttelet; Caixeta, Camila Cardoso; Sousa, Ana Luiza LimaThe nurses’ work at primary health care requires larger view of the health-disease process considering the social health determinants. Nursing has historically recognized two dimensions of its work, the theoretical (scientific) and the practical (technical). The objectives of this research were to identify and analyze the social dimension of actions performed by nurses in the Family Health Strategy; to analyze the nurses’ understandings about the Family Health Program on the social dimension of their work; and to analyze the interdisciplinary contributions under the Family Health Strategy in the actions of the social dimension of the work of nurses. Descriptive study on qualitative approach developed in a capital of central-western Brazilian region. Data were collected with 12 nurses of the Family Health Strategy through semi-structured interviews and participant observation. Once transcribed, the interviews were subjected to thematic content analysis and discussed based on the framework of Health Promotion and Social Action Theory of Max Weber and on the observation field notes. The results were organized and discussed into five categories, as known, "rational social actions related to purpose", "social actions in the traditional way", "rational actions regarding values and affective way," "overhead and hands tied" and "demands for work in the social dimension”. Generally it shows that nurses carry out actions aimed at social field, but does not identify or systematize the social dimension of their own work. The Max Weber’s Theory of Social Action becomes possible to understand the actions performed by nurses, its impacts, limitations, misconceptions and principles that guide their practice. These allow us to conclude that there is need for development of the social dimension of nurses' work, through the insertion of this discussion from initial training to the postgraduate level in order to meet the demands of such a size in the Family Health Strategy.